College of Medicine
Department of Surgery
Research & Graduate Office
AD210 - 820 Sherbrook Street
Winnipeg Manitoba
Canada R3A 1R9
Tel: (204) 787-7277

Progress Report: Department of Surgery GFT Research Grant

Submission Deadline: March 31st 2016

Please keep your responses in the space provided. The space will expand as you enter your response.

Report Period: / APRIL 1 20 – MARCH 31 20 /
Principal Investigator:
Surgical Specialty:
Project Title:
Year of the Award:
Most recent extension date approved:
Name of all Co-investigators / Collaborators and their respective institutional affiliations
(See last question regarding student/resident/fellow involvement):
Institution(s) or geographical area(s) in which the research is/was carried out:
PROGRESS & FINANCIAL REPORT
Please provide a brief summary of the progress of your project including the stage of the project; whether the project is proceeding as planned and a summary of your findings. Please include any issues you feel may pose a challenge to meeting the project’s proposed timelines.
(Append any figures associated with your project to this form)
Financial Report: Template available on Surgery website
http://umanitoba.ca/faculties/medicine/units/surgery/8769.html
I have attached my Financial Report: / Yes No
OTHER GRANTS / PUBLICATIONS / PRESENTATIONS
List other grants received as a result of this award: Not Applicable
Please indicate the number of: Not Applicable
Publications In press publications
List (including submitted or in press manuscripts) and attach to this form publications associated with this grant:
Please indicate the number of presentations at local, national and/or international conferences associated with this grant: Not Applicable
Local National International
List conference name, dates and location:
STUDENT INVOLVEMENT
Please provide the number of students, residents, graduate students or fellows who worked on this project:
Undergraduate Students / Residents / Graduate Students / Fellows
List their responsibilities:
Do you want to close this study? / Yes No
Comments:
This form has been completed and submitted by:
Name / Date

Please submit this report form (including figures and publications) via email to

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