Resident Well-Being Promotion Grant (Resident Affairs)

Resident Name *

Email *

Phone *

Program(s) included in event *

PGY Level(s) included in event *

Number of trainees expected to attend *

Amount Requested (up to $40/person, max $400) & Plan for Use *

Proposed date(s) of event *

Please provide a brief description of your proposed social experience, and how it will bring residents together *

Are there any additional sources of funding for this event? *

Will program staff and/or faculty be present at this event? *

Does this event precede/follow or is it otherwise connected with a program-led event? (e.g. orientation or retreat) *

IF YOU HAVE ANSWERED YES TO ANY OF THE THREE PRECEDING QUESTIONS, PLEASE NOTE THIS GRANT DOES NOT APPLY. PLEASE EMAIL PGAFFAIRS@MCMASTER.CA IF YOU HAVE QUESTIONS.

I have read and reviewed the guidelines for this grant and agree to follow them. I am aware that all receipts must be in my name to be reimbursed. *

Name

FACULTY OF HEALTH SCIENCES

Postgraduate Medical Education

Resident Well-Being Promotion Grant (Resident Affairs)