QEII-GSST 2025-26 Cover Page | Research and Health Science Education

===Your Information===

Surname*

First Name*

Title*

Are you in good standing with OSAP or Canada Student Loan (CSL) loans?*

Yes

Citizenship Status*

Canadian

Permanent Resident

Protected Person

===Award Category===

You are applying for these QEII-GSST award(s):*

Identify which Faculty-wide QEII-GSST award(s) you are applying for (A list of QEII-GSST Awards):

Please limit your selection to a maximum of 3 QEII-GSST awards.

H. David ARCHIBALD

Paul and Adelle DEACON

Edward DUNLOP Foundation

HEART & STROKE Foundation of Ontario

Grace LUMSDEN/Margaret NICHOLDS

Study of Pain QEII-GSST

===Graduate Unit and Program Information===

U of T Student Number*

If U of T Student # is not assigned yet, please enter 999999999

U of T Email*

If U of T email is not assigned yet, provide alternate email address

Graduate Unit*

Please provide the following information regarding the Graduate Unit to which you will (or intend to) be registered for
the 2025-26 academic year:

Research Topic*

Please provide your research topic/title

Expected Degree in 2025-26*

MSc

PhD

Expected year of Study in 2025-26*

E.g., Enter "2" if in year 2 of MSc studies in 2024-25 academic year (Sept 1, 2024 to Aug. 2025).

Supervisor's full name*

Supervisor's Email*

Supervisor's Primary Affiliation *

Co-Supervisor's full name (if applicable)

Co-Supervisor's email

Research Location*

Where you will mainly conduct your research (e.g., UofT Campus, SickKids, Sinai Heath,...)

===Agreement===

I hereby agree that any award made to me as a result of this application will be subject to terms and conditions outlined in the QEII-GSST Competition Guide. I hereby also declare that all information given on the QEII-GSST application is true and complete in every respect. I may be required to repay all or part of this award if the information is found to be inaccurate for any reason.*

Privacy Statement
The University of Toronto respects your privacy. Personal information that you provide to the University is collected pursuant to section 2(14) of the University of Toronto Act, 1971. It is collected for the purpose of administering the Queen Elizabeth II Graduate Scholarships in Science and Technology (QEII-GSST) Program, university reporting for statistical purposes, and university advancement. At all times it will be protected in accordance with the Freedom of Information and Protection of Privacy Act. If you have questions, please refer to www.utoronto.ca/privacy or contact the University Freedom of Information and Protection of Privacy Coordinator at 416‐946‐7303, McMurrich Building, room 104, 12
Queen’s Park Crescent West, Toronto, ON, M5S 1A8.