BCC-CSSO Career Development Research Award in Breast Surgical Oncology

            

 

Please fill out the following form to submit your application to be considered for the BSS-CSSO Career Development Research Award. The following items will be required to complete your application:

  • Letter of intent 
  • Curriculum vitae 
  • Confirmation of good standing from Fellowship Program Director
  • Confirmation of Faculty-level position at Canadian host institution chair
  • Mentorship plan 
  • Budget 
  • Research program description

REQUIRED

Preferred salutation*

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First name*

REQUIRED

Last name*

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(default)*


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Education and Post- Graduate Training

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Institution of Medical Degree*

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The date format is incorrect, please ensure the date format is YYYY-MM-DD

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Date of Medical School Completion*

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Institution of General Surgery Residency Program*

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The date format is incorrect, please ensure the date format is YYYY-MM-DD

REQUIRED

Date of Residency Completion*

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Completion of surigcal-scientist program or equivalent during residency*

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If yes, specify title of project, supervisor and degree received (if applicable).

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Institution(s) of Graduate Studies and Degree

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The date format is incorrect, please ensure the date format is YYYY-MM-DD

REQUIRED

Date of Completion*

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Fellowship Training*

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Fellowship Institution*

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Fellowship Program Director - name and contact information*

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The date format is incorrect, please ensure the date format is YYYY-MM-DD

REQUIRED

Date of Fellowship Completion*

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Completion of additional formal research training during fellowship*

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If yes, please provide details

Canadian Institution Appointment

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Name of host Canadian institution with confirmed position*

REQUIRED

Name of University affiliation*

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Name and contact information of Department Chair*

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Are you a Canadian Citizen or Landed Immigrant*

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Checklist*

All the items in this checklist must be submitted in a single merged PDF file labeled the following way: "Last name, Institution, BCC-CSSO 2026".

* Please note that incomplete applications will be rejected.








REQUIRED

Please upload your application as single PDF containing the items identified in the checklist above.*
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REQUIRED

I hereby acknowledge by entering my name in the field below, that I have reviewed the principles of the BCC-CSS Career Development Award and confirm the accuracy of the information provided.*
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