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Healthy Aging Policy Innovation Lab Application Form

* Organization name

* Type of organization (select one)

Please Select... Not-for-profit sector Government Academic and Research Private sector Other

* Contact person

* Email

* Phone

* Short description of project (maximum 500 words)

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* How do you think the Healthy Aging Policy Innovation Lab can help you? (maximum 500 words)

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* Do you have funding available?

Please Select... Yes, both in-kind and secured funding Yes, but in-kind only No, I want to apply for grants

* Anything else we need to know? (maximum 500 words)

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* In clicking 'Submit', I consent for this information to be used by the Healthy Aging Policy Innovation Lab team to contact me and discuss potential collaboration. I understand that a formal research partnership is not guaranteed and depends on human-resource availability, funding, and UNB partnership legal requirements

I agree

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