Age+ Prize: Application Form

Section A

• Article: Please provide the full reference for your published article (title, authors, name of journal, volume, page numbers, year)
• Last Name
• First Name
• Research for article conducted at
  • University
  • Training degree/stage
• Current (if different)
  • University
  • Training degree/stage
• Correspondence preferred in: English or French
• Preferred Address for correspondence: Home or Work/University
• Home Address
  • Phone
  • Fax
  • Email
• Work / University Address
  • Phone
  • Fax
  • Email

Section B

Candidate's contribution:
B1. Please provide a brief overview of your previous and current training and research experience. (approximately 100 words)
B2. Clearly explain your contribution to the design, conduct and/or interpretation of the research undertaken for your paper. (approximately 200 words)

Section C

Significance of paper: Please write a statement describing:
C1. The relevance and significance of your paper to the research priorities of the Institute of Aging. (approximately 150 words)
C2. The impact of your paper in the broader context of the field of Aging, including the originality of research findings and/or research application. (approximately 150 words)

Section D

Lay summary: Provide a plain language 200-word research project summary targeted to the general non-scientific public. Explain the research issue and findings.

Section E

Submission: For instructions on how to submit your application, please see the funding opportunity.
Note: Winners of the Age+ Prize will be asked to submit a photograph for display on the Institute of Aging website.