Toggle navigation Load unfinished survey Resume later Exit and clear survey default Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters. ACT KM Submission Portal Supporting Knowledge Mobilization of High-Impact Randomized Controlled Trials in Canada Welcome to the ACT Canada submission portal for the ACT Knowledge Mobilization (KM) Award. Your application must be submitted via this portal, emailed applications will not be accepted. Application Components: Please complete all questions in this portal and upload a single PDF of your application. Naming convention for the PDF should include a PI last name and project title (e.g., "Smith_ProjectTitle.pdf"). Please refer to the Call for Proposals (link) for detailed breakdown of section requirements and scoring. Summary: 1 page. Written Proposal: max 2 pages if written in English or 3 pages if written in French. Budget and justification: 1 page. References, figures, or tables: (optional, max 1 page). Deadline: Submitted by Monday, April 21, 2025 at noon ET. Late submissions will not be accepted. Once submitted, confirmation of receipt will be provided. If you do not hear back within 24 hours, please follow up to ensure successful delivery. If you have any concerns or questions about this application process, please contact the Coordinating Team at ACT.Canada@phri.ca Thank you for your interest in the ACT Canada Consortium and for your application. **Application can be saved and resumed at any time by selecting "Resume Later" in the top right corner.** (This question is mandatory) 1. Which ACT Canada Research network (link) has endorsed this application? Each network can endorse a maximum of 3 applications Choose one of the following answers Please choose... CanStroke Recovery Trials Platform (CanStroke) Canadian Association of Interventional Cardiology Clinical Trials Network (CAIC) Canadian COVID-19 Emergency Department Rapid Response Network (CEDRRN) Canadian Chronic Airway Disease Network (CCADN) Canadian Collaborative on Urgent Care Surgery (CANUCS) Canadian Critical Care Trials Group (CCCTG) Canadian Deprescribing Network (CaDeN) Canadian Donation and Transplantation Research Program (CDTRP) Canadian Heart Function Alliance (CHF Alliance) Canadian Home Mechanical Ventilation Research Network (CanHMVr) Canadian Immunization Research Network (CIRN) Canadian Medical Cannabis Clinical Trials Network (CMCN) Canadian Nephrology Trials Network (CNTN) Canadian Network for Child and Youth Mental Health Trials (CYMH Trials Network) Canadian Paediatric Inpatient Research Network (PIRN) Canadian Platform for Research in Non-Invasive Brain Stimulation (CANStim) Canadian Research Network for Adult Congenital Heart Disease Interventions (CRN-ACHDi) Canadian Stroke Consortium (CSC) Canadian Stroke Prevention Intervention Network (CSPIN) Canadian Traumatic Brain Injury Research Consortium (CTRC) Cardiovascular Network of Canada (CANet) Chronic Pain Network (CPN) Collaborative for Caring for Long-Term Care (CCARE-LTC) Diabetes Clinical Trials Network (DCTN) IMAGINE Network (IMAGINE) INFORM RARE Network (INFORM RARE) Infectious Disease Network (Infectious Disease) Maternal Infant Child and Youth Research Network (MICYRN) Network for Obesity Trials (Obesity Trials) Ontario Clinical Oncology Group (OCOG) Orthopaedic Trauma Surgery Research Network (Orthopaedic Trauma Surgery) Pan-Canadian Palliative Care Research Collaborative (PCPCRC) Pan-Canadian Trial Network in Valvular Heart Disease (PACT-V Heart Valve Network) Perioperative Care Network (Perioperative Care) test (This question is mandatory) 2. Please provide the KM project name and details for the high-impact randomized controlled trial (RCT). KM Project Name RCT Name RCT Registration Details(e.g. clinicaltrials.gov, NCT12345678) RCT Phase RCT Design RCT Date of Completion (YYYY/MM/DD)Trial must be completed by 2025/08/31 3. Please provide details for the Principal Investigator(s) as listed in the trial protocol for this submission. Principal Investigator(s) leading the application can only submit one application to this competition. Full membership details, including co-applicants, can be included in the PDF. Name, Email, and Institution are required for at least one PI PI Full Name PI Email PI Institution Principal Investigator #1 PI Full Name PI Email PI Institution Principal Investigator #2 PI Full Name PI Email PI Institution Principal Investigator #3 PI Full Name PI Email PI Institution (This question is mandatory) 4. Which CIHR eligible institution will hold funds for this submission? This organization will ensure and report that funds were used for CIHR eligible expenses (This question is mandatory) 5. What amount is being requested for the KM project? Maximum $10,000 CAD Your answer must be between 0 and 10000 Only an integer value may be entered in this field. (This question is mandatory) 6. When will the KM project be completed? ACT funding must be used by 2026/01/31 Answer must be between 02-10-2025 and 02-01-2026 Date format: mm-dd-yyyy Open date/time selector 2025-02-10 2026-02-01 23:59:59.999 MM-DD-YYYY (This question is mandatory) 7. Checklist: We provide this checklist for your convenience. Please ensure you include all requirements as described in the Call for Proposals (link) and check each section for completion, accuracy, and eligibility. All checklist items must be YES in order to submit the application Yes No RCT Details: Trial must be completed by August 31, 2025. High impact, high-quality RCT that uses a form of randomization (e.g., parallel group, cluster/stepped wedge/cluster cross-over, factorial, platform). Yes No Knowledge Mobilization: The KM project must focus on novel and impactful approaches to knowledge mobilization of the results of a completed, Canadian-led, high-impact randomized controlled trial. Non-traditional knowledge mobilization strategies are encouraged. Yes No Endorsement: Application is endorsed by one of the 34 ACT Networks. Each ACT Network can endorse a maximum of three applications to this competition. No letter of support is required from the supporting ACT Network. Yes No Budget: Applicants can request up to $10,000 (CAD) in direct funding. The budget adheres to the CIHR Patient Partner Compensation Guidelines (as appropriate). In-kind and matched funds are encouraged. Yes No Timeline: The overall KM initiative/strategy may take longer to finish, but the ACT funding must be utilized by January 31, 2026. Reporting deadline is end of December, 2025. Yes No CIHR Eligible: Funds will be transferred to an organization eligible to hold CIHR funds; this organization will ensure and report that funds were used for CIHR eligible expenses. Yes No Institutional Budget Review: PDF includes the statement “I have confirmed my institution (which will hold the grant funds) has reviewed my proposed budget and deems all items to be CIHR eligible.” Yes No Acknowledgement: The Principal Investigator(s) will acknowledge ACT Consortium partnership and funding in all related presentations and publications. Yes No PDF: Includes trial summary, budget justification, and proposal (max. 2 pages in English, max. 3 pages in French), which includes the Knowledge Mobilization and Engagement Plan. Yes No (This question is mandatory) 8. Submission Package PDF: Please submit a single PDF with file name that includes a PI last name and project title (e.g., "Smith_ProjectTitle.pdf"). It is your responsibility to ensure that the file you upload contains all required components. e.g., "Smith_ProjectTitle.pdf" Please upload one file Upload file Title File name × Upload file (This question is mandatory) 9. What email address should be used for correspondence and confirmation of submission? Please check the format of your answer. Once you are satisfied with your submission, please press the [submit] button bottom right. We will send an email confirming receipt of your application to the correspondence email address provided. Thank you for your interest in ACT Canada and for your submission. The Accelerating Clinical Trials Consortium is generously supported through multi-year funding from the Canadian Institutes of Health Research’s Clinical Trials Fund, as part of Canada’s Biomanufacturing and Life Sciences Strategy to ensure that Canadians are well served by a national clinical trials network. 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