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Please fill out the online form to submit your application.

Thank you for applying for the Type 2 Diabetes Prevention Challenge!

To assist you in filling out this form, please read the Applicant Guide for this Challenge located on the Impact Canada website. The Applicant Guide has important information that will help you to complete your application, including eligibility, as well as the Challenge Principles that will help you design your approach and the outcomes related to type 2 diabetes prevention you should seek. The Applicant Guide provides details about the assessment criteria that will be used to select winning applications. The information provided on this application form, submitted by eligible applicants, will be reviewed to determine stage 1 winners for the Type 2 Diabetes Prevention Challenge.

You must respond to all required fields as indicated in the application form.

There are 4 sections to this form. Sections 1-3 are mandatory and include: 1) Applicant Details, 2) Proposed Concept Details, and 3) Declarations. Section 4 of this form is optional and is a confidential survey about your concept, partnerships and experience applying to an Impact Canada Challenge.

No responsibility can be accepted for entries not received for whatever reason.

You will be able to save your application form and continue at a later time.

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Note: The tool used to collect information on this challenge is through Simple Survey. You can read the Privacy Statement by clicking here.