Project Proposal Form :: Physician Engagement Society of Courtenay & Comox

If you're following the instructions on the How to Start a Project page, fill out the form below. Otherwise, please click the link and read about the process.

Your Info

Name

Title

Department

Phone

Project Info

Please include a section about the anticipated effect from your project in your written proposal.

Project Title

Physician Lead

Project Participants

Project Overview

Project Impact Assessment

Timeline

Budget

Catering estimates: Island Health suggested budgets : $15 per person for breakfast, $20 per person for lunch, $25 per person for dinner. No alcohol submissions allowed, receipts required

Sessional Hours (# of Hrs)

Catering ($)

Travel (km)

Other ($)

Calculation

(SESSIONAL) 0hrs x $158.97/hr + (CATERING) $0 + (TRAVEL) 0 km @ x $.53/km + (OTHER) $0 = $0.00

Project PRoposal Form

Calculation

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