Research Project Application Form

2016

This application form should be read in conjunction with: Call for Applications to Conduct a Research Project (individual document for

each topic) Research Project Application Overview

RESEARCH PROJECT APPLICATION FORM

This form has been prepared in Word, using a table format that will expand as content is inserted. Please do not delete or re-format any of the content such as questions or instructions.

Please comply with the word limits. Applications not complying with the word limits may not be considered. Text should be 12 point and the font Calibri.

Please note that, if you do not complete all relevant sections of this application or fail to supply any necessary supporting documentation it may not be possible for the Lowitja Institute to process your application.

Administering institution (Must be a Lowitja Institute CRC Participant Organisation)

1. Name of person completing this funding application

Title

Name

Position/ Organisation

Email

Telephone

2. Application code (Lowitja Institute to insert)

3. Research project title (as per Call for Applications to Conduct a Research Project)

4. Project No. (as per Call for Applications to Conduct a Research Project)

5. Application closing date (as per Call for Applications to Conduct a Research Project)

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6. Research project summary – technical (maximum 250 words)

Summarise how your project proposal will meet the research question (a more detailed response is required at question 12):

Research aimsINSERT YOUR TEXT HERE

Research significanceINSERT YOUR TEXT HERE

Research methodologyINSERT YOUR TEXT HERE

Expected outcomesINSERT YOUR TEXT HERE

7. Proposed research project start date

INSERT THE DATE HERE

8. Proposed research project completion date

INSERT THE DATE HERE

9. What is the state of the evidence relevant to the research question and therefore currently available to inform decisions and actions? (Maximum 500 words including references)Please include reference to existing evidence and gaps in evidence and the evidence your project will create to address the gaps.INSERT YOUR TEXT HERE

10. Research design and methodology (Selection criteria (a))

(Maximum 1500 words including references)

The Institute assesses research for robustness, including the soundness of the methodology, the appropriateness of the approach, the feasibility of the proposal and its prospects for a successful outcome. Please describe how the project will be conducted to achieve a quality outcome. Please also provide a summary of the project plan and timeline in table format.

The project plan must include:

An outline of the proposed methodology and a short justification for the approachINSERT YOUR TEXT HERE

A schedule of the main activities of the project and associated key milestones (or indicators)

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and deliverables that can be used for monitoring and reporting research progressINSERT YOUR TEXT HERE

A description of the roles and responsibilities of the project team members and/or organisation(s) partnering in the projectINSERT YOUR TEXT HERE

A detailed timelineINSERT YOUR TEXT HERE

Identification of any potential risks to the project and an explanation of how they would be managed.INSERT YOUR TEXT HERE

11. How will Aboriginal and/or Torres Strait Islander people participate in leadership of and/or be engaged in the project? (Selection criterion (b))

(Maximum 300 words)Applications will be assessed on the degree of Aboriginal and Torres Strait Islander engagement, such as leadership and/or membership on the research team, as participants in consultations, in workshops or in project related problem solving activities.

INSERT YOUR TEXT HERE

12. What are the likely benefits in health and wellbeing for Aboriginal and Torres Strait Islander people as a result of this research? (Selection criterion (c))

(Maximum 500 words)

INSERT YOUR TEXT HERE

13. Capability, experience and expertise of each member of the proposed project team in relation to their role vis-à-vis the topic (Selection criterion (d))

(Maximum 500 words)

INSERT YOUR TEXT HERE

14. Ability to complete the project on time and on budget (Selection criterion (e))

(Maximum 300 words)

INSERT YOUR TEXT HERE

15. Proposed development of research skills in Aboriginal and Torres Strait Islander people and/or communities (Selection criterion (f))

(Maximum 300 words)

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INSERT YOUR TEXT HERE

16. Project team’s experience in conducting research with Aboriginal and/or Torres Strait Islander people and/or organisations in an ethical way (Selection criterion (g))

(Maximum 300 words)

INSERT YOUR TEXT HERE

17. Knowledge exchange activities, including engagement of research end users, during the project and after completion (Selection criterion (h))

(Maximum 300 words)

INSERT YOUR TEXT HERE

18. Budget

Applicants must provide a detailed budget of the expected cost for their research project using the budget tool available at http://www.lowitja.org.au/sites/default/files/docs/budget-template.xlsx

19. Is there any background IP to be brought to the Research Project?Background IP is IP that has been developed before the project commenced which you will bring to the project. Any background IP should be identified.

(Maximum 300 words)

INSERT YOUR TEXT HERE

The named Project Leader must have a substantial appointment with the Administering Institution.

20. Brief summary of the capability, experience and expertise of each member of the proposed project team. Please indicate Aboriginal and/or Torres Strait Islander personnel.

(a) Project Leader (maximum 500 words including top 5 relevant publications)

INSERT YOUR TEXT HERE

(b) Project personnel (maximum 250 words including top 5 relevant publications)

Please include any additional positions you would recruit to the project team.

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INSERT YOUR TEXT HERE

21. Administering Institution details

Insert institution name and contact details

22. Please indicate if this project has been funded or is likely to be funded elsewhere, or is linked to a project funded elsewhere.

Yes / No

If yes, please specify

Insert name of project and of funding body

23. Partner Details

If applicable, insert the names and contact details of all partner organisations involved in this project.

Upload any documents in support of the application. Note all support documents should be consolidated into a single Word or PDF file (i.e. only one attachment is allowed)

24. Evidence of support, if any, has been uploaded as one Word or PDF document.

Yes / NoPlease upload any documents to support this application at http://www.lowitja.org.au/research-funding-application

Applicant declarationPlease note that this declaration must be made again at http://www.lowitja.org.au/research-funding-application when you upload and submit this application.

I declare that the information supplied in this application is true and correct and that all required supporting documents have been supplied. I have original copies of all submitted documents and understand that the Lowitja Institute may request sighting the original documents for the purpose of verification. I acknowledge that all documents submitted will become the property of the Institute and will not be returned to me.

Yes / No

I understand that the information collected in this application form will enable the Lowitja Institute to assess my application and, if my application is successful, create a legally

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binding Research Activity Funding Agreement. I also understand that if I do not complete all relevant sections of this application or fail to supply necessary supporting documentation it may not be possible for the Lowitja Institute to process my application.

Yes / No

I understand that it is a serious offence under the Criminal Code of the Australian Commonwealth to give misleading or false information and I acknowledge that the Lowitja Institute reserves the right to reverse any decision made about my application for research funding if it is found that I have provided misleading or false information.

Yes / No

Name of authorised person making this application and declaration(Must be representative of the Administering Institution)

Position

Date

Please note you will receive an auto-generated email following your submission. If you do not receive this in 24 hours, please contact Ms Mary Guthrie, General Manager (Policy), phone 03 8341 5504.

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