APPLICATION FOR 2017 STARTER GRANTS
Instructions to Applicants

Please complete the application in Calibri font, minimum 12 point type size.

Applications must be submitted via email to [email protected] by 5 PM,
Wednesday 27 July 2016. Late submissions will not be considered.

In your email application, please send your submission as a PDF proposal, including supporting
documentation, in a single document. Signatures on certification page may be electronic (jpeg
or similar format) or scanned originals.
Contact Details of Chief Investigator (CI)
Name:
Preferred Title:
Email Address:
Daytime Telephone:
Mobile Telephone:
Contact Details of Research Administration Officer (must be nominated)
Name and position:
Organisation (RHH/UTas/Menzies) &
Department/School or Institute
Email Address:
Daytime Telephone:
Total funding requested
Anticipated Start and End Dates of
project noting preferred
commencement in January 2017 for a
period of up to one year.
PROJECT TITLE: Clear, brief and
informative to people outside your field
(If a continuing project, use same title
as previously given)
$
2017 Starter Grant Application
PROJECT SUMMARY (40-50 words, in
lay language, for inclusion in Research
Foundation publications)
ETHICS
Is ethical approval required for this project?
YES
NO
If yes, has approval been obtained?
YES
NO
Ethics Approval title and number:
Funds will not be released for successful grants until all required ethical approvals are obtained
(human or experimental animal).
Complete the following details for each investigator on this grant. Copy and paste this table as many
times as necessary. Indicate the order of each investigator on the grant (CIA, CI, CI etc)
Investigator A
Title, Initials, Surname
Is it anticipated that in your
capacity as Chief Investigator A on
this grant, you will be engaged in
ongoing employment during the
term of the grant?
Status of any Employment or
Appointment, with the RHH
(including current FTE)
Status of any Employment or
Appointment, with any institution
other than the RHH (e.g. UTas,
CSIRO, DHHS) (Including current
FTE)
Contact Address
Telephone
Email Address
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2017 Starter Grant Application
Most recent qualifications
(include year, institution)
Time available for project
(average days/month)
Investigator B
Title, Initials, Surname
Status of any Employment or
Appointment, with the RHH
(including current FTE)
Status of any Employment or
Appointment, with any institution
other than the RHH (e.g. UTas,
CSIRO, DHHS) (Including current
FTE)
Contact Address
Telephone
Email Address
Most recent qualifications
(include year, institution)
Time available for project
(average days/month)
Investigator C
Title, Initials, Surname
Status of any Employment or
Appointment, with the RHH
(including current FTE)
Status of any Employment or
Appointment, with any institution
other than the RHH (e.g. UTas,
CSIRO, DHHS) (Including current
FTE)
Contact Address
Telephone
Email Address
Most recent qualifications
(include year, institution)
Time available for project
(average days/month)
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2017 Starter Grant Application
Investigator D
Title, Initials, Surname
Status of any Employment or
Appointment, with the RHH
(including current FTE)
Status of any Employment or
Appointment, with any institution
other than the RHH (e.g. UTas,
CSIRO, DHHS) (Including current
FTE)
Contact Address
Telephone
Email Address
Most recent qualifications
(include year, institution)
Time available for project
(average days/month)
PLEASE NOTE THAT E-MAIL WILL BE THE ONLY METHOD OF COMMUNICATION WITH APPLICANTS
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2017 Starter Grant Application
RESEARCH PROPOSAL
A.
AIMS OF THE PROJECT (Maximum: half an A4 Page)
Please give a concise description of the objectives of the investigation. If hypotheses are to be tested they
should be clearly stated.
B.
BENEFITS OF THE PROJECT TO THE TASMANIAN COMMUNITY, INCLUDING, WHERE RELEVANT, TO
THE ROYAL HOBART HOSPITAL DIRECTLY.
(Maximum: half an A4 Page)
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2017 Starter Grant Application
C.
RESEARCH PLAN
No more than one page. Sufficient details must be provided for assessors to understand and comment
upon the proposal including the approach to be taken and the feasibility of the study. Include the following
headings:





Background: Include relevant literature and novelty/innovation of the project
Methods: Describe the subjects and selection procedures, methods and techniques to be used,
experimental design, method of analysis, statistical power (if applicable) and feasibility.
Location: Please indicate percentage of research project activities intended to be undertaken
outside of Tasmania. If in excess of 60%, please provide further details.
Outcomes
Timetable
D.
REFERENCES
Include full journal citation format. Maximum of ½ page of references to be included.
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2017 Starter Grant Application
2.
RESEARCHER PROFILE
A.
PREVIOUS FUNDING FROM THE RHH RESEARCH FOUNDATION
Please provide details of funding any team member(s) may have previously gained through the RHH
Research Foundation since 2007. You should include the name of the investigation funded, the date and
amount funded and the level of involvement (eg CI, other Investigator, Supervisor).
B.
TRACK RECORD
Outline the track record for each investigator on the proposal, e.g.: relevant research experience, funding,
conference presentations, research supervision, honours and awards. Maximum of 1 page for each
Investigator.
C.
RELEVANT PUBLICATIONS/PRESENTATIONS OF INVESTIGATOR/S
Please list publications from 2011 to current, relevant to this proposal. Please also list/highlight any
publications and/or presentations that have been achieved through investigations previously funded by the
RHH Research Foundation.
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2017 Starter Grant Application
3.
RESEARCH & INNOVATION
A.
RESEARCH SIGNIFICANCE
Detail, if relevant, how this project may help to build critical mass in your research area and also how it may
be developed into a project of national /international significance that may attract other funding sources
(eg NHMRC). Maximum of ½ page.
B.
CLINICAL SIGNIFICANCE
Detail, if relevant, how this project may help to inform clinical practice and/or associated policy and also
how it may be effectively translated into other areas (where relevant). Maximum of ½ page.
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2017 Starter Grant Application
4.
FUNDING AND BUDGET INFORMATION
FUNDING
Total funding requirements for the project from all sources
$
Funds requested in this application
$
Support received
($)
Other financial support for this project
Support requested
($)
Other sources of direct or in-kind support – to be named
(insert rows as required). NB: If this project is part of a
larger program of work, please describe additional
funding received from any other funding body.
Alternatively, if this project is under consideration for
funding from any other funding body, please provide
details including the funding body, award type, name,
category, date when outcome will become known and
reference/application number if known.
What is the minimum level of funding required to make this project viable?
$
Will this project proceed if partial funding is received?
Yes
No
Yes
No
Please give details:
Will this project proceed if you are unsuccessful in obtaining this grant?
Please give details:
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2017 Starter Grant Application
5. CERTIFICATION
CERTIFICATION - TO BE SIGNED BY ALL INVESTIGATORS (Please scan the original, completed certification
page and hold original copy. Alternatively, electronic signatures (jpeg or similar format) may be used
upon the consent of the investigator).
I/we certify that all the details of this application form are correct and complete.
I/we understand and agree that research which involves human experimentation must be carried out in
accordance with the guidelines laid down in the NHMRC codes of practice.
I/we understand and agree that it is not the intention of this grant to duplicate funding from other sources
but to support additional work or a new program of works.
Name
Signature
Date
CERTIFICATION BY REPRESENTATIVE WITH APPROPRIATE DELEGATED AUTHORITY IE Head of Department
– RHH, Head of School – UTAS or Head of Institute – Menzies Institute for Medical Research
The Head of Department/School or Institute is required to sign the following statement:
I certify that this project can be accommodated within the general facilities in my Department.
I am prepared to have the project carried out in my Department as set out by the applicants.
Name
Title
Signature
Date
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