UWA Research Impact Grants
Application form for funding in 2017
Closing date 5pm 16 June 2017
Prior to completing this application please refer to the Guidelines:
http://www.research.uwa.edu.au/staff/rgco/find-funding/internal-schemes#is-5-4
APPLICATION INFORMATION
First Named Chief Investigator
Title:
Given Name:
Staff No.
School/Centre:
Surname:
Email:
FTE (for period of award):
%
Adjunct ☐
Honorary ☐
Emeritus ☐
Personnel and Related Details
Additional Chief Investigators

CI#
2
3
4
5
6
7
8
9
10
Please refer to the guidelines for eligibility.
Full Name (Title Given
Name Surname)
Employee No.
(if applicable)
School/Centre/Institution
Project Details
Project Title
Project Summary
Provide a plain language summary of the aims, significance and expected outcomes (approx. 100 words).
Requested Budget
Total funds requested:
$
(maximum $20,000)
Research Classifications
The definitions for each type are found at: http://www.research.uwa.edu.au/staff/rgco/apply-for-funding#apply-3
Please enter 6-digit FOR and SEO codes. The codes must not end on ‘00’.
Fields of
Socio-Economic
Type of Research Activity
% FOR
Research (FOR)
Objective (SEO)
☐
Strategic Basic Research
Experimental Development
☐
Pure Basic Research
☐
Applied Research
☐
100%
% SEO
100%
1. POTENTIAL - 1 page (including references)
Describe how your research has the potential to address an important problem or to advance knowledge in in the field.
Provide details on who might benefit from this research and how they might benefit. (Instructional text can be deleted)
2. Project Management - 1 page
Provide details on how the proposed project will be managed to engage with beneficiaries and increase the likelihood
of impacts. (This could be through round tables, government briefings, industry workshops, academic conference
attendance, articles in The Conversation, etc.) What resources are required to carry out the project and specific
knowledge exchange/impact activities. Please also include a brief timeline for the project. (Instructional text can be
deleted)
3. Quality of the research - 1 page (including references)
Provide information that demonstrates the quality of your research, including details on how you will measure the success
of this grant. (Instructional text can be deleted)
4. Budget - 1 page
The funding may be used to support activities which include presenting at a conference, socialising research via various
networks, publication costs, teaching relief to write a research journal article or other research publication with likely high
impact, workshop and event costs, and media and public awareness activities. Refer to the RIG Guidelines and Conditions
for non-allowable budget items. All amounts should be listed GST exclusive
Item and brief description
Total Cost of project
$
Certification
 All Chief Investigators have agreed to take part in the proposed collaboration.
 All details on this application forma are true and complete.
 The project is viable in terms of the School's resources and the funds requested. All budget items have been
appropriately costed e.g. travel, accommodation.
 The project can be accommodated within the facilities of the School and sufficient working and office space is available
for any proposed visiting personnel.
 The project will not be permitted to proceed until appropriate ethics clearance(s) has been obtained.
 There are no outstanding final reports from previous funding received under this scheme.
 Having read and understood any conditions attached to this application I am satisfied with and willing to observe them.
First-named Chief Investigator
Head of School
(Principal contact on behalf of all Investigators)
If Head of School is a Chief Investigator, the Dean must sign
Name
Name
Signature
Date
Signature
Date