ACCEPTANCE OF OFFER
(UWA INTERNAL SCHEMES ONLY)
Office Use
UWA Ref. No.:
Title of Proposal
Chief Investigator
UWA Staff No
1
Surname
Given Name
Title
School Name
Institution
st
Internal Funding Scheme
UWA Research Collaboration Awards
UWA Research Impact Grants
UWA Fellowship Support
Awarded Budget
Awarded Amount:
BU Number:
PeopleSoft Report Key:
PeopleSoft Budget Activity:
PeopleSoft Manager Name (if not first named Investigator):
Ethics Approvals
Does this project involve:
Approval Body:
The use of animals?
Yes
No
UWA Animal Ethics Committee
The participation of human subjects?
Yes
No
UWA Human Research Ethics Committee
A clinical trial?
Yes
No
UWA Human Research Ethics Committee
Genetic manipulation or biohazardous procedures?
Yes
No
UWA Institutional Biosafety Committee
The use and disposal of potent teratogens or
carcinogens?
Yes
No
University Carcinogenic & Mutagenic
Substances Committee
The use of ionising radiation?
Yes
No
University Radiation Safety Committee
28/05/2015
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Have ethics approvals been obtained to cover all aspects of the project?
Please attach copies of non-UWA approval letters.
Yes
No
Pending
•
Funds will not be released and work on the research project may not begin until Research Grants have been notified
that all necessary approvals have been obtained.
•
Recognition of all external approvals must be obtained from Research Integrity and confirmation provided to Research
Grants before funds will be released.
•
Further information on Ethics Approvals can be found at:: http://www.research.uwa.edu.au/2147635
Full Name of Committee
Institution
Approval
Date
External Approval No.
UWA Approval No.
Details of Award
Where is the proposed research being executed?
International: Please name country,
National: Please name state,
Western Australia: Please name region
Please indicate the country or countries of
international researchers involved in the project
Signatures
Certification by the first named Chief Investigator (on behalf of all Chief Investigators)
•
The funds offered and other known resources and basic facilities such as accommodation, administrative support,
technical workshop, computer time, library materials and statistical analysis are sufficient to make the project viable.
•
If the funds are used to provide scholarship support to a graduate research student, an Ad Hoc Scholarship Proposal
form will be submitted to Graduate Research and Scholarships upon student commencement.
•
Please also contact Graduate Research and Scholarships if you have not yet found a student and wish to advertise the
scholarship.
•
I have read, understand and accept the conditions of award stated in the guidelines of the scheme. I am satisfied with
and willing to observe them and will assist the University to comply with them.
First Named Chief Investigator
Principal contact on behalf of all Chief Investigators
Name
Signature
Date
Certification by the Head of School
If the Head of School is a Chief Investigator on this grant, the Dean must sign
School
28/05/2015
B/U No.
Name and Signature
Date
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