Sydney Eye Hospital Foundation : grant-application-form-research

Use this form for research grant applications.

Applications using this form cannot be saved or previewed. We recommend you complete your application in a document offline prior to transferring the information to this form and submitting.

To apply for funding for accessibility projects, professional programs or technology and equipment, please use the general grant application form.

The submission confirmation will be sent to this address.

Name(s) of chief investigator(s) *

Please note that at least one investigator must have an appointment at the Sydney Eye Hospital campus.

Address of correspondence *

This should include the details (title, name, email, telephone) of any co-investigators. Please note that at least one investigator must have an appointment at the Sydney Eye Hospital campus.

Name of the institute’s finance/grants/research administrator *

Project Name *

Project Description *

Amount Applying for *

Duration *

Research Plan *

(Maximum of five pages, excluding references). This should include the background, aims, proposed methods and potential significance of the outcomes of the research.

Details of any other funding *

Project timeline *

Budget *

This should include salaries, travel and equipment. Each item of the budget should be justified. For any pieces of equipment valued at over $5,000, a quotation should be included as part of the application. GST should not be included in calculations. Funds should not be used towards travel to conferences. Salaries should be calculated from the applicable NH&MRC or University scales (please indicate the source scale in the proposal). Administrative, or on-costs, will not be covered.

Details of any other applications *

Applicants must inform the SEHF of any additional funding received to date, or during the award period for this, or a related, research project. The Foundation reserves the right to make adjustments to the amount of the award in instances where additional funding is obtained.

Particulars of the research facility/facilities where the research will be conducted *

Two-page CV of each investigator *

Please including publications over the last ten years, any grants received and a summary of the contribution of each named investigator to the proposed research.

Confirmation of Ethical Approval for the research *

The ethics application documents have been prepared. The ethical clearance will be obtained from the Sydney Local Health District Human Research Ethics Committee. We agree to comply with the highest ethical standards of conducting research.

I agree to SEHF branding, marketing and commercialisation *

Applicants must consent to participate in media promotion pertaining to their research activity. They must also agree to acknowledge Sydney Eye Hospital Foundation in any publications or presentations arising from the proposed work and in any potential commercial opportunities.

Research grant application form

Use this form for research grant applications.

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