MS McLeod Research Fund
Departmental Research Grant
application Format - 2010
The following information is required, in the listed order.
1. Name of Department undertaking the research
2. Contact details for Head of Department
2.1 Postal address for correspondence
2.2 Telephone / mobile phone number (during business hours)
2.3 Email address
3. Contact details for Research Leader
3.1 Postal address for correspondence
3.2 Telephone / mobile phone number (during business hours)
3.3 Email address
4. Previous research undertaken by the Department
This should include:
4.1 Brief description of research completed in the past 12 months
4.2 List of publications for the past 12 months
4.3 List of research presentations in the past 12 months
5. Outline of research project
This should include:
5.1 Title of the research project/s
5.2 An abstract of the research project in lay terms (200 words or less)
5.3 A brief description of the research project (6 pages or less), including research objectives, the significance for paediatrics or child and youth health, research methods, data analysis and interpretation techniques
5.4 An undertaking from the Head of the Department concerned that the research will be completed within 12 months of commencement i.e. that the Department has the capacity and facilities to conduct the research within time constraints.
6. Other information
The applicant should provide any other information which may help in the assessment of the application.
Application requirements:
1. HARD COPY APPLCATION:
Four (4) hard copies of the application are required (this includes the original signed copy), and should be sent/delivered to:
Ms Katherine McPhail
c/- Research Secretariat
Level 2, Samuel Way Building
Children, Youth and Women’s Health Service
72 King William Road
NORTH ADELAIDE SA 5006.
2. ELECTRONIC COPY:
An electronic copy of the application (in a Word document format) is required, and should be sent to:
3. Signatures, date and endorsement:
All applications are to be signed, dated and endorsed by relevant authorities, as outlined on the following page, by the applicant, Department Head, Divisional Chief and Executive Director.
All documents must be received by the Research Secretariat By: 4.00pm on the Closing Date: Monday 2 November 2009
Late applications will not be accepted.
On behalf of:
The Trustees of the MS McLeod Research Fund
WCH Foundation Inc.
October 2009
Signatures, date and endorsement
This page must be completed and attached to the application.
Applicant
Signature: ______
Date: ______
Endorsement of Application
Department Head
Acknowledging consent and support for the application, and budget provision for backfill (if required) during the Scholarship
Name: ______
Signature: ______
Date: ______
Divisional Chief
Name: ______
Signature: ______
Date: ______
Executive Director
Name: ______
Signature: ______
Date: ______
H:\RESEARCH\GOVERNANCE\COLLABORATIVE VENTURES\MS McLeod Research Fund\Departmental Research Grants\2009 Departmental Research Grant\MS McLeod Departmental Research Grant Application 2009 DRAFT.doc