Please complete Part 1 below, and send all attachments for Part 1, 2, 3 and 4 in one email to wanursesmemorialtrust@gmail.com. Also state the primary applicant name and project title as the subject heading.

Part 1

Category of grant

Is your application for the

Amount requesting from The WANMCT

Amount provided/requested from other sources

Primary applicant name

First Name

Last Name

Email 1

Email 2

Address

Mobile phone

Work phone

Qualifications

Current appointment

Project team members

Name and qualifications

Project title

Project summary

350 words or less

Name of organisation/s supporting or affiliated with the research

Relevance and importance to the nursing/midwifery profession

150 words or less

Dissemination plan of findings

Budget

You may email an excel spreadsheet with Parts 2-4. Write "budget attached" here.

Timeline

You may email an excel spreadsheet with Parts 2-4. Write "timeline attached" here.

Please provide two referees

Part 2

Curriculum Vitae for all members of the project team.

Part 3

Detailed description of the proposed project or research proposal, budget justification together with all associated documents (eg questionnaires/s, interview schedules, data collection forms, information sheets, and confirmation of ethics committee approval).

Part 4

Evidence of current registration for the primary applicant with the Nursing and Midwifery Board of Australia by scan of registration card.

Email parts 2, 3 & 4

Grant application

Part 1

Part 2

Part 3

Part 4

Created by kelli savietto