Please enable JavaScript in your browser to complete this form.The Health Research Foundation – Hawke’s Bay offers two official funding rounds a year. In addition, the foundation allows for out of sequence applications if the proposed work is considered of significant enough impact for Hawke’s Bay health and wellbeing. Funding round 1 Submit your application no later than 30 April. You will be informed within the month of May whether your application has been allocated a grant, and you can commence the proposed project. Funding round 2 Submit your application no later than 31 October. You will be informed within the month of November whether your application has been allocated a grant, and you can commence the proposed project. Contact person for this application Name *FirstLastAddress *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryPhone *Email *General details Date of application *Title of Study *Associated educational institution (if any) *Anticipated start date *Anticipated completion date *Nature of Study *MastersDoctoralProfessionalMy application is a: *New applicationRenewal applicationFunding components Salaries: Proposed roles of each worker, salaried or honorary. Give details of requested salaries.Salaries total amount $Equipment: List materials & consumables, with nature of equipment, purpose, cost, availability.Equipment amount $ (GST inclusive)Expenses: working travel expenses, fees, transcribing and other:Expenses amount $ (GST inclusive)Total funding requested (GST inclusive) *Project details Summary of research (up to 150 words): *List the aims / purpose of your research: *Proposed timeline: *Research hypothesis: *Participants:Methodology: *Data analysis:Reporting and dissemination of results:Significance of research *With particular relevance to the anticipated health benefits of your research, its relevance to Hawke’s Bay, any implications for reducing health inequities, contribution to Māori health and potential to enhance research research by Māori, for Māori.Research project financial support Other (financial) support requested or approved:Approvals Publications *I intend to publish the results of my research I grant my full consent to the Health Research Foundation - Hawke's Bay publishing my research If you intend to publish the results of your research, please state below which journals or media you look to send this to: Ethical approval: *ReceivedApplied but not yet receivedNot applied forNo grants are awarded without ethical approval. Research grants may be applied for prior to approval but funds will not be given until ethical approval achieved.Ethical approval evidenceProvide evidence here or upload a file at the bottom of the form. How did you first learn about our foundation?Through an (industry) friend or colleagueI found your website through an online searchI heard / read about you in the mediaI saw / met you speak at an eventOtherTerms & conditions I, the applicant: Agree to report on research progress 6 monthly or as agreed, on attached form Agree that ethical approval has been sought and approved from local body or associated education institution as the case may be (evidence required before processing). Agree for my name and the research title to be used for HBMRF website/ publicity Acknowledge that failure to provide a report may result in having to return funding to the Foundation. Acknowledge that if research is not completed for whatever reason, I will keep the Foundation informed and there may be circumstances where some of the funding many need to be returned. Agree that on completion of research I will provide HBMRF with a pdf copy of the research/ publication Agree that ethical approval has been applied for or received AGREE TO TERMS: *I accept the above terms & conditionsDocuments to upload a. Curriculum Vitae Please attach Curriculum Vitae for the last five years of principal and any associate researchers. Please include: any previous publications and grants received or applied for connected to this study. contact details of two referees. b. Evidence of ethical approval/ application c. Additional relevant supporting material Up to a maximum of 4 pages d. Photo of Applicant Upload your files: Click or drag files to this area to upload. You can upload up to 10 files. Submit