Apply for funding - Health Research Foundation

Name *

First

Last

Email *

Title of Study *

Associated educational institution (if any) *

Nature of Study *

Masters
Doctoral
Professional

My application is a: *

New application
Renewal application

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) *

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.

Other (financial) support requested or approved:

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: *

Received
Applied but not yet received
Not applied for

No 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 evidence

Provide 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 colleague
I found your website through an online search
I heard / read about you in the media
I saw / met you speak at an event
Other

AGREE TO TERMS: *

I accept the above terms & conditions