Clinician Research Fellowships 2025

This is a preview of the 2025 Clinician Research Fellowships - Application Form form. You will be able to start a submission when the round opens at 9:00AM 2 December 2024 (AEST)
 

Applicant Details

* indicates a required field.

Must be an Australian phone number. 
Must be an Australian phone number. 
Must be an email address. 
Must be an email address. 
Gender * Required
Response required.
Clear the selected value for Gender
Are you of Aboriginal and/or Torres Strait Islander origin? * Required
Response required.
Clear the selected value for Are you of Aboriginal and/or Torres Strait Islander origin?
https://orcid.org/

Resumé

Note: NIH Biosketch is preferred format for resumé.

Attach a file: Select stored file
    A maximum of 1 file may be attached. PDF only, four pages maximum. File Name: CRF-XXX-2025_Resume.pdf
    Are you currently affiliated with a university or research institute? * Required
    Are you currently employed by Metro North Health? * Required
    Please enter your Metro North employee number (ie. 00123456)

    Current Employment

    Response required.
    Other
    Response required.
    Other
    https://metronorth.health.qld.gov.au/hospitals-services
    Must be a number. 

    Clinical Registration or Professional Certification

    AHPRA Registered Professions: http://www.ahpra.gov.au/Registration/Registration-Standards.aspx

    Allied Health professions: https://qheps.health.qld.gov.au/metronorth/allied-health/professions

    Do you have AHPRA Registration? * Required

    If you are not an AHPRA Registered Practitioner, please provide the Professional Body with which you are registered or eligible for registration.

    You have indicated that you are not currently a Metro North employee. Please provide details of your current situation, with reference to any future contracts or negotiations with Metro North regarding employment as a clinician. 

    Word count:
    Must be no more than 150 words. 

    Research Higher Degree

    Do you have a Research Higher Degree (RHD)? * Required
    Response required.
    Response required.

    Must be at least 1 rows

    Word count:
    Must be no more than 150 words. 

    Eligibility Check (Not Applicable)

    This section is not applicable because of your response to question: "Year Awarded" on page 1

    The Clinician Research Fellowships eligibility criteria state that you must be within ten (10) years of award of your RHD.

    Because you have indicated you are greater than ten years post-award, unless you have disclosed eligible career disruptions using the section below, you will be deemed ineligible and not considered by the Panel.

    Relative to Opportunity and Career Disruption

    Please refer to NHMRC policy on acceptable career interruption.

    Have you experienced circumstances or a career interruption that has affected your research capacity in the last ten (10) years? * Required
    NOTE: This information will be visible to the review panel, who are either Metro North Health staff or employees of a collaborating organisation. All panel reviewers have committed to ethical peer review principles, and have agreed to confidentiality and conflict of interest disclosure statements.

    Sensitive Career Disruption (Not Applicable)

    This section is not applicable because of your response to question: "Have you experienced circumstances or a career interruption that has affected your research capacity in the last ten (10) years?" on page 1

    If you do not wish to disclose the nature of a sensitive career interruption using the online application form, please indicate this below and contact the Research Grants Officer directly at MetroNorthResearch-Grants@health.qld.gov.au.

    Do you wish to disclose a sensitive career interruption? * Required

    Career Interruption (Not Applicable)

    This section is not applicable because of your response to questions:

    • "Have you experienced circumstances or a career interruption that has affected your research capacity in the last ten (10) years?" on page 1

    Describe below the details of any career interruptions within the last ten (10) years.

    List each interruption or specific circumstance as a separate line entry. 

    Start DateEnd DateDuration (weeks)Reduction in FTEDuration of Interruption (years)Details
    Must be a date. 
    Must be a date. 
    Must be a number. 
    Must be a number. 
    This number/amount is calculated. 
     * Required
     * Required
     * Required
     * Required
     * Required

    Must be at least 1 rows

    This section is not applicable because of your response to questions:

    • "Have you experienced circumstances or a career interruption that has affected your research capacity in the last ten (10) years?" on page 1
    This number/amount is calculated. 
    Word count:
    Must be no more than 250 words.