Page 1 - Consumers in Research Startup Grant - Metro North Hospital and Health Service

Applicant Details (Not Applicable)

Lead applicant *

Title

First name

Last name

Position *

Department *

Facility *

Metro North Employee ID *

Phone Number *

Must be an Australian phone number.

Email *

Must be an email address.

Project Details (Not Applicable)

Project Title *

Must be no more than 250 characters.

Project Type *

Response required.

Research Study

Quality Improvement Study at Metro North

Clear

Metro North Facilities (click all that apply) *

Partner Organisations (in addition to Metro North)

Co-investigators (Not Applicable)

Consumer investigator/s *

Other investigator/s *

Project Summary (Not Applicable)

Summary of the proposed project, including where the project will be conducted and the anticipated benefit to Metro North Patients, consumers or staff. *

Word count:

Must be no more than 150 words.

Funding Details (Not Applicable)

Please provide a cost estimate of how the funds will be utilised (i.e. a breakdown of the intended activities and approximate cost of each activity).

Also, please indicate if it is expected that the grant funds will cover the entire cost of the consumer engagement activities or whether the funds will be supplemented from other sources.

What will the Consumers in Research Startup Grant be used for? *

Word count:

Must be no more than 100 words.

What funding opportunities do you intend to apply for to support this research project? If you don't intend to apply for grant funding, how will consumer involvement be funded beyond the study design phase?

Word count:

Must be no more than 100 words.

Consumers in Research Startup Grant

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Consumers in Research Startup Grant Application Form

Applicant Details (Not Applicable)

Project Details (Not Applicable)

Co-investigators (Not Applicable)

Project Summary (Not Applicable)

Funding Details (Not Applicable)

Grants Information

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