Metro North Hospital and Health Service

Consumers in Research Startup Grant

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1. 1. Consumers in Research Startup Grant Application Form(Not Applicable)
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Consumers in Research Startup Grant Application Form

* indicates a required field.

Applicant Details (Not Applicable)

Lead applicant * Required

TitleMrMsMxMissMrsDrCrProfA/ProfJudgeJusticeSr

First name

Last name

Position * Required

Department * Required

Facility * Required

Metro North Employee ID * Required

Phone Number * Required

Must be an Australian phone number. 

Email * Required

Must be an email address. 

Project Details (Not Applicable)

Project Title * Required

Must be no more than 250 characters. 

Project Type * Required

Response required.

Research Study

Quality Improvement Study at Metro North

Clear the selected value for Project Type

Metro North Facilities (click all that apply) * Required

Response required.

RBWH

TPCH

Caboolture Hospital

Redcliffe Hospital

STARS

Mental Health Services

Community Services

Oral Health Services

Other:

Clear the selected value for Metro North Facilities (click all that apply)

Partner Organisations (in addition to Metro North)

Co-investigators (Not Applicable)

Consumer investigator/s * Required

Other investigator/s * Required

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. * Required

wordswordWord count:

Must be no more than 150 words. 

Funding Details (Not Applicable)

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

wordswordWord 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?

wordswordWord count:

Must be no more than 100 words. 

 

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