2018 Vanguard Grant Application

Transcription

1 2018 Vanguard Grant Application Page 1 of 15 Instructions to Applicants Welcome to the Heart Foundation's online application form. We would appreciate any feedback regarding our new online application process. Please send your feedback by to: research@heartfoundation.org.au. Award Details Instructions for completing this application, along with Eligibility and Award Stipulations can be found on our website: or by research@heartfoundation.org.au. Please read these instructions carefully before submitting. All initial questions should be directed to the research office of your institution. The closing date for application is: Thursday 3 May 2018 at 5pm AEST. Late or incomplete applications will not be accepted. It is recommended that you submit this application to your Research Office by Tuesday 24 April Important Information Before submission, you will have an opportunity to review and print the application. Once you submit you will not be able to access or make changes to your application while it is under review by your Research Office. The Research Administration Officer at your Administering Institution will review your application and either endorse it or request changes to the application. If the application is endorsed, it will be submitted to the Heart Foundation - no further action will be required by the applicant. If the Research Administration Officer requires changes to the application, you will be notified via . The Heart Foundation will reinstate your application to enable you to make changes (allow up to one business day for access to be reinstated. Once you have made your changes you must resubmit your application to the Administering Institution for final endorsement. The Heart Foundation will not make requests for missing documentation or provide opportunities to amend incorrectly completed applications. Incomplete or incorrect applications will not be forwarded for peer review. Privacy Statement Your Personal Information is being collected by the Heart Foundation in order to assess your application for this award. If you are not successful in your application we will retain your application on file indefinitely. If you are successful in your application, then we will use your Personal Information to manage your award. We respect your privacy and embrace the principles contained in the Privacy Act. The Heart Foundation (we, us, our) is the National Heart Foundation of Australia and all associated Australian State and Territory Heart Foundation Divisions, full details of which can be found in our Privacy Notice. If you do not want to receive further communication from us (other than information that relates to this application and successful award) or if you have any questions about privacy please contact the Research Program at research@heartfoundation.org.au or call (03) Our APP privacy policy is set out in our Privacy Notice and details how you may complain about privacy issues and how we would deal with that complaint. It also explains how you can access, correct or update information we hold about you. A copy of our Privacy Notice is available at or on request. [HFPS F] Acceptance of Use By continuing with this application you accept the Heart Foundation Online Grants Management System Terms and Conditions of Use.

2 Page 2 of 15 - Project Overview Simplieed Project Title Insert Lay Title character maximum Scientiec Project Title Insert Scientific Title character maximum Project Start Date Insert Start Date- Q1 Jan 2019 or Q2 1 April 2019 or Q3 1 July 2019 Research Category Insert category the research applies to Project Synopsis/Outcomes: Using lay terms, describe the overall aims of the research and expected cardiovascular health outcomes. Avoid technical terms. Your answer should be suitable for release to media and general publications. Insert project brief which will be assessed and added to the Heart Foundation website (if the project is successful) character maximum

3 Page 3 of 15 - Research Categories - Examples Biology Brain and Nervous System Condition Hypertension Demographics Indigenous Populations Diagnosis & Assessment ECG (Electrocardiogram) Risk Factors Inherited Risk Factors/Genetics Treatment Remote Ischaemic Preconditioning (RIPC) Prevention Public Policy Information Technology Web based tools Categories Selected 8

4 Page 4 of 15 - Applicant Information Applicant Title select your title First Name insert your first name Last Name insert your surname insert your address Landline (include Area Code) insert your work phone number Mobile insert your mobile number Resident Status select appropriate response Gender select appropriate response Are you of Aboriginal or Torres Strait Islander descent? select appropriate response Citizenship or Residence Evidence (and evidence of name change if applicable) Attach PDF of evidence (Passport etc) - 20MB maximum

5 Page 5 of 15 - Applicant Current Work Information Position insert your current employment position title Employer insert your current employer Position Start Date insert the start date of this position FTE insert FTE you are currently working at this organisation

6 Page 6 of 15 - Administering Institution Details Institution Name select the Institution who will administer this award Administering Institution Contact Person Details Title select the research administering officer's title First Name insert the research administering officer's first name Last Name insert the research administering officer's surname Landline (include Area Code) insert the research administering officers' phone number Institution Address select the research administering officer's address

7 Page 7 of 15 - Executive Summary Relevance to the purpose of the Vanguard Grant - How does the proposed project test the feasibility of an innovative concept in public health, health services or clinical service delivery? Expected Outcomes - What outcomes are expected from the project and how might these outcomes lead to improvements in cardiovascular health? Will this study lead to larger, more rigorous studies in the future? If so, how is it proposed to fund these studies? Discuss the relevance to the purpose of the Vanguard grant character maximum Insert the expected outcome your project character maximum

8 Page 8 of 15 - Other Chief Investigators Title select other CI title First Name insert other CI first name Last Name insert other CI surname insert other CI Landline (include Area Code) insert other CI work phone number Mobile insert other CI mobile number Role in Project discuss the other Chief Investigator's role in the project. 500 character maximum Current Position Insert the CI's current employment position Current Institution Insert the CI's current institution Gender select appropriate response Aboriginal or Torres Strait Islander descent select appropriate response Example CI Title Assistant Professor First Name Jane Last Name Doe Janedoe@example.com Landline (include Area Code) Mobile Role in Project Assistant Professor Jane Doe will completing the data analysis Current Position Data Analytics Specialist Current Institution University of Sydney Gender Prefer not to say Aboriginal or Torres Strait Islander descent Prefer not to say

9 Page 9 of 15 - Ethics Approvals Is ethics required? select Yes or No Please select the ethic requirements associated with your research: Please attach information supporting ethics approval or clearance (if available). Yes - select ethics approvals applicable to award Please attach information supporting ethics approval or clearance (if available) - Only PDF documents are acceptable. The PDF files must not exceed 20MB.

10 Page 10 of 15 - Track Record of the Applicant Please provide a brief summary of your track record (including publications, presentations, grants and awards) focussing on aspects of track record, training and skills relevant to the proposed project. Discuss the contribution you make/have made to the scientific community character maximum

11 Page 11 of 15 - Project Plans Please provide a brief summary of your project plan. Discuss your project plan character maximum Research Environment: Briefly summarise the research environment including quality/ experience of supervision, international standing of lab, facilities, infrastructure and funding that is available to support your proposed research. Discuss the research environment character maximum

12 Page 12 of 15 - Research Plan and Figures Please provide and detailed Research Plan. The Research Plan is limited to three pages, including a maximum of 15 references and must be completed using Arial 12 point font. Upload the Research plan and figures in PDF - Documents uploaded in any format other than PDF will not be accepted. PDF files must not exceed 20MB or three pages.

13 Page 13 of 15 - Budget Information Personnel (Not applicant) Details (200 characters) insert information about the personnel expenses Subtotal $ enter dollar amount for personnel Equipment Details (200 characters) insert information about the equipment expenses Subtotal $ enter dollar amount for equipment Maintenance Details (200 characters) insert information about the maintenance expenses Subtotal $ enter dollar amount for maintenance Other Details (200 characters) insert information about any other expenses not covered previously Subtotal $ enter dollar amount for other expenses Grand Total ($) Details (200 characters) Total of expenses

14 Page 14 of 15 - Health Equity Please describe how your research will consider (or has considered these populations? Select appropriate response Please provide details: Insert information character maximum This question will not form part of the assessment of your application. The Heart Foundation is committed to addressing health inequity and to focusing on people who are disproportionately affected by heart disease: people who are socioeconomically disadvantaged, residents of regional, rural and remote areas, Australians from culturally and linguistically diverse backgrounds, and Aboriginal and Torres Strait Islander peoples.

15 Page 15 of 15 - Submit For Endorsement Submit For Endorsement Following this certification page, you will have the opportunity to review your full application prior to sending to your Research Office. You will be able to go back and make changes if necessary. Once the application is submitted you will not be able to make changes. By submitting this form, an notification will be sent to both the Heart Foundation and the Research Office at your Administering Institution. Your Research Office will review the application and either endorse it or return it for amendments. You will receive an notification advising of the status of this application only when your Research Office has endorsed or returned your application. If you or the Administering Institution do not receive notifications, please check your spam folders and settings. Certification I certify that all details provided in this application are correct and that I have read, understood, and have abided by the instructions associated with this application. I confirm that all applicable parties (including Head of Department, Supervisors, Referees and Other Investigators) have reviewed and approved my application, and I have provided evidence of these approvals and agreements to my Administering Institution's Research Office. I also confirm that all applicable parties have read and understood the privacy statement. I agree to carry out the project in accordance with the principles of the Australian Code for the Responsible Conduct of Research (2007). I acknowledge that all ethics approvals and clearances necessary to complete my project as outlined in this application will be in place before commencement of the work. I also acknowledge that all supporting documentation has been provided with this application. I understand that my application will not be eligible for consideration by the Heart Foundation if this application is incomplete or lacking the required documents. I confirm that I have complied with all instructions and understand that failure to do so may result in the withdrawal of the application from the review process. By submitting this form, I understand my application will be reviewed by the Research Administration Officer at my Administering Institution for endorsement and final submission to the Heart Foundation.