Expression of Interest for Research Project



Expression of Interest for Research ProjectThis form is to be used for any researchers who wish to undertake research involving College resources and facilities as outlined in the Research Policy. All projects must be discussed verbally with the Office of Research before an Expression of Interest (EOI) will be accepted for submission to the Research Management Committee. Once completed, the form should be submitted to the Office of Research via email following which it will be presented to the Research Management Committee for consideration. If satisfied with the methodological rigour of the project, the Research Management Committee will approve the project. PERSONAL DETAILSChief Investigator A DetailsTitle Choose an item.Given Name Click here to enter text.Family Name Click here to enter text.Institution Click here to enter text.Email Click here to enter text.Chief Investigator B DetailsTitle Choose an item.Given Name Click here to enter text.Family Name Click here to enter text.Institution Click here to enter text.Email Click here to enter text.Chief Investigator C DetailsTitle Choose an item.Given Name Click here to enter text.Family Name Click here to enter text.Institution Click here to enter text.Email Click here to enter text.*Insert more rows for additional Investigators as required by clicking on the plus symbol that appears after clicking in the table.Endeavour Affiliate Title Choose an item.Given Name Click here to enter text.Family Name Click here to enter text.Institution Click here to enter text.Email Click here to enter text.PROJECT DETAILSResearch ProposalProvide an overview of the project aims, objectives and methodology including study design, sampling, data collection and data analysis (maximum 500 words). If the above methodology requirements are not clearly articulated, the EOI application form may be returned to you for clarification before submission to the Research Management Committee. Project TitleClick here to enter text.Project AimsClick here to enter text.Project ObjectivesClick here to enter text.Methodology (including study design, sampling, data collection and data analysis)Click here to enter text.Research AnalysisNames and contacts of all people who will have access to the raw data for analysis purposes.Title Choose an item.Given Name Click here to enter text.Family Name Click here to enter text.Institution Click here to enter text.Email Click here to enter text.*Insert more rows for additional people as required by clicking on the plus symbol that appears after clicking in the table.Overview of Research ExpertiseProvide details on who will provide statistical and/ or qualitative expertise and input.Title Choose an item.Given Name Click here to enter text.Family Name Click here to enter text.Institution Click here to enter text.Email Click here to enter text.*Insert more rows for additional people as required by clicking on the plus symbol that appears after clicking in the table.Student DetailsIs the research a student project - will the project contribute to their award?? Yes? NoIf yes, what percentage will this project contribute to their final award? Click here to enter text.*For example if their project is based entirely on Endeavour data this would be 100%Title Choose an item.Given Name Click here to enter text.Family Name Click here to enter text.Institution Click here to enter text.Course Click here to enter text.Course start date Click here to enter a date.Expected completion date Click here to enter a date.Email Click here to enter text.Phone Number Click here to enter text.Principle Supervisor Click here to enter text.Associate Supervisor/s Click here to enter text.Ethical ConsiderationsProvide details on where ethical clearance will be sought. Ethical clearance must be obtained from a registered National Health and Medicine Research Council Registered Human Research Ethics Committee (HREC). Ethical clearance must also be sought from Endeavour’s HREC, as stated in the Research Policy. Institution Click here to enter text.Status of application Click here to enter text.Institution Click here to enter text.Status of application Click here to enter text.Institution Click here to enter text.Status of application Click here to enter text.Provide a list of the ethical considerations for the project (maximum 500 words). If this is not adequately described, the EOI application form may be returned to you for clarification before submission to the Research Management Committee. Click here to enter text.Resources Provide information and indicate timeframes for the facilities and/or resources to be accessed (may include clinic facilities, clinic database, clinic files, student contact, alumni contacts, staff contacts, classroom facilities, laboratory facilities, internal databases [you must nominate which databases and which variables from those databases]).Click here to enter text.Project Funding Has this project received funding?? Yes? NoFunding Institution Click here to enter text.Funding amount Click here to enter text.Date received Click here to enter a date.Project Outcomes and TimelineExpected outcomes and likely target audience (e.g. paper submitted to research publication; paper to be submitted to research conference)Click here to enter text.Provide details of the expected timeline of the proposed project.Start date Click here to enter a date.Ethics clearance dates Click here to enter a date.Recruiting start date Click here to enter a date.Expected conclusion of data collection Click here to enter a date.Expected outcomes date – e.g. paper submission date Click here to enter a date.Office of Research LiaisonName of Office of Research Liaison Click here to enter text.Office of Research Recommendation Click here to enter text.Date Click here to enter a date.DECLARATIONI declare that all information on this Application Form is correct and complete and that I have met the eligibility conditions as stated in the Research Policy.I have read and understand the requirements of the scheme as laid out in the Research Policy. I also understand that the College reserves the right to seek verification of the information supplied by me.I declare that this research proposal has been discussed with a member or the Office of Research.Chief Investigator Signature Date Click here to enter a date.OFFICE USE ONLYDate Received Click here to enter a date.? Reviewed by RMC? Approved? DeclinedDate Notified Click here to enter a date.? FiledContact Person Click here to enter text. ................
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