Grant application form – Salis Institute

Name *

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Please check, as this will be used to notify award recipients

Please upload a copy of your resume, listing verifiable evidence that you are actively involved in research. *

Please upload a copy of verifiable evidence that you are currently affiliated with an institution in Australia or New Zealand that supports research. *

Examples include but are not limited to a letter of current employment, a letter of current affiliation, an academic transcript of studies in progress, a current student card showing expiry date.

Please specify (in 200 words or less) the activity that this $1000 (AUD) grant, if awarded, would be used for. *

Please note that the proposed activity must be paid for between 1 July 2019 and 30 June 2020.

Please outline (in 350 words or less) the research that you wish to disseminate, and how the above-specified activity would increase the likelihood that your research will be taken up and applied by other groups outside your immediate circle of colleagues (e.g. by other research groups, or by non-research groups, such as community groups or services). *

Please attach a letter of support for your application from your supervisor or mentor *

Do you agree with the conditions of award (please see below)? *

Conditions of award: the names and affiliations of grant recipients will be listed on the Salis Institute website (past award recipients); proof that the funds were used for the intended purpose (e.g. by provision of receipts) must be provided to the Salis Institute.

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