MBRS COMMUNITY RESEARCH SCHOLARSHIP
APPLICATION FORM
PART A
ADMINISTRATIVE INFORMATION
A1
ORGANISATIONAL UNIT TO ADMINISTER THE GRANT (i.e. UQ School/Centre/Institute)
A2
PROJECT TITLE
A3 APPLICANT SUMMARY
Family name
Initials
School/Centre
Faculty/
Institute
A4 PROJECT SUMMARY
A plain language summary of the aims, significance and expected outcomes (approx. 100 words)
A5



RESEARCH CLASSIFICATIONS
List from highest % to lowest %, and in multiples of 10.
FOR and SEO Codes are available from: http://www.uq.edu.au/research/rid/info-codesclassifications.
Do not use codes ending in either ‘00’ or ‘0000’, as these are category headings.
Field of Research (FOR)
A6

%
Socio-Economic Objective (SEO)
ETHICAL/OTHER CLEARANCES
If this application is successful, will you require ethical clearance?
Yes
No
If yes, what category:
Animal
http://www.uq.edu.au/research/rid/animal-welfare
Biosafety
http://www.uq.edu.au/ohs/index.html?page=29969
Other
Please specify:
If UQ Ethical Clearance already exists, insert UQ Clearance No:
PART B
APPLICANT DETAILS
Family name
First name
Title
School/ Centre/Institute
Faculty
Role
Second name
1
CI
%
Current Degree Program
Year commenced
Email:
B2
ARE YOU ENROLED ON A SCHOLARSHIP?
Expected completion
Telephone:
Yes
No
B3 ACADEMIC HISTORY
Previous university degree history (attach transcripts)
Degree program
University attended
Year
completed
B4
A STATEMENT OF PREVIOUS RESEARCH CONDUCTED (e.g. Honours), IF ANY
Outline previous research conducted with outcomes, maximum of half an A4 page.
B5
REFEREED PUBLICATIONS, IF ANY
PART C


OTHER ACADEMIC SUPPORT
Provide the details of any other scholarships or grants awarded or applied for, applicable to your
current degree program
Asterisk (*) refers to any items that are in the same area of research as this application.
Support types (Sup type) are ‘C’ for current support, ‘R’ for requested support, ‘P’ for past support.
Description
(All named investigators on any grant held (*)
by a participant, project title, source of
support, scheme)
PART D
Sup
type
2014
2015
2016
2017
($’000) ($’000) ($’000) ($’000)
PROJECT DESCRIPTION
Provide the following information in no more than 4 A4 pages and in the required format.
D1
PROJECT TITLE
D2 AIMS AND SIGNIFICANCE
Describe the aims and background to the project; how the research is significant and whether the research
addresses an important local problem; how the anticipated outcomes will advance the knowledge base of
the discipline in general and relevant local issues in particular; and why the project aims and concepts are
novel and innovative.
2
D3 APPROACH AND METHODOLOGY
Outline the conceptual framework, design and methods and demonstrate that these are adequately
developed, well integrated and appropriate to the aims of the project.
D4 REFERENCES
Include a list of all references within the page limit of 4 A4 pages. This list may be in 10 point font.
PART E
COMMUNITY CONSULTATION and SIGNIFICANCE
Provide the names of community members with whom you have consulted concerning your
project. Describe how your project is significant to those individuals and the community.
PART F
PROPOSED TIMETABLE
Provide a proposed timetable of research activities at the station with an indication of the degree of
flexibility available in case of conflict with the station schedule. Include facilities, equipment and boating
services required.
PART G
APPLICATION CERTIFICATIONS
CERTIFICATION BY APPLICANT
I certify that:
i) To the best of my knowledge, all the details on this application form are true and complete.
ii) I will comply with all necessary UQ policies and procedures in discharging my responsibilities under this
scholarship.
iii) I understand and agree that all ethical clearances must be met before the proposed research can
commence.
iv) In submitting this application, I consent to its referral to internal (UQ) and community assessors for
consideration.
CERTIFICATION BY ACADEMIC SUPERVISOR
I certify that:
i) I am prepared to have the project, if supported under this scholarship application, carried out in my
organisational unit under the circumstances set out by the Applicant.
ii) I have noted the amount of time that the Applicant will be devoting to the project and agree that it is
appropriate to the degree program.
iii) Sufficient funds are available from my resources to cover those costs not covered by the scholarship and
also costs the student is expected to incur while completing components of the proposed project not
based at MBRS.
Signatures of Applicant and Academic Supervisor
Person
Surname, title and initials (printed)
Applicant
Signature
Supervisor
3
Submit this application by 5pm on the Monday of the fourth teaching week in Semester I and 5pm on the
Monday of the fourth teaching week in Semester II to:
Research Facilities
Faculty of Science
The University of Queensland
St Lucia
Qld, 4072
science.stations@uq.edu.au
4