EBP/QI
Grant Checklist
Project Director
Title of Proposal
Please indicate which grant you are applying for
RNF New Investigator EBP/QI Grant
RNF Fellow EBP/QI Grant
The New Investigator EBP/QI grant is designed to provide funding for the novice EBP/QI investigator. Applicants for the New
Investigator Grant are encouraged to work with a more experienced EBP/QI investigators, who may or may not be a nurse, to
assist with project design, methods, data analysis, and budget preparation. The Rehabilitation Nursing Foundation reserves the
right to withhold presentation of the New Investigator EBP/QI grant if an appropriate application has not been submitted.
Criteria for the New Investigator Grant are as follows:
The new investigator has not conducted an independent EBP/QI project at the postdoctoral level.
The new investigator has a rehabilitation focus.
The new investigator has not had previous funding of more than $2,500.
The new investigator agrees to the RNF EBP/QI grant guidelines.
The BSN level project director has identified a qualified mentor/advisor.
The new investigator has either 1) a baccalaureate degree in Nursing and is currently enrolled in a nursing
Master’s level or doctoral program OR a Master’s degree in nursing and/or a doctoral level degree in nursing or
a related field.
The RNF Fellow EBP/QI grant is designed to provide funding for the experienced EBP/QI investigator. This grant is for
rehabilitation nurses who have demonstrated interest in and significant contributions to rehabilitation nursing. The Rehabilitation
Nursing Foundation reserves the right to withhold presentation of the RNF EBP/QI Fellow’s Grant if an appropriate application
has not been submitted.
Criteria for the Fellow grant are as follows:
The RNF EBP/QI Fellows grant applicant must have an earned doctorate in nursing or a related field.
The RNF EBP/QI Fellows grant applicant has a rehabilitation focus.
The RNF EBP/QI Fellows grant applicant agrees to the RNF EBP/QI grant guidelines.
The RNF EBP/QI Fellows grant applicant demonstrates interest in and significant contributions to rehabilitation
nursing.
Enclosed Criteria for ALL EBP/QI Project Grants
Received
EBP/QI Project Grant Checklist
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Summary Data Form
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Grant Contact Form
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Administrative Approval Form
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Abstract Form
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EBP/QI grant proposal
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(not to exceed 10 pages) should include:
For detailed information and instructions for each section, please see Part 1 of the Application.
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Statement of the Problem
Methodology
Personnel
Setting
Budget
Review and Approval
Appendices
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(include the following as applicable to the EBP/QI Project)
Measurement Instruments
Human Subjects and/or Animal Subject Approval
Consent Forms
Institutional Agreements
BIO Sketches and Other Supporting Documents
Email Proposals by March 1st to:
Rehabilitation Nursing Foundation
Email: sfloutsakos@connect2amc.com
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Rehabilitation Nursing Foundation
Summary Data Form
Title of Proposal
Name and credentials of Project Director
Amount of funding requested
If awarded, grant funds should be dispersed to:
Institution or Agency
Federal Id #
Individual Investigator
Social Security #
Please check the check box to indicate your preferred mailing address (home or place of employment).
Home Address
City
State
Zip Code
Home Telephone Number
Place of Employment
Address
City
State
Zip Code
Work Telephone Number
Preferred Email Address
Professional Title
Licensed registered nurse numbers and states
Institution where project will be conducted
Address
Name and title of administrative officer of the institution
Institution Telephone Number
Name and credentials of co-investigator(s) if applicable
Rehabilitation Nursing Foundation
Grant Contact Form
Please provide information regarding the contact person for the grant
funding agreement and disbursement of funds should application be selected.
Contact Person
Title
Phone
E-mail
Checks should be made payable to
Address to send check
City
State
Zip Code
Rehabilitation Nursing Foundation
Administrative Approval Form
Dear Administrator:
The individual named below plans to submit an EBP/QI grant proposal to the Rehabilitation Nursing Foundation with
the intent of securing a nursing EBP/QI monetary grant. The Rehabilitation Nursing Foundation is the research and
development foundation of the Association of Rehabilitation Nurses.
The RNF Board of Trustees requests your signature as an administrator of the institution or agency named in the
aforementioned proposal to indicate your acknowledgment and approval of this project, which would be conducted at
the institution named below if financial support is granted.
Thank you for your time and your support of this worthwhile project. Please return this form to the Project Director,
who will enclose it with other application materials.
Sincerely,
Karen S. Nason
Executive Director
Name of Project Director
Title of Proposal
Name of institution at which project will be conducted
Please indicate whether your institution or agency does or does not wish to be identified in any published report of this
project. Please specify other approvals, if any that are necessary before this project can be conducted at your
institution.
The institution may be identified.
Signature of administrative officer of the institution
Title
The institution may not be identified.
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Date
Other necessary approvals
Return this form to the Project Director for inclusion in the proposal packet.
(If you are waiting for approval please return this form with your application, indicating Pending Approval.)
Rehabilitation Nursing Foundation
Abstract Form
In 250-350 words, define the EBP/QI problem, state the significance of the project, and present the EBP/QI
project methodology and plan for analysis.
DO NOT USE A SEPARATE SHEET.