FACULTY OF HEALTH SCIENCES
2014 APPLICATION
HIGHER DEGREE RESEARCH (HDR) STUDENT SUPPORT SCHEME
PLEASE READ THE HDR STUDENT SUPPORT SCHEME GUIDELINES BEFORE COMPLETING
All information is to be provided in the appropriate spaces within the form, noting the word limits.
Acceptance of conference posters or papers must be attached to the application. No other
attachments are permitted. The application must be TYPEWRITTEN - please use minimum font
size 11. Please complete in accordance with the HDR Research Student Support Scheme
guidelines. Applications which do not conform to these guidelines will not be eligible for
consideration by the committee.
1.
NAME OF STUDENT APPLICANT(S):
STUDENT NUMBER:
ACU Student email:
2.
TITLE OF HDR RESEARCH PROJECT:
(short descriptive title of no more than 20 words in length)
3. SUPERVISOR(S):
4. SCHOOL:
5. CAMPUS:
6. ENROLMENTS DETAILS (please provide full details):
please √ appropriate box for current degree program
☐Master of Nursing (Research)
☐Doctor of Philosophy
☐Master of Midwifery (Research)
☐Master of Psychology (Clinical)/Doctor
of Philosophy
☐Master of Exercise Science (Research)
☐Master of Psychology (Educational and
Developmental)/Doctor of Philosophy
☐Master of Philosophy
CURRENT ENROLMENT STATUS:
☐Full-time
☐Part-time
If part-time indicate fraction _________
In what year did you commence this degree? __________________
What is the expected date for the submission of your thesis? ______________________
2014 FHS HDR Student Support Scheme Application
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Confirmation of Candidature Date: ________________________
Please note: The Confirmation of Candidature milestone must be completed before an
application can be submitted for consideration of approval.
7.
A BRIEF SUMMARY OF THE PROJECT DESCRIPTION, RESEARCH METHODOLOGY AND
PURPOSES FOR WHICH FUNDS ARE REQUESTED.
Please provide a clear and concise summary of the project, aims, methods and possible
outcomes. (No more than 200 words)
For funding purposes please check guidelines.
Please check and indicate word count: _______

If you have requested funding for conference attendance please complete the
following:
Has an abstract / paper/ poster been submitted?
☐Yes
☐No
Has an abstract / paper / poster been accepted for the conference?
☐Yes
☐No
Please attach a copy of the acceptance of the paper / poster.

If you have requested funding to purchase books you will need to obtain the signature
of your local librarian. The librarian is verifying below that these books are not
available via inter-library loan.
Signature and name of Librarian:
____________________________________________
Campus Library: ____________________________________
8.
Date: _____________
IF GRANTED, HOW WILL THIS FUNDING CONTRIBUTE TO THE OVERALL PROGRESS OF YOUR
RESEARCH? Note: the committee needs to assess how the funding will contribute to the goals
and proposed outcomes of the project:
(*No more than 200 words)
2014 FHS HDR Student Support Scheme Application
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*Please check and indicate word count: _______
9.
FUNDS REQUESTED:
Please note eligibility (tick appropriate box):
MPhil and Masters by Research HDR Student
Please note a maximum of $1,000 is allowable over HDR candidature.
Total amount of
funds requested in
this application
$ ___________
Have you applied for funding in previous years? Yes / No
Amount of funding received to date: $______
PhD Higher Degree Research Student
Please note a maximum of $3,000 is allowable over HDR candidature.
Have you applied for funding in previous years? Yes / No
Amount of funding received to date: $_______
Funds must be spent in the nominated year and claimed from the Office
of the ADR before 5 December 2014.
10.
DETAILED BUDGET:
Refer to guidelines. Please include itemised costs, justification of quantities, and source of quotes,
period of time involved for conference or field research trip. All budget items should be shown in A$
and given a priority ranking.
CATEGORY
Full item description and source of costing
Amount
requested
(incl. GST)
Personnel
(salaries & on-costs)
Equipment
Travel
Conference Attendance
Other (identify)
Total
11.
NOTE OF SUPPORT FROM SUPERVISOR (No more than 150 words)
Students are advised to discuss the application with their supervisor in the first instance and
establish a clear link between the research methodology and funding purpose / budget items.
2014 FHS HDR Student Support Scheme Application
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Priority
Ranking
I have discussed the HDR student research support application with the student and confirm that
the details contained in the application provide sufficient information concerning the research
project, funding purpose and budget justification.
NAME OF SUPERVISOR(S) ____________________________________________________
Signature: ____________________________________ Date: _________________________
SIGNATURE OF HEAD OF SCHOOL:
DATE:
12. STUDENT DECLARATION
1. I have discussed this application with my supervisor.
2. I declare that I am currently enrolled as a Higher Degree Research student at ACU for the full
academic calendar year. Any variation in enrolment status (including leave of absence or
withdrawal) must be advised in writing to the Associate Dean, Research.
3. I understand and agree that, if awarded funding, it will be expended for the purpose stated
in the application to the Faculty of Health Sciences, ACU. If circumstances necessitate a
change of purpose from that originally requested, this variation will be submitted in writing
to the Associate Dean (Research), Chair, Faculty Research and Research Training Committee,
for consideration of approval.
4. I am aware that if the application is successful the funds must be claimed from the Office of
the ADR no later than 5 December 2014
SIGNATURE OF APPLICANT:
DATE:
Typewritten applications must be submitted before 5.00 pm on the relevant closing date.
2014 CLOSING DATES:
 Round 1: Wednesday 30 April 2014

Round 2:
Wednesday 6 August 2014
Applications should be scanned and forwarded via email to: ADR-FHS@acu.edu.au
APPLICATIONS RECEIVED AFTER THE CLOSING DATE WILL NOT BE ELIGIBLE FOR
CONSIDERATION BY THE COMMITTEE.
Please scan and forward the application form (with signatures from the student and
supervisor) via email to: adr.fhs@acu.edu.au
Note: submissions must be typewritten and in accordance with the instructions contained
in the application form. LATE APPLICATIONS WILL NOT BE ACCEPTED
2014 FHS HDR Student Support Scheme Application
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Office Use Only:
APPROVED / NOT
APPROVED
SIGNATURES
Funds allocated:
Student(s) advised on:
___ / ___ / ___
2014 FHS HDR Student Support Scheme Application
DATE
FACULTY FINANCE MANAGER:
___ / ___ / ___
ASSOCIATE DEAN (Research):
___ / ___ / ___
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