EHSE202 – 2016 Visiting Scholar Application
Faculty of EHSE Research & Research
Training
2016 Visiting Scholar Application Form
Applicants should read the Guidelines before formulating the project budget and completing the
application.
Applications must be lodged with the Faculty’s PGResearch Office (Blue 5.1.54) by either internal mail or
email (ehsegrants@cdu.edu.au)
Hand written or late applications will not be accepted.
1
AMOUNT REQUESTED (maximum $5,000)
2
NAME OF POTENTIAL CHIEF INVESTIGATOR(S)
(Provide name and codes, ie:)
Chief Investigator: General
CI: Visiting Scholar
$_______________
Code: CI
Code: CI-VS
Name of Chief Investigator
Code
Faculty / School / Other
Name of Visiting Scholar
Code
Position/Organisation
1.
2.
3.
3
PROPOSED PROJECT TITLE
4
SUMMARY OF PROJECT
Write a summary, in no more than seven lines, intelligible to the lay reader, why this project is of
significance.
5
COMPLIANCE WITH CDU RESEARCH FOCI
Indicate how your application complies with the subject areas described in the CDU research foci.
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6
OTHER PARTICIPANTS
Provide details of other participants in the project, including Associate Investigators and Technical
Staff.
1
2
3
Title, initials &
surname
Appointment held
Faculty & School
Academic
qualifications
7
BUDGET AND FINANCIAL SUMMARY
Detail the budget items in the project proposal under the indicated sub-headings.
2016
Amount (whole dollars)
Flights
Accommodation
Other
TOTAL
8
AIMS, RESEARCH PLAN, JUSTIFICATION OF BUDGET (ADDITIONAL TEXT)
Please attach a description of the project. Your description should be comprehensive but brief. No
more than two (2) pages of additional text/figures
Use the following headings to detail your proposal:
1.
Aims and significance
2.
Research plan, methods and techniques
3.
Timetable
9
TRACK RECORD
Each Chief Investigator should attach a reference list of their research publications (including those
in press) within the last five (5) years (Jan 2012 – present). Please indicate with an asterisk (*) all
publications relevant to this project.
The list should be arranged under the following headings and full citations should be given.
1
Articles – substantial work of scholarship published in refereed journals;
2
Conference publications – peer reviewed, included in a volume of conference proceedings
and presented at a conference of national significance;
3
Chapters, scholarly chapter in edited volume published by a commercial press;
4
Books, major works of scholarship, (not textbook or edited book), published by a commercial
press;
5
Other publications.
List all successful externally funded research grants you have received since January 2012. You may
include grants for which you received funding post 01/01/2012 but were awarded prior to this
date. You should specify all the Chief Investigators, administering organisation and amount of
funding. A possible template is shown below.
Name of Investigator(s) and title of project
EHSE202 – 2016 Visiting Scholar Application
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Funding Organisation
Amount
9/12/2015
Awarded
Applicants can submit a CV or edited CV as their track record provided all relevant information is
included.
PLEASE ATTACH A CURRENT CV FOR THE VISITING SCHOLAR
10
CERTIFICATION BY APPLICANTS
I/We certify that all the details on this form are correct and complete.
I/We understand that:

Research which involves human or animal experimentation must be carried out in
accordance with the guidelines laid down in the relevant NH&MRC codes of practice;
Signatures of Chief Investigators
Institution
Date
(1)
(2)
(3)
Head of School (or delegate)
Signature
Date
Assessments of application by sub-committee of the Faculty of EHSE Research and Research Training
Committee
Approved
Not Approved
Amount of funding:
Name:
Signature:
Date:
Remarks:
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