Plain language statement (To be provided in 100 words or less)Institution where project will be carried out (if more than one indicate the primary institution) Administering institution (full name and address required)

Plain language statement (To be provided in 100 words or less)Institution where project will be carried out (if more than one indicate the primary institution) Administering institution (full name and address required)

2b. Keywords (Please provide up to five nursing area keywords related to your application. Suggestions include aged care clinical child and adolescent health community health family care Indigenous health mental health midwifery primary health care or other).1.
2.
3.4.
5.
Institution where project will be carried out (if more than one indicate the primary institution) Administering institution (full name and address required)
Has any other funding been sought for this activity? Yes No
If yes please detail the funding source (name and address of each agency) and the amount requested.

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Have you or members of the team previously been awarded a Nurses Board of Victoria Legacy Limited grant or fellowship? Yes No
If yes please state year name of grant or fellowship and activity title.

Project/Research Plan OutlineThe project should be completely described. The font must not be smaller than 10pt. Complete this section using the following headings:Background and significance of the study
Research question and Aims and/or hypothesis.
Method with information on the research design
Research Process (participants data collection data analysis)
Dissemination of findings
Ethical Considerations(consideration must be given to informed consent confidentiality potential harm to participants data storage and security and withdrawal from the study)
BUDGETFor any items that are GST applicable please quote GST inclusive amounts.

Total CostA
Personnel
B

Explanation & Answer

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