Contact person for this application Name *
* Phone * Email *
General details Date of Application *
Title of Study * Associated educational institution (if any) Anticipated start date *
Anticipated completion date *
Nature of study * My application is a: * Funding components Salaries *
Proposed roles of each worker, salaried or honorary. Give details of requested salaries.
Salaries Amount $ (GST inclusive) * Equipment *
List materials & consumables, with nature of equipment, purpose, cost, availability.
Equipment Amount $ (GST inclusive) * Expenses *
Working expenses travel, fees, transcribing, other expenses.
Expenses Amount $ (GST inclusive) Total Funding Requested (GST inclusive)
The figure here should be the same as the Total Funding Requested in section above.
Project details Summary of Research *
Up to 150 words
List Aims of Research * Proposed Timeline * Research aim / hypothesis * Participants * Methodology * Data analysis * Reporting and dissemination of results * Significance of Research *
With particular relevance to the anticipated health benefits of your research, its relevance to Hawke’s Bay, any implications for reducing health inequities, contribution to Māori health and potential to enhance research research by Māori, for Māori.
Research project financial support Other Support (If any)
What other support, financial or otherwise has been or will be sourced for the project?
Ethical Approval *
Ethical approval. No grants awarded without ethical approval. Research grants may be applied for prior to approval but funds will not be given until ethical approval achieved.
Ethical Approval Evidence Please let us know how you heard about us Terms & conditions
I the applicant
Agree to report on research progress 6 monthly or as agreed, on
Agree that ethical approval has been sought and approved from local body or associated education institution as the case may be (evidence required before processing).
Agree for my name and the research title to be used for HBMRF website/ publicity
Acknowledge that failure to provide a report may result in having to return funding to the Foundation.
Acknowledge that if research is not completed for whatever reason, I will keep the Foundation informed and there may be circumstances where some of the funding many need to be returned.
Agree that on completion of research I will provide HBMRF with a pdf copy of the research/ publication
Agree that ethical approval has been applied for or received
AGREE TO TERMS * Documents to upload
a. Curriculum Vitae
Please attach Curriculum Vitae for the last five years of principal and any associate researchers. Please include:
any previous publications and grants received or applied for connected to this study.
contact details of two referees.
b. Evidence of ethical approval/ application
c. Additional relevant supporting material
Up to a maximum of 4 pages d. Photo of Applicant
Please tick the below
FILE UPLOAD Accepted file types: doc, docx, pdf, jpg.