Prema Charitable TrustApplication Form for Research Grant Name * First Name Last Name Email * Health field Qualification * Research education and/or experience * Study Title * How many researchers involved? * Please describe (in detail) your role in the study? * What will you utilise the funds for? * Acquiring materials for research project Publication of study Networking for research purposes Conference attendance Other (please describe in the following field If you chose other, please describe what the funds will be utilised for Please describe the purpose and significance of the study * Please identify clearly the methodology and method utilised and explain the rationale for utilisation of these (i.e. link the method and methodology to the purpose and significance of the study and the desired outcomes. * Please describe the population being studied and the sampling method and size chosen and link to study purpose and significance * What are the desired outcomes and outputs of the study? * Has the project been granted ethics approval? If so, please identify the ethics committee applied to. (Please add a copy of the ethics committee approval outcome. * Please email this form to communitymanager@prematrust.co.nz along with an introductory letter, telling us a little about yourself and what your aspirations for this research are, as well as any other supporting documentation Thank you!