2025 EMCR Fellowships: Preventative Health for Priority Populations

This is a preview of the WA FHRI & THRFG - EMCR Fellowship 2025 v1.0 form. You will be able to start a submission when the round opens at 12:00PM 28 April 2025 (AWST)
 

Application Details

* indicates a required field.

1.1 Project summary

1.1.2 Project Summary: Provide a lay-language summary of the project and its expected benefits

This summary may be used for publicity purposes by the Funding Partners.

Word count:
Must be no more than 100 words. 
Response required.
Response required.
Response required.

1.2 Fellowship Applicant details

Must be an email address. 
Must be an Australian phone number. 
1.2.5 Indicate the WA university affiliation(s) of the Fellowship Applicant * Required
Response required.
Clear the selected value for 1.2.5 Indicate the WA university affiliation(s) of the Fellowship Applicant
At least 1 choice must be selected. 
1.2.6 Indicate the WA hospital or health service affiliation(s) of the Fellowship Applicant * Required
Response required.
Clear the selected value for 1.2.6 Indicate the WA hospital or health service affiliation(s) of the Fellowship Applicant
At least 1 choice must be selected. 
1.2.7 Indicate the WA institute affiliation(s) of the Fellowship Applicant * Required
Response required.
Clear the selected value for 1.2.7 Indicate the WA institute affiliation(s) of the Fellowship Applicant
No more than 1 choice may be selected. 

1.3 Project governance

1.3.1 Identify the Eligible Administering Institution through which you are submitting this application * Required
Response required.
Clear the selected value for 1.3.1 Identify the Eligible Administering Institution through which you are submitting this application
No more than 1 choice may be selected. As per the round Guidelines, the Eligible Administering Institution should correspond with the employing organisation of the Fellowship Applicant (Chief Investigator A)

This section is not applicable because of your response to question: "1.3.1 Identify the Eligible Administering Institution through which you are submitting this application" on page 1

The ABN provided will be used to look up the following information.
Click Lookup above to check that you have entered the ABN correctly.
Australian Business Register Information
ABN
Entity name
ABN status
Entity type
Goods & Services Tax (GST)
DGR Endorsed
ATO Charity Type
More information
ACNC Registration
Tax Concessions
Main business location
Must be an ABN. 
1.3.3 Indicate the main site where the Fellowship Applicant will be based in undertaking the project * Required
Response required.
Clear the selected value for 1.3.3 Indicate the main site where the Fellowship Applicant will be based in undertaking the project
1.3.4 Does the project involve IP / Commercialisation activities? * Required
Response required.
Clear the selected value for 1.3.4 Does the project involve IP / Commercialisation activities?
1.3.5 Do you require ethics approval for this project? * Required

This section is not applicable because of your response to question: "1.3.5 Do you require ethics approval for this project?" on page 1

1.3.6 Do you have the required ethics approval(s) already? * Required
Please note that the Administering Institution may require ethics approvals to be in place before awarded funds are provided for expenditure.
1.3.7 Does the research program require access to or use of WA Department of Health data collections? * Required

Please note: If the answer above is yes, cost estimates should be included in the proposed budget and an estimate of time for release of the data should be incorporated into the milestones in this application. Refer to guidelines for more information.

1.4 Fields of Research (FoR)

Provide up to three 6-digit ANZSRC 2020 Fields of Research (FoR) codes relevant to this application

6-digit FoR codes are available from the ABS ANZSRC 2020 website (refer Table 3 of Excel download - you may need to scroll down some way).

1.4.1 Six-digit Field of Research code1.4.2 Percentage %
Must be a whole number (no decimal place) and between 300100 and 530000. 
Must be a whole number (no decimal place) and between 0 and 100. 
 * Required
 * Required

Must be 3 rows

This number/amount is calculated. Must equal 100

1.5 Nomination of independent reviewers

Please nominate below at least two impartial, non-conflicted external reviewers as potential assessors for your application.

While reasonable efforts will be made, THRF Group are unable to guarantee that assessments will be provided by the nominated external reviewers.

Add rows as required.

1.5.1 Reviewer name1.5.2 Reviewer's organisation1.5.3 Reviewer's email address
 * Required
 * Required
 * Required
 * Required
 * Required
 * Required

Must be at least 2 rows

1.6 Request to exclude reviewers (optional)

If you wish to request certain assessors to not be approached for review of your application, please identify them below. 

Add rows as required.

1.6.1 Name of reviewer you wish to exclude

Must be at least 1 rows