SNRS Dissertation Proposal Funding Application Face Sheet

REQUIRED

Instructions: Complete this form, insert your electronic signature, save the file and include at the beginning of your electronic application file. When you have submitted your application, go to: SNRS Dissertation Grant Application Feeto pay the processing fee for your grant application.

Award Applying for:

SNRS Dissertation Award

Council for the Advancement of Nursing Science/Southern Nursing Research Society Nursing Science Advancement (NSA) Dissertation Grant Award

Title of project:

Name of Principal Investigator:

SNRS member ID number:

Council for the Advancement of Nursing Science Member number:

Name(s) of Co-investigator(s):

Address of PI (include permanent mailing address, telephone number, email address)

Doctoral Program address (include director, mailing address, web address)

Name of dissertation adviser (include telephone and email address)

Has other funding for this project been requested?

Yes (if yes, sources and amounts; dates of notification)

No

Terms of Award:I agree to each of the following as a condition of receiving this award:

  1. Conduct the study in a scientifically sound manner;
  2. Use awarded funds only for this project and return to SNRS any unused funds;
  3. Complete the study according to the proposed timeline and notify SNRS Executive Director of any deviations;
  4. Decline duplicate funding;
  5. Present a paper reporting the findings of the funded study at an SNRS annual conference within two years following the receipt of the award;
  6. Submit a final report of the project, including a record of expended funds and an electronic abstract, to the SNRS Executive Director within 12 months following the end of funding;
  7. Authorize publication of abstract in the SNRS Southern Connections Newsletter, the SNRS Online Journal, Research in Nursing and Health, the SNRS website or other official SNRS publication outlets;
  8. Acknowledge SNRS support in all presentations and publications of the project;
  9. Submit any publications resulting from the project to the SNRS Executive Director for placement in the SNRS Archives;

I understand that if Ido not complete the project and meet all the requirements outlined above, Imust return the total Award funds to the Southern Nursing Research Society and remove all SNRS award information from my resume or curriculum vitae.

Electronic Signature

Date

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