Rural Health Graduate Research Program

APPLICATION FORM

RURAL HEALTH GRADUATE RESEARCH PROGRAM

CONFERENCE FUNDING GRANTS 2012 FOR HONORARY RESEARCH SUPERVSIORS

The University Department of Rural Health (UDRH) are offering ONE Rural Health conference funding grant in 2012. The grant will cover conference registration, travel and accommodation up to $2,000 per award.

This grant is designed to allow research-active honorary research supervisors to attend a national/international conference in 2012 to enhance their research progress and networking. In awarding these grants, preference will be given to supervisors who have been accepted for a conference presentation, in particular if the conference paper is peer-reviewed.

To be eligible for this conference funding grant, the applicant must be an honorary research supervisor who is currently supervising the UDRH graduate research students. The date of the conference must be within the year of application.

Awardee is required to conduct a conference report/reflection seminar at the Graduate Research Workshop series and complete relevant forms for Publication Entry System (URL: http://www.utas.edu.au/research/quick-links/publication-entry-system ) at the UTAS.

Closing date for applying for the conference funding grant is 29th October 2012.

The applications close 5pm on Monday 29th October 2012.

First Name: Last Name:

Postal Address:

Telephone: Fax:

Mobile: Email:

Conference Title:

Conference Organiser:

Conference Dates: Conference Venue:

Title of the accepted paper:

Presentation/Paper is peer-reviewed: Yes No

Paper is to be published: Yes No

Amount of funding requested (to be supported by a detailed justified budget): $

Please provide (maximum one page) a brief description on:

·  How benefit is the targeted conference in enhancing your supervising skill from attending the conference.

·  How significant and appropriate is the targeted conference in contributing to the quantity, quality, relevance, and dissemination of your research at the University of Tasmania as well as research networking.

Signature………………...... Date………...... ………..

Applications should be sent to:

Dr Quynh Lê, Graduate Research Coordinator

University Department of Rural Health

University of Tasmania

Locked Bag 1372, Launceston, TAS 7250

Email:

Phone: (03) 6324 4053

Fax: (03) 6324 4040