RESC Research Application Form

DHSV Research and Evaluation Strategy Committee (RESC)

Research Application Form

Project Title *

Principal Investigator (PI) Details

First Name *

Last Name *

Contact Phone *

Email Address *

Organisation *

DHSVRDHMUoMOther

Other *

Project Details

Project Aim & Description *500 words maximum

Which DHSV research priority does the project align with? *

World-class, patient-centred care with a focus on prevention and early intervention (Care)Population oral health initiatives to support health equity (Empower)Health policy and systems research to maximise value (Lead)

Select one or more

How does it align to the research priority or priorities? *500 words maximum

Financial Funding for Project

Funding Source *

Amount $ *

Outline resources/support required from DHSV/RDHM *500 words maximum

PI's Signature

Signature *

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Date *