National Health & Medical Research CouncilResearch Grants Management SystemApplication SummaryApplication Summary v4.2 released 24.02.11 Please ensure you consult the advice and instructions to applicants for this scheme when filling out the pages/sections below.All pages in Application Summary are required to be completed for Offline template submissions.Applicants who do not have an RGMS Account or Application ID or have queries are asked to contact the NHMRC Research Help Centre on helpnhmrc.gov.au.Grant Type: -Select-Application ID: APPXXXXXXXApplication Year: -Select-Scientific Application TitleLimit 245 characters including spaces and line breaksSimple Application TitleLimit 245 characters including spaces and line breaksAdministering Institution Please select one from the list at Appendix A, and copy/paste into the field belowEnter text here-limit 100 characters including spaces and line breaksActual Institution/sPlease select actual institutions from the list at Appendix H, and copy/paste into the field belowEnter text here - limit 300 characters including spaces and line breaksDepartment/sFree text - limit 100 characters including spaces and line breaksResearch TeamChief Investigator/sCI Role CI Title CI Name RGMS ID(Must have)InstitutionFrom appendix AEg: CIA Professor John Smith SmithJRGMS NHMRCNational Health & Medical Research CouncilResearch Grants Management SystemApplication SummaryApplication Summary v4.2 released 24.02.11 Associate Investigator/s and Additional PersonnelName PositionGuide to Peer-Review AreasPlease choose at least one (and up to three) thematic areas, in priority order, from the following list. The NHMRC will use your suggestions as a guide to allocating your application to the most relevant Grant Review Panel.Please select the appropriate Research Areas from the list at Appendix G and copy/paste into the field below Selection one- Enter text hereSelection two- Enter text hereSelection three- Enter text hereBroad Research Area-Select-Field of Research (Select one only from either List 1 or List 2)-List 1 Select- -List 2 Select-Subcategory depending on the selection made above, please select the relevant sub-category from the list in Appendix C and enter exactly as shown into the text box provided - Sub category textResearch Keywords/PhrasesPlease select from the list at Appendix D, a minimum of 5, maximum of 10, Research Keywords/Phrases and copy/paste into the fields below:1 2 3 National Health & Medical Research CouncilResearch Grants Management SystemApplication SummaryApplication Summary v4.2 released 24.02.11 4 5 (This is the minimum number required.)6 7 8 9 10 Additional information that best describes research interestsPlease describe in more detail your research teams interests or areas of expertise. This could include areas of student supervision and areas in which you have published.Limit 1990 characters including spaces and line breaksSynopsis Limit 1990 characters including spaces and line breaksAboriginal and Torres Strait Islander Research or Capacity BuildingDoes this research proposal include Aboriginal and/or Torres Strait Islander health research and/or capacity building? -Select-Application Consent do you consent to this application and associated reports being referred to other funding agencies, including within your own institution, for consideration?-Select-Funding Source Applicants may also seek funding from other agencies by the Project Grants scheme. Applicants intending to do this should select the organisation(s) from which funding is sought. Check all that apply. At National Health & Medical Research CouncilResearch Grants Management SystemApplication SummaryApplication Summary v4.2 released 24.02.11 least one organisation must be selected. If no organisation is selected, the application will be assessed against NHMRCs requirements only. Funding partners may have different eligibility requirements or require additional information. NHMRC recommends applicants seeking funding familiarise themselves with funding partner requirements and the NHMRC funding Policy (Section 8). Please note that if the boxes below are selected, your application and assessment information will be passed onto these agencies for their information. Refer to the Project Grant funding policy for information (section 8).NHMRCCancer Australia & Funding PartnersCancer CouncilHeart FoundationNomination of Possible AssessorsIf you consider that there is a suitably qualified assessor able to objectively assess this area of research, you may nominate up to two national and two international assessors below. This information will be included in the assessment process but will not necessarily be acted upon.National AssessorsAssessor 1 Title Name Expertise Email Phone Fax Assessor 2 Title Name Expertise Email Phone Fax