Application for SOHN Practice Research Grant

Society Of Otorhinolaryngology and Head-Neck Nurses

Application for Practice and Research Grant

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* 1. Principal Investigator/Project Director with credentials:

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* 2. Affiliation (Name, City and State):

Affiliation Name

City

State

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* 3. Address, email and phone number:

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 4. SOHN Active Member (Required):

Yes

If you are not a member of SOHN, you are not eligible to submit a grant application. Click on the following link to become a member of SOHN. SOHN Membership Link

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* 5. Co-investigators/Team members with Credentials (list all):

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* 6. Title of Proposed Project:

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* 7. Project Type:

Quality Improvement (QI)

Evidence Based Practice (EBP)

Research

Upload the following documents:

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* 8. Project proposal - (typed, double spaced, references, APA format 7th ed.)
QI/EBP - General headings should include purpose and rationale of the project, synthesis of the evidence, proposed practice change, implementation strategies, evaluation, references, and appendices.
Research - General headings should include background/problem statement, significance to ORL or head-neck nursing, theoretical framework, research questions, aims, hypotheses, methodology, references and appendices.

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* 9. Grant Budget - Upload completed form using the SOHN Grant Budget Form below: (must login to SOHN account to download) SOHN Grant Budget Form

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* 10. Documentation of human subjects approval (if required)

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* 11. Project timeline

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* 12. Curriculum vitae/resume of project director/principal investigator

Thank you so much for your submission. We will review your submission and contact you once reviewed. Feel free to email info@sohnnurse.com with any questions.