Special Initiative Awards Application Form

Application Form

Applications should not exceed 4 pages and must include:

  • Principal Applicant Details: title name, contact details
  • Promoting Research Collaboration (how will this initiative enhance research activity and promote collaboration in speech science technology?)
  • Nationally Competitive Process (details of nationally competitive grant: Scheme, Chief Investigators, Partner Organisations, Matching Funds, Grant Title and Summary)
  • Benefits to ASSTA members (how will this initiative benefit ASSTA members, which ASSTA members will benefit the most or will all members benefit equally?)
  • Deadline (optional) (allow up to 4 weeks for a decision to be made, otherwise please specify a deadline before which a decision is required)

IMPORTANT CONDITIONS: Applicants who have been awarded a Special Initiative Award must acknowledge ASSTA as a partner organisation (or equivalent) and succeed in the nationally competitive process to claim the award.

Applicant Declaration (to be completed by applicant)

I declare that the information given on this application and all attachments provided are true and accurate records and statements and I authorise ASSTA to verify any facts. I understand that if any information is found to be false this application and/or any subsequent awards may be cancelled.

Signature:

Date:

 
Contact ASSTA: Either email The ASSTA Secretary, or

G.P.O. Box 143, Canberra City, ACT, 2601.

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