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

No

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.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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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

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 11. Project timeline

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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.