Aic health cluster

PROJECT TEAM INFORMATION

Please provide details of the Project team members. Refer to the Guidelines for information on specific role types.

Role	Principal Applicant/Lead
Title
First Name
Surname
Preferred Name
Position Title
Organisation (will be Administering Organisation)
Type of position	Volunteer/Employee/Board/Other (please specify)
Nationality
Country of Residence
Contact Phone Number (WA accessible preferred)
Contact Email
Gender	The AIC aims to monitor gender participation in the research program. We would be pleased for all applicants to identify their gender ☐ Female ☐ Male ☐ Other☐ Prefer not to say
Major Area/s of Expertise relevant to role in this project
CV Link	Please either attach your CV (maximum of three (3) A4 pages in size 11 font) or provide a link for upload via a shared platform (ie. Google Drive, Dropbox)

OTHER PROJECT PARTICIPANTS – Add all key investigators/participants

Role	Project Participant
Title
First Name
Surname
Preferred Name
Position Title
Organisation
Nature of Position at Organisation
Nationality
Country of Residence
Contact Phone Number (WA accessible preferred)
Contact Email
Gender	The AIC aims to monitor gender participation in the research program. We would be pleased for all applicants to identify their gender ☐ Female ☐ Male ☐ Other☐ Prefer not to say
Major Area/s of Expertise relevant to this Project
CV Link	Please either attach your CV (maximum of three (3) A4 pages in size 11 font) or provide a link to access via a shared platform (ie. Google Drive, Dropbox)

Project Manager/Administrator at Lead Institution:

Please provide their name, position and institution.


Project Legal Contact at Lead Institution

Please provide their name, position, institution and contact information, both phone and email.


Project Team Expertise

Please describe the expertise of the Project Team as a whole for this project, include the role of each team member and relevant experience coordinating equivalent Projects.


Have any members of the team collaborated before? Yes / No

Please describe prior team collaboration.

PROJECT PURPOSE AND IMPACT

Note: Applications are being sought for Youth-Led educational Projects that will have a duration of 6 months.  Applications for Youth-Led Projects with a projected duration of 10 months may be considered, at the discretion of The University of Melbourne on a case by case basis. However a very strong case would need to be made.
Project Start Date

Project End Date

Project Purpose

Please indicate the primary goal of your project (up to 100 words)


Project Aims and Objectives

Please provide no more than four key aims and objectives for the project which describe the purpose in more detail. These will be used to assess the project success at the end of the funded period

Project Background

Please provide a brief summary of the background of the proposed Project

Project Sustainability

Please indicate any other funding sources which may be available (or sought) for this work at the end of the funding period. Ensure you include any in-kind contributions from the various collaborators, not only cash support.

PROJECT METHOD AND MILESTONES

Project Method/Approach and highlight Youth–focussed and Educational elements

Please indicate the method or approach proposed for the project and articulate in what way this project utilises young people’s expertise (eg co-design, peer training, young people as the target of the intervention etc).


Please indicate what measures you will use (as they relate to the method) to identify the success of the project upon completion of the funded stage of the project (eg in relation to capacity development, knowledge base, Increased Public Awareness or other output).

Project Method/Approach Justification including Youth Engagement activities

Provide a short explanation of why you are using this approach.

Project Benefits/Justification and its Innovation

Please highlight briefly how and why this initiative will produce outcomes of value to Indonesia? Please also outline contributes to the AIC Health Cluster goal of primary prevention of non-communicable disease. Highlight novel or innovative aspects

Ethics Requirements

Please select an option and provide a short explanation as to whether ethics will be required for this project. Note, only applications that either 1) do not require ethics or 2) seek low-to-negligible risk ethics approval will be considered for funding.
☐ Ethics is not required

☐ low-to-negligible risk ethics approval will be sought. please indicate through the process and through what research institution the ethics approval will be requested (partnerships with a particular AIC partner universities to facilitate obtaining the required ethics approvals will be viewed favourably)

Child Safety

Provide a short statement on how this project will comply with the relevant Child Safety policies and legislation appropriate to the location of the activity.


Please provide your organisation’s child protection policy as an attachment or upload link. OR confirm that your organisation has reviewed and will comply for this project with the University of Melbourne’s Child Safety Policy MPF1337 available at this link https://policy.unimelb.edu.au/MPF1337