Submit a research proposal

Do you have a research idea or concept that you would like to explore further?

If so, please complete and submit the project proposal form.

Once the form has been submitted, the eviDent DPBRN® Committee will consider the proposal against the following criteria:

  • Is the research idea or concept a researchable question?
  • Does it fit within our aims and objectives?
  • Is the study fundable?

If the proposal meets the criteria, interest will be invited from eviDent’s Chief Investigators and Associate Investigators. 

Once the project team is established, you will be asked to complete a research protocol form for the eviDent DPBRN Committee to consider.

Learn more about eviDent's research project selection and approval process.

Research Project Proposal Form

Who should complete this form?

eviDent members or potential members are invited to submit their research idea or concept to the eviDent Committee.

What happens once you have lodged your research proposal?

Once the form has been submitted, the eviDent Committee will consider the proposal against the following criteria:

  • Is the research idea or concept a researchable question?
  • Does it fit within our aims and objectives?
  • Is the study fundable?

If the proposal meets the criteria, interest will be invited from eviDent’s Chief Investigators and Associate Investigators. Once the project team is established, you will be asked to complete a research protocol form for the eviDent DPBRN Committee to consider.

Download the PDF form or complete the online form below.

  1. Part 1: Administrative Information

  2. Title*
    Please make a selection
  3. Other*
    Please enter title
  4. First Name*
    Please enter your first name
  5. Surname*
    Please enter your surname
  6. Institution Affiliation (if applicable)
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  7. Address*
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  8. Suburb*
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  9. State*
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  10. Postcode*
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  11. Phone Number*
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  12. Mobile Number
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  13. Fax Number
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  14. Email Address*
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  1. Part 2: Project Details1

  2. 2.1 Describe the problem / research idea or concept*
    Please enter details
  3. 2.2 Describe what you hope to learn from the study*
    Please enter details
  4. 2.3 Describe how the research project could be implemented within a practice setting*
    Please enter details
  5. Are you an eviDent member?*

    Please make a selection
  6. Which title best describes you (tick as appropriate)*




    Please make a selection
  7. Other*
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  8. Do you have a project team?
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  9. Full Name of Associate Investigator*
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  10. Practice Suburb*
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  11. eviDent Member?*

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  12. Full Name of Associate Investigator*
    Please enter name
  13. Practice Suburb*
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  14. eviDent Member?*

    Please make a selection
  15. Full Name of Associate Investigator*
    Please enter name
  16. Practice Suburb*
    Please enter suburb
  17. eviDent Member?*

    Please make a selection
  18. Full Name of Associate Investigator*
    Please enter name
  19. Practice Suburb*
    Please enter suburb
  20. eviDent Member?*

    Please make a selection
  21. Full Name of Associate Investigator*
    Please enter name
  22. Practice Suburb*
    Please enter suburb
  23. eviDent Member?*

    Please make a selection
  24. Full Name of Associate Investigator*
    Please enter name
  25. Practice Suburb*
    Please enter suburb
  26. eviDent Member?*

    Please make a selection
  27. Full Name of Associate Investigator*
    Please enter name
  28. Practice Suburb*
    Please enter suburb
  29. eviDent Member?*

    Please make a selection
  30. Full Name of Associate Investigator*
    Please enter name
  31. Practice Suburb*
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  32. eviDent Member?*

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  33. The eviDent DPBRN Coordinator may contact your for more information.

  35.  

    1. Key elements of this have been based on a design originally created by PEARL

    2. Chief Investigator: eviDent members who provide ‘the intellectual, administrative and ethical leadership’2 to an eviDent research project or program3. Associate Investigator: eviDent members who have ‘intellectual input into the research and whose participation warrants inclusion of their name on publications’4.

    3 The University of Melbourne, Melbourne Research Office, Chief Investigator Responsibilities

    4 NHMRC Project Grants Advice and Instructions to Applicants for funding commencing in 2010

  36. *
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