NURSING FOUNDATION OF RHODE ISLAND
Research Grant Application
Name of Principal Investigator: ______________________________________________
Job Title: _________________________________________________________________
License #: ________________ State: ________________
Address: _______________________
_______________________
_______________________
Telephone No. _______________(w), ______________________
Email: __________________________
Highest Degree: _____________________ College: __________________________
RESEARCH (Use additional sheets as necessary)
Statement of Problem:
Approach/Research Design:
Methodology:
Start Date: _____________________________ End Date: __________________________________
Project Budget (INCLUDE SPECIFIC REQUEST OF FOUNDATION)
I agree to conduct the Research as approved, be accountable for funds granted, and submit a final report including results and recommendations at conclusion.
Signature:_______________________________ Date:
Mail Completed Application to: Nursing Foundation by date indicated.