Application Palliative Care

Application Form

Internal reference

Instrument *

Project title *

Brief description of the research project *

Project start *

Project end *

Duration (months) *

Amount requested * in CHF (numbers only)

Salutation *

Academic title *

Name *

First name *

Position *

Institute *

Division

Street *

P.O. Box

ZIP *

City *

Phone number *

E-mail *

Please send an email to research@samw.ch with the following documents, compiled as a single pdf file:

Personal and institutional information of all persons, who are involved in the project (including collaborators)
Summary (max. 1 page, including: background, aim, hypothesis, design, setting, methods, planned analysis & sample size, relevance of project)
Research plan or study protocol (max. 8 pages, including timetable, tables and figures but without references) – also requested if applying for a scholarship.
Detailed budget in annual installments (1 installment per project year), incl. all requests to and available funds for the project from other financial sources.
CV of main applicant(s), including a list of the most important publications (max. 3 pages per applicant)
Applicant's previous activities and any publications relating to the research topic (max. 2 pages per applicant)
If appropriate: Copy of Ethics Committee's decision
If appropriate: Copy of confirmation from SNSF or other funding bodies

Incomplete submissions will not be considered.

Application Form