ACEM Foundation Kelly Research Grant

ACEM Foundation Kelly Research Grant
Form No: FND927
Last Revised: January 2026
Version: v2
Complete this application form to apply for the ACEM Foundation Kelly Research Grant. The form should be submitted, together with the documentation specified below within the advertised timeframe.

If you require assistance to complete this form, please contact: foundation@acem.org.au

Refer to related documents for eligibility, assessment criteria, required accompanying documents and terms and conditions:
1. Applicant details
Name*

First NameLast Name
ACEM ID*
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Date*

DayMonthYear
Date
2. Eligibility
I am an ACEM Fellow of Good Standing with the CollegeI am a FACEM trainee of Good Standing with the College
I am the lead of the project proposal and activities

3. Investigator track record
3.1 Are you an early career researcher as determined by the ACEM Foundation Grants Policy?*

YesNo
Read the ACEM Foundation Grants Policy.
3.2 Career summary – Provide an overview of your academic and professional experience, areas of expertise and significant contributions to your field. (500 word limit)*

0/500
3.3 Contributions to the field of research

3.3.1 Top five peer reviewed research publications.
Article name
Digital object identifier
Provide explanations of why these publications have been selected, outlining the quality and contribution to science, and your contribution to each. (300 word limit)

0/300
Article name
Digital object identifier
Provide explanations of why these publications have been selected, outlining the quality and contribution to science, and your contribution to each. (300 word limit)

0/300
Article name
Digital object identifier
Provide explanations of why these publications have been selected, outlining the quality and contribution to science, and your contribution to each. (300 word limit)

0/300
Article name
Digital object identifier
Provide explanations of why these publications have been selected, outlining the quality and contribution to science, and your contribution to each. (300 word limit)

0/300
Article name
Digital object identifier
Provide explanations of why these publications have been selected, outlining the quality and contribution to science, and your contribution to each. (300 word limit)

0/300
3.3.1 Top five peer reviewed research publications – Provide explanations of why these publications have been selected, outlining the quality and contribution to science, and your contribution to each.*
3.3.2 List previous and/or current competitive grant funding that has been awarded to you as Principal Investigator, including commencement and completion dates of grant funded projects.

4. Proposed Research
4.1 Proposed Research Overview (administrative details)
Proposed department/s where this research will take place*
If there are multiple departments, please separate them with a comma.
Short title of research*
Intended Supervisor (if applicable)
Hospital, health service, university, institution or other organisation that will administer the grant
Has other funding been applied for in relation to this project? *
If yes, please provide details, including the expected decision or funding date*
Has other funding been granted in relation to this project?*
If yes, please detail*
4.2 Please attach an outline of the proposed research

The project outline should respond to the following assessment criteria. The Applicant Guide provides further detail relating to the assessment criteria.

Eligible applications for the grant will be assessed according to the extent to which the project demonstrates evidence of:
1. Project aims; and
2. Research question(s) that are clearly defined; and
3. Methodology for the research question that is appropriate and well described; and
4. Capability and capacity building of researchers; and
5. Collaboration across the health system; and
6. The project’s impact is scalable; and
7. Potential application to emergency medicine; and
8. Originality of the research; and
9. Evaluation; and
10. Sustainability; and
11. Linkages and commitment; and
12. Alignment with ACEM strategic priorities;
13. and a separate budget proposal. 1*
14. a maximum of six references.
4.2 Outline of proposed research

The project outline should respond to the assessment criteria. Please refer to the ACEM Foundation Kelly Research Applicant Guide FND923 for further detail relating to the assessment criteria.

There is an opportunity to include a study protocol at the bottom of the page.
4.2.1 Project description – Please include project aims, research questions and methodology. Include relevance to emergency medicine, originality of research and alignment with ACEM programs. (750 word limit)*

0/750
4.2.2 Capability and capacity building of researchers – Describe how the project aims to enhance the skills, knowledge, and resourcing of researchers and build research experience within health services. (750 word limit)*

0/750
4.2.3 Collaboration across the health system – Describe how the project fosters collaborative efforts and partnerships within the health system. (750 word limit)*

0/750
4.2.4 Project impact – Describe how this project will impact emergency medicine, including sustainability and how the impacts of the project have the potential to be scaled up or replicated on a broader level. (750 word limit)*

0/750
4.2.5 Contribution to improving health outcomes for Aboriginal, Torres Strait Islander or Māori communities, or refugees or asylum seekers, or people living in rural or remote regions, or vulnerable populations such as persons in custody (including prisoners) or mental health patients. Describe how the project aims to improve health outcomes for the specified community or population. (500 word limit).*

0/0500
4.2.6 Project evaluation – Please outline the project evaluation plan. What will be an indicator of impact and how it will be measured. (500 word limit)*
4.2.7 Linkages and commitment – Please specify any linkages between partner organisations and key stakeholders. Commitment from the partner organisation(s) and key stakeholders must be demonstrated through letters of support and include any monetary or in-kind funding commitment for the project. (500 word limit)

0/500
Please attach any letters of support below.

Cancelof
4.2.8 Proposed Budget*

A separate budget proposal is attached below
Cancelof
4.2.9 Please attach any additional supporting documentation, including study protocol.

Cancelof

Please ensure that you have read the conditions associated within the policy FND915, and complete the section following.
5. Declaration
I have read the conditions associated with the ACEM Foundation Kelly Research Grant and agree to comply with them as required.
Name*

First NameLast Name
Date*

DayMonthYear
Date
Signature*

Clear
Should be Empty:

ACEM Foundation Kelly Research Grant

1. Applicant details

2. Eligibility

3. Investigator track record

3.3 Contributions to the field of research

3.3.1 Top five peer reviewed research publications.

4. Proposed Research

4.1 Proposed Research Overview (administrative details)

4.2 Please attach an outline of the proposed research

4.2 Outline of proposed research

5. Declaration