Research Collaboration Request

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Research Collaboration Request

The Asia Pacific Hospice Palliative Care Network (APHN) welcomes opportunities to collaborate on research initiatives that advance palliative care across the region. Please complete this form to share details about your proposed project. Our team will review your submission and get in touch if the collaboration aligns with our mission and current priorities.

Section 1

Full Name(Required)

Email(Required)

Enter Email Confirm Email

Organisation / Institution Name(Required)

Region(Required)

Region

Section 2

Title of Proposed Research Project(Required)

Brief Summary of Project (max 300 words)(Required)

Main Research Objectives / Questions(Required)

Expected Timeline(Required)

Type of Collaboration Requested(Required)

Data sharing

Data collection

Co-authorship

Research dissemination

Expert consultation

Training or capacity building

Section 3

Has the project received ethics approval?(Required)

Yes

In progress

Is funding already secured for this project?

Yes

Partially

If yes, please specify the funding source(s)

Section 4

Why do you wish to collaborate with APHN?(Required)

Additional Comments / Notes

File Upload

e.g., project proposal, ethics approval, CV

Drop files here or

Max. file size: 256 MB.

Consent(Required)

I consent to the Asia Pacific Hospice Palliative Care Network collecting and using my information for the purpose of reviewing this collaboration request.