Graduate Student Project or Research Submission

Research Project Title*

Brief Description of Research Project*

Research Start Date*

Research Expected End Date*

Principal Nurse Investigator or Primary Contact*

First Last credentials

Email Principal Nurse Investigator or Primary Contact*

Enter Email Confirm Email

Research Project Setting*

Please choose all that apply

Acute care hospital
Ambulatory/clinic
Community
School-based clinic
University/college
Other

Other Research Project Setting

Funding Source*

Please choose all that apply

AARP
ANA
AONL
HRSA
IONL
RWJF
Sigma
Other
None

Other Funding Source

I give ICN permission to post the information provided about this research project on social media (Twitter & Facebook).*

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No

e-signature*

Completion of this section serves as the electronic signature of the individual completing this form and attests to the accuracy of the information given above. Signature also gives permission to add your research project to the ICN Nurse-Led Research Compendium.

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Graduate Student Project or Research Submission

Add your in-progress research to the IN Nurse-Led Research Compendium-Graduate Students by completing the form below.

INDIANA CENTER FOR NURSING

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