I, __________________________________________, Team
Leader/Project Leader/Principal Investigator of the project entitled
_________________________________________________, commit the following to The
DAISY Foundation in return for funding I request of $____________:
- That funds will be
used only for direct expenses as detailed in the budget provided in my
- That I will inform
The DAISY Foundation of the actual start date of this project
- That a check for
any unused funds will be sent to The DAISY Foundation within 90 days of the
- That I will
communicate in writing to The DAISY Foundation if my project is terminated
- That an interim
report will be submitted 6 months after funding and a final report submitted
within 90 days of the project’s completion. These reports will be submitted
through The DAISY Foundation website.
- That the report of
my project may be posted on The DAISY Foundation website, if the Foundation
chooses to do so.
- That the DAISY
Foundation is permitted to use my name/those of my team members and institution
and the title and summary of my project in their marketing materials to help
promote the grant program.
- That I will submit my EBP project to the Virginia Henderson Library of Sigma Theta Tau International within
30 days of filing my final report with The DAISY Foundation.
- That I will credit
funding from The DAISY Foundation upon publication/presentation of this
research, using the authorized DAISY Foundation logo to be provided by The Foundation.
- That The DAISY
Foundation may not be held liable for any risk to the subjects of this project.
Signed ________________________________________ Date_________________________
FOR YOUR CHIEF NURSING OFFICER OR OTHER SENIOR
I fully support __________________________________, Principal Investigator of the EBP project entitled
___________________________________________________ in her/his implementation
of this project.
Furthermore, I attest to the fact that nurse
clinicians/staff nurses will be involved in this work, as described in the