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Research
IIMPACT in Health
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Allied Health Research Mentoring Program

Expression of interest form

Please fill out this form if you would like to participate in the SA Health Allied Health Research Mentoring Program, supported by the IIMPACT in Health group at UniSA in partnership with the Allied & Scientific Health Office.

**This program is only available to SA Health Staff**

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Name

SA Health Email

Profession

Art or Music Therapy

Audiology

Dental Therapy

Epidemiology

Exercise Physiology

Genetic Counselling

Nuclear Medicine Technology

Nutrition and Dietetics

Occupational Therapy

Optometry

Orthoptics

Orthotics and Prosthetics

Perfusion

Pharmacy

Physiotherapy

Podiatry

Psychology

Radiation Therapy

Radiography

Social Work

Sonography

Speech Pathology

Position

Local Health Network or Statewide Health Service

Barossa Hills Fleurieu LHN

Central Adelaide LHN

Eyre and Far North LHN

Flinders and Upper North LHN

Limestone Coast LHN

Northern Adelaide LHN

Riverland Mallee Coorong LHN

Southern Adelaide LHN

Women's & Childrens Health Network

Yorke and Northern LHN

BreastScreen SA (BSSA)

Drug and Alcohol Services SA (DASSA)

SA Ambulance Service (SAAS)

SA Dental Service (SADS)

SA Pathology

SA Pharmacy

Statewide Eating Disorder Service

Department for Health and Wellbeing

What clinical population do you work with or wish to undertake research with?

What is the nature of your research project(s) or area of inquiry? Describe any intended methods of study or progress to date (if commenced).

Do you have any previous experience with research? If yes, please describe.

Name of supporting line manager: (By providing line manager name, you are confirming you have the support of this manager to participate in the mentoring program should a place be allocated to you).

What are your general expectations from a mentoring relationship? Do you have any specific goals or areas you need support with?

Thank you

Thank you for your submission. Somebody will be in contact with you soon.

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UniSA respectfully acknowledges the Kaurna, Boandik and Barngarla First Nations Peoples and their Elders past and present, who are the First Nations’ Traditional Owners of the lands that are now home to our campuses in Adelaide, Mount Gambier and Whyalla.

ARTWORK: Ngupulya Pumani

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