ࡱ> {` FLbjbjFF  ,, , , , @ )))8@)l)@ JLv*r-r-r-r-32 6Ll7KKKKKKK$Mh(PK], 833@88Kr-r-8L===8(8r-Lr-K=8K==Fh4@Gr-* 0Co)<;FGL0JLGP<;JP GP, G@88=88888KK=888JL8888@ @ @ $#@ @ @ $#@ @ @   OCCUPATIONAL THERAPISTS REGISTRATION BOARD SYSTEMATIC REVIEW APPLICATION FORM Applications must be typed. The Board requires seven (7) bound copies of the application to be lodged with THE REGISTRAR OCCUPATIONAL THERAPISTS REGISTRATION BOARD SUITE 7, 2ND FLOOR, 23 RICHARDSON STREET, SOUTH PERTH WA 6951 PO BOX 959, SOUTH PERTH WA 6951 The closing date for applications is 31st March 1. Name of principle applicant (must be a registered occupational therapist)  FORMTEXT        Title of Systematic Review Protocol  FORMTEXT        3. Total funds requested in this application  FORMTEXT        4. Details of applicants (Please add additional pages if more than 2 reviewers in the team) Principle ReviewerReview Assistant 1Methodology Support SupervisorTitle and Surname FORMTEXT        FORMTEXT       FORMTEXT      Organisation  FORMTEXT        FORMTEXT       FORMTEXT      Contact details: Phone E-mail Address for correspondence FORMTEXT       FORMTEXT       FORMTEXT       Position held  FORMTEXT       FORMTEXT       FORMTEXT      Highest academic qualification FORMTEXT       FORMTEXT       FORMTEXT       Describe how this Systematic Review will benefit the practice of occupational therapy  FORMTEXT        Page 1 of 2 6. Proposed timeline  FORMTEXT        7. Proposed commencement date of Review  FORMTEXT        Proposed completion date of review/submission of final report  FORMTEXT        9. 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