Continence Foundation of Australia STAC Education Day Scholarship 2024

Scholarship Application Form

We welcome you to apply for a scholarship on behalf of our State and Territory Advisory Committees. Please note there is up to 600 words of submission, and will be awarded on the merit of the application.

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* 1. Which State Scholarship are you applying for?

Western Australia - Rural and Remote

South Australia - Rural and Remote

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* 2. Full name

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* 3. Are you a member with the Continence Foundation of Australia

Yes

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* 4. Position/Profession:

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* 5. Days per week working in this position

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* 6. Organisation:

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* 7. Contact Details

Address *

Address 2

City/Town *

State/Territory *

Postal Code *

Email Address *

Preferred Phone Number *

The Continence Foundation of Australia

Please answer the following questions
(Approximately 100-200 words each)

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* 8. How is this scholarship relevant to your practice ie. how does your practice involve continence care?

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* 9. How will your attendance at the Education Day 2023 benefit your clients/patients and professional practice?

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* 10. How will you distribute the information and share the learnings of the Education Day with your work colleagues?

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* 11. Do you agree to the Terms and Conditions in accepting the scholarship?
(Ts+Cs can be found at Scholarship info page)

Yes

Continence Foundation of Australia STAC Education Day Scholarship 2024

Scholarship Application Form

Question Title

* 1. Which State Scholarship are you applying for?

Question Title

* 2. Full name

Question Title

* 3. Are you a member with the Continence Foundation of Australia

Question Title

* 4. Position/Profession:

Question Title

* 5. Days per week working in this position

Question Title

* 6. Organisation:

Question Title

* 7. Contact Details

Question Title

* 8. How is this scholarship relevant to your practice ie. how does your practice involve continence care?

Question Title

* 9. How will your attendance at the Education Day 2023 benefit your clients/patients and professional practice?

Question Title

* 10. How will you distribute the information and share the learnings of the Education Day with your work colleagues?

Question Title

* 11. Do you agree to the Terms and Conditions in accepting the scholarship?(Ts+Cs can be found at Scholarship info page)

* 11. Do you agree to the Terms and Conditions in accepting the scholarship?
(Ts+Cs can be found at Scholarship info page)