Continence Foundation of Australia NCOI STAC Scholarship Application

Background

The Continence Foundation of Australia has multiple State and Territory Advisory Committees (STACs) which are served by volunteers who are members of the Foundation. These committees among other duties, award scholarships for events such as NCOI25.

The scholarships are open to registered nurses and allied health professionals working in continence care who are members of the Foundation wishing to attend NCOI25 in Hobart May 7-10 2025.

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* 1. Full name

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* 2. Contact Details

Address *

Address 2

City/Town *

State/Territory *

Postal Code *

Email Address *

Preferred Phone Number *

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

Yes

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* 4. Qualifications

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* 5. Current Occupation

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* 6. Current Employer

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* 7. Number of hours worked per week in continence

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* 8. How is this scholarship relevant to your practice ie. how does your practice involve continence care?
(Approximately 100-200 words)

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* 9. What are the top 3 issues or challenges in your region relating to continence care?
(Approximately 100 words each)

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* 10. The Conference theme for 2025 is leadership and connection. With reference to these themes, please outline how this scholarship will directly benefit your career in continence management and care and how you will use your learning to enhance continence management and care in your workplace.
(Approximately 300-500 words)

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* 11. Please attach your professional registration certificate
(Or screenshot of AHPRA website registration)

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.

Choose File

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* 12. Declaration

Please click below to make the following declaration:

To the best of my knowledge the information I have provided is true and correct. I have read the Guidelines for Applicants and agree to abide by the conditions for successful applicants. I understand that scholarships are allocated at the discretion of the selection panel and that the decision of the panel is final.

Yes

Continence Foundation of Australia NCOI STAC Scholarship Application

Background

Question Title

* 1. Full name

Question Title

* 2. Contact Details

Question Title

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

Question Title

* 4. Qualifications

Question Title

* 5. Current Occupation

Question Title

* 6. Current Employer

Question Title

* 7. Number of hours worked per week in continence

Question Title

* 8. How is this scholarship relevant to your practice ie. how does your practice involve continence care? (Approximately 100-200 words)

Question Title

* 9. What are the top 3 issues or challenges in your region relating to continence care? (Approximately 100 words each)

Question Title

Question Title

* 11. Please attach your professional registration certificate(Or screenshot of AHPRA website registration)

Question Title

* 8. How is this scholarship relevant to your practice ie. how does your practice involve continence care?
(Approximately 100-200 words)

* 9. What are the top 3 issues or challenges in your region relating to continence care?
(Approximately 100 words each)

* 11. Please attach your professional registration certificate
(Or screenshot of AHPRA website registration)