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OSHC Conference Scholarship
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1.
Name
(Required.)
*
2.
Service
(Required.)
*
3.
Street Address
(Required.)
*
4.
Suburb
(Required.)
*
5.
Postcode
(Required.)
*
6.
Phone number
(Required.)
7.
Email address (Please ensure your email details are correct as we will use this to correspond with you).
8.
Is your OSHC service an OSHCsa member?
Yes
No
Don't know
*
9.
Are you seeking a scholarship for:
(Required.)
Friday only
Saturday only
Both Days
*
10.
What is your role in your service?
(Required.)
*
11.
Please identify the circumstances which motivate you to request a scholarship to attend the OSHC conference:
(Required.)
12.
Is there anyone else from your service who will be attending the OSHC conference?
