Physiotherapy Special Interest Group Scholarship Application

Background

The Physiotherapy Special Interest Group is offering a scholarship of $2,500 for a suitably interested and qualified physiotherapist to attend the International Children’s Continence Society (ICCS) conference 2025.

It is envisaged that this scholarship will also be offered in 2026 and 2027.

The scholarships are open to physiotherapists who are members of both the Physiotherapy Special Interest Group and Continence Foundation of Australia.

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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. Are you a member with the Foundation's Physiotherapy Special Interest Group

Yes

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* 5. Current Occupation

Physiotherapist

Pelvic Health Physiotherapist

Other (please specify)

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* 6. Postgraduate qualifications and year attained

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* 7. Please address your application submission below
Please include:

Place of work where you practise paediatric continence care currently, and previously if relevant, and whether this is public, private, sole practitioner of multidisciplinary

Professional development activities in paediatric continence – where appropriate, list where these were accessed and when.

Research interests you have and the research activities in which you have been involved, and in what capacity.

Your length of membership of CFA and ICCS and involvement in contributing to the implementation of the CFA strategic pillars.

(Approximately 500 words)

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* 8. 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

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* 9. Declaration (cont.)

I will commit support the Physiotherapy Special Interest Group (SIG) committee in planning a 30-45 minute webinar to the SIG members on relevant presentations of interest at the conference and present this within 6 months of the conference finishing, or at the discretion of the committee.

Yes

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* 10. Declaration (cont.)

I will commit to write and submit an update on a particular topic or an overview of the conference to the Australian and New Zealand Continence Journal (ANZCJ)

Yes

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* 11. Declaration (cont.)

I understand that if I am not able to attend the conference as planned, the committee must be informed, and the money must be returned to SIG immediately.

Yes

Physiotherapy Special Interest Group 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. Are you a member with the Foundation's Physiotherapy Special Interest Group

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* 5. Current Occupation

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* 6. Postgraduate qualifications and year attained

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* 10. Declaration (cont.) I will commit to write and submit an update on a particular topic or an overview of the conference to the Australian and New Zealand Continence Journal (ANZCJ)

Question Title

* 11. Declaration (cont.) I understand that if I am not able to attend the conference as planned, the committee must be informed, and the money must be returned to SIG immediately.

* 10. Declaration (cont.)

I will commit to write and submit an update on a particular topic or an overview of the conference to the Australian and New Zealand Continence Journal (ANZCJ)

* 11. Declaration (cont.)

I understand that if I am not able to attend the conference as planned, the committee must be informed, and the money must be returned to SIG immediately.