Continence Foundation of Australia STAC Education Day Scholarship

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.

Question Title

* 1. Which State Scholarship are you applying for?

NSW - Rural and Remote

Victoria - Rural and Remote

Victoria - General

Western Australia - Rural and Remote

Western Australia - General

Queensland - Rural and Remote

Queensland - General

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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

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)