Australasian College of Paramedic Practitioners & BankVic Paramedic Practitioner Scholarships Application Form

All applications must be submitted by 5pm on Monday 1st February 2021.

300 word limit per answer
Clear point form answers acceptable

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* 1. Contact Details:

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Do you identify as Aboriginal and/or Torres Strait Islander:

Yes

No

Prefer not to say

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* 3. Course and University:

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* 4. Student Number (If available):

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* 5. Aphra Number:

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* 6. Scholarship Applying for (One or More):

Scholarship 1: ACPP – BankVic Aboriginal and Torres Strait Islander Paramedic Living on Country Scholarship. Up to $4,000 (Minimum 1 scholarship)

Scholarship 2: ACPP - BankVic Travel Grants Scholarship. Up to $4,000 (Minimum 1 scholarship)

Scholarship 3: ACPP – Bank Vic Research Scholarship (Doctor of Advanced Clinical Practice or PhD). Up to $3,000 (Minimum 1 scholarship)

Scholarship 4: ACPP – BankVic Paramedic Practitioner Academic Support Scholarship. Up to $1,000 (Minimum 2 scholarship)

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* 7. Why have you chosen to peruse a career as a Paramedic Practitioner?

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* 8. How do you think your community will benefit from you becoming a Paramedic Practitioner?

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* 9. How would Scholarship 1, Aboriginal and Torres Straight Islander Paramedic Scholarship benefit you with your studies? Only applicable if applying for Scholarship 1.

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* 10. How would Scholarships 2, the Travel Grant Scholarship assist you to undertake your studies? Only applicable if applying for Scholarship 2.

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* 11. How would you use Scholarships 3, Research Scholarship assist you? Only applicable if applying for Scholarship 3.

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* 12. How would you use Scholarships 4, Academic Scholarships to assist with your studies? Only applicable if applying for Scholarship 4.

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* 13. I declare that the information I have provided truly represents my requirements to assist me to complete my studies.

Yes

No

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* 14. SCHOLARSHIP OBLIGATION

The successful applicants will be required to make themselves available to ACPP, BankVic or other media for photographs, video or other electronic media for interview purposes. This media can be used by ACPP, BankVic and other media to celebrate the award of the scholarships. The summary will be published on the ACPP and BankVic social media, website and/or other media.

I agree to the above obligation (Your application will not be accepted unless you agree)

Yes

No