Emerging Research Leader Program Scholarship

Proudly supported by Australian College of Nursing Foundation

Applications close by 11:59 pm AEDT, Wednesday 16 October 2024.

Personal details

Name

Prefix*

First name*

Last name*

Address

Address line 1*

Address line 2

City*

State*

Select

Postcode*

Contact phone*

Phone

Email*

Are you currently an ACN Member or Fellow? (MACN or FACN)*

Select

Only ACN members are eligible for this scholarship. To become an ACN member please Join Now.

Do you identify as Aboriginal and/or Torres Strait Islander?*

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Do you live and work in a rural, regional or remote location?*

Select or enter value

Did you receive an ACN scholarship within the past three years?*

Yes

Other details*

Employer details

Employer name and address*

Supervisor/Manager first name*

Supervisor/Manager last name*

Contact phone*

Phone

Your position*

Selection questions

Under the following headings, please describe how your application addresses the criteria.

Q1. Outline your reasons for applying for this scholarship, focusing on your interest in research.*

(Max 250 words)

Q2. How do you envisage that your future career goals will be supported through completion of this program?*

(Max 250 words)

Q3. Provide a brief overview of a specific topic or area of research you are interested in and why.*

(Max 250 words)

Documents required

Resume/CV
Proof of registration with the Nursing and Midwifery Board of Australia (NMBA)
Proof of Australian Citizenship or permanent residency - such as birth certificate, passport, citizenship certificate or permanent residency confirmation
A letter from your employer confirming your current employment, length of employment and role

Please upload your documents here:*

NOTE: Please attach in .doc, .pdf, .jpg or .png format. There is a limit of 10 files for this form. You may need to Zip documents.

Drag and drop files here or

Confirmation of documents provided*

Select all that has been uploaded

Select

ACN Grants and Awards Terms and Conditions

ACN strongly recommends that you thoroughly read and save a copy of the Grants and Awards Terms and Conditions before you accept the offer. The Terms and Conditions is a legally binding document and by accepting the offer the scholarship you are agreeing to abide by the terms and any future amendments for the life of the scholarship.

ACN Grants and Awards Terms and Conditions

Declaration

The Declaration is legally binding and indicates that you have, to the best of your knowledge, provided true and correct information. There are penalties for knowingly giving false or misleading information.

A. I declare that:*

The information that I have supplied in this application form is true and correct in every particular.

The responses to the selection questions have been completed by myself.

I will advise ACN, in writing, within 14 days of any change in my circumstances.

B. I understand that:*

I will be required to accept the Terms and Conditions of the ACN Grants and Awards if my application is successful.

I have read and understood ACN Foundation Privacy Collection Notice.

Read the ACN Foundation Privacy Collection Notice.

If you have any questions please contact ACN Foundation on 1800 117 262 or email acngrants@acn.edu.au

Lodgement

Once you submit your application an acknowledgement message will pop up to confirm it has been submitted successfully, this means we have received your application. Once the ACN Foundation team processes your application you will receive an email confirming the status of your application.

Send me a copy of my responses

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