Lucas' Papaw Remedies Scholarship

Lucas' Papaw Remedies Scholarship

Proudly sponsored by Lucas Papaw Remedies

Applications close by11:59 pm AEDT, Thursday 2 May 2024.

Personal details

Full Name

Prefix*

First Name*

Last Name*

Postal address

Address Line 1*

Address Line 2

City*

State*

Select

Postcode*

Contact number*

Phone

Preferred email*

Confirm Preferred email*

Employer details

Employer name and location*

Supervisor/Manager First Name*

Supervisor/Manager Last Name*

Contact Number*

Phone

Your position*

Other information

Are you a member of ACN?*

*You do not need to be a member to apply, this is for statistical purposes only.

Yes

No

Will you be receiving any other scholarship toward this unit ?*

Yes

No

Selection Questions

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

Q1. Describe the specific relevance this activity has to your area of nursing.*

It is recommended that you write between 200-250 words.

Q2. Describe how you intend to share the outcomes of your study with your work colleagues.*

It is recommended that you write between 200-250 words.

Q3. Provide evidence of your commitment to your area of nursing practice.*

It is recommended that you write between 200-250 words.

Q4. Describe how you will transfer this learning to the practice of nursing practice.*

It is recommended that you write between 200-250 words.

Q5. Describe how you will disseminate the knowledge gained from your studies with your colleagues in your workplace or in your region.*

It is recommended that you write between 200-250 words.

Documents required

Documents required:

Identification such as, Birth certificate, Drivers license or Passport
Resume
Current AHPRA nurse registration

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 regarding this scholarship or the Wound Management Unit 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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