AEPCC Forum 2023 Bursary Application FormClosing date: Wednesday 1 March 2023, 5pm AEST

AEPCC Forum 2023

Bursary Application Form

Closing date: Wednesday 1 March 2023, 5pm AEST

Please complete the following form to apply for a bursary to attend the AEPCC Forum 2023 and ensure you press 'SUBMIT" once complete.

Please note the following important information

AEPCC forum 2023 bursaries will cover attendees who do not live in Melbourne, and must be used to cover travel and accommodation expenses. For example, 1 night accommodation and an economy return airfare to and from Melbourne or regional travel within Victoria.
AEPCC will work with bursary awardees to determine the total amount of the bursary , based on location and other relevant factors. In some circumstances AEPCC may directly pay these costs on behalf of the bursary awardee.
Tax invoice receipts must be provided for reimbursement to be provided.
The number of bursaries available is limited and applicants must complete the form by the closing date to be considered.

If you require any assistance to complete this form, please reach out to aepcc@orygen.org.au or call on 0409314065.

1. Full Name*

2. Email address*

3. Phone number*

Phone

4. Tell us a little about yourself*

Select as many as applicable

Select or enter value

5. If you selected 'Other' in Q4, please let us know your role or involvement in early psychosis

6. Where are you travelling from?*

Please advise what suburb and State or Territory you are travelling from, including the nearest airport if you are not in a major city.

7. Tell us why you would like to attend the AEPCC Forum?*

Please include the area of early psychosis that you are interested in.

8. Tell us why you are applying for this bursary?*

If you require any assistance to complete this form, please reach out to aepcc@orygen.org.au or call on 0409314065.

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