Endometriosis Australia Nurses Scholarship

Proudly supported by Endometriosis Australia

Applications close by 11:59 pm AEST, Monday 5 May 2025.

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

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

Yes

Other details*

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

Select

Do you identify as LGBTQIA+?

Yes

Do you identify as Culturally and Linguistically Diverse (CALD)?

Yes

Are you currently employed at any of the following pelvic pain clinics?

Select

Pelvic pain clinic name

Employer details

Employer name and address*

Supervisor/Manager first name*

Supervisor/Manager last name*

Contact phone*

Phone

Your position*

Selection Questions

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

Q1. How will completing this unit enhance your ability to provide specialised care for patients with endometriosis and chronic pelvic pain in your nursing practice?*

(300-500 Words)

Q2. How do you plan to organise in-service training for your colleagues and demonstrate leadership in facilitating their learning and practice?*

(300-500 Words)

Q3. Can you provide examples of your commitment to professional development in nursing, particularly in areas related to gynaecological health and chronic pain management?*

(300-500 Words)

Documents required

Resume/CV
Proof of registration with the Nursing and Midwifery Board of Australia (NMBA)
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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