Ipswich Hospital Foundation

News

13/11/08 Sunshine Circle Donor Thank-you

24/10/08 2008 Sunshine Circle Appeal Nov-Dec

24/10/08 FitFlicks/Movies in the Park NOW ON!

13/08/08 HOTMUMS time change!

Events

Upcoming IHF Event: HOTMUM'S Upcoming IHF Event: FitFlicks

Supporting Health Professionals


Grant Application: Scholarship
Applicant Information
Title:
This field is required
First Name:
This field is required
Surname:
This field is required
Address:
This field is required
Suburb:
This field is required
Postcode:
This field is required
Email Address:
This field is required
Phone (Daytime):
This field is required
Mobile:
Position:
This field is required
Ward / Business Unit:
This field is required
Hospital / Organisation / Facility:
This field is required
 
Descriptions
Degree / Certification sought:
Name & location of place of study:
Short description and course details of proposed course study
(100 words or less)
Study Time:
Study Style:
Number of subjects per term:
Study Type:
 
Budget
Total budget:
The amount requested for financial year June to July. The maximum is $2000 for full-time study.
Explain (with dollar values) how you reached your budget total:
 
Reporting Schedule
Course Completion:
 
Supervisor / Manager
Current Supervisor / Manager Name:
This field is required
Current Supervisor / Manager Position:
This field is required
Current Supervisor / Manager Email:
This field is required
 
Declaration
 This field is required