Ipswich Hospital Foundation

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30/08/10 Zumba Starting THIS Friday!

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Events

Upcoming IHF Event: Bling 4 Babies Upcoming IHF Event: FitFlicks - Nov

Supporting Health Professionals


Grant Application: Scholarship
Applicant Information
Title:
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First Name:
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Surname:
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Address:
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Suburb:
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Postcode:
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Email Address:
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Phone (Daytime):
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Mobile:
Position:
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Ward / Business Unit:
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Hospital / Organisation / Facility:
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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:
Do you have access to professional development funds?
  
 
Reporting Schedule
Anticipated degree completion:
 
If this application is for a continuing grant, ie you received money from the Foundation last year for this course, please provide details of your results:
Ensure a copy of these results have been forwarded to the Foundation. Your application will not be reviewed until these results have been received.
 
Supervisor / Manager
Current Supervisor / Manager Name:
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Current Supervisor / Manager Position:
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Current Supervisor / Manager Email:
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Declaration
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