RMGNA Small Grants Application Form

Small Grants Application Form

Royal Melbourne Graduate Nurses' Association
Are you a current RMGNA member and have been a member for longer than 1 year?*

YesNo
If you chose yes, please continue with your application.

If you chose no for this question, you are not eligible for an RMGNA small grant. Please exit this application form by clicking on the 'next' button and reapply next year.

Have you received an RMGNA small grant in the last 2 years?*

YesNo
If you chose yes for this question, you are not eligible for an RMGNA small grant. Please exit this application form by clicking on the 'next' button and reapply next year.

If you have not received an RMGNA small grant in the last 2 years, please continue with your application.

You will be asked to provide evidence of the activity you wish to undertake (or have already completed) such as an invoice or enrolment form, so please have an electronic copy of this evidence available to upload as part of your application.

Name*

First NameLast Name
Your application will be de-identified during the review process; please provide a pseudonym for us to use or leave this blank and we will create one for you.*
Single word only e.g., unicorn, JayBee, etc.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone number*
Mobile phone number or landline (area code)(phone number)
Email*
example@example.com

Current position*

Employed as a nurseEmployed but not in a nursing roleNot currently workingRetiredOther

"Workplace"*
If working more than one job, select the workplace where you spend the most time
If you chose 'other', please describe your workplace
Classification*
If not currently employed or retired, enter the position classification of your last position
If you chose 'other', please provide your classification
Clinical area/specialty*

Activity details

Conference, study days, online learning, etc.
Name of activity*
For example, National Nurse Education conference, Sydney, 2025
Topics or general theme/s*
For example, the conference theme is 'Riding the waves of change' i.e., the dynamic nature of nursing education in a constantly changing healthcare environment
Provider/organisation*
Date(s) or total hours *
If not applicable to your submission, for example a journal subscription, please enter n/a for this field
URL/web link (if available/applicable)
In 100 words or less, please state your reasons for undertaking this activity*
Please upload supporting evidence for your application e.g. course enrolment form, a subscription receipt, purchase receipt, etc.

Cancelof

Requested grant amount ($)*
Numbers only (0.00)
Bank account details

If your submission is successful, it will make it easier and quicker to transfer the grant to your account if we already have your banking details; alternatively, you can provide these details when you are notified that your grant application was successful.
Account name
BSB number
Please enter the BSB number without spaces or hyphen e.g., 032644
Account number
Declaration
As a condition of accepting an RMGNA small grant, I agree to provide a summary of the funded activity, my key learnings and the implications for practice which will be shared with the members of the Association as:*

an article for publication in the Association’s newsletter (within 6 months of completing the activity); and/ora presentation at an RMGNA meeting
Do you agree to the above declaration?*

YesNo

Please click the submit button below and you are done!

You should receive an autogenerated email that confirms your application has been sent to the RMGNA committee for consideration at the next committee meeting.

If you do not receive this autogenerated email or have any further questions or concerns after applying, please contact us at rmhgna@outlook.com

Small Grants Application Form