ANMC Postgraduate Research Scholarship

Are you a member of the Australian Nurses Memorial Centre (ANMC)?*
Please note that you must be a member to be eligible for a scholarship.

Please return to the ANMC Membership page and apply for a membership.
Please note membership details will be checked prior to being selected for an interview.

1. Personal Details
Name*

First NameMiddle NameLast Name
Email *
Mobile*
e.g. 0400 000 000
Landline
e.g. (61) 6200 0000
Address*

Street Address

Street Address Line 2

CityState

Postcode
AHPRA Registration Number*
You must be registered with AHPRA to apply for a scholarship.
Are you an Australian Citizen or Permanent Resident?*

YesNo
Unfortunately at this time ANMC scholarships are only available to Australian citizens or permanent residents.

Please do not proceed with your application as it will not be considered.
Do you identify as Aboriginal and/or Torres Strait Islander?

YesNoRather not say
Employer*
If not currently in paid employment, please state most recent employer.
Position of employment*
If not currently working, please state most recent position.

3. Professional Referees

Please provide the name and contact details of two referees

Referee 1
First Referee First Name*
First Referee Family Name*
First Referee Position*
First Referee Employer*
First Referee Email
First Referee Mobile
Enter 10-digit mobile number in this format
First Referee Phone
Enter 10-digit landline number in this format, including area code

5. Professional Development
Personal and Professional Development*

Outline three (3) professional development activities undertaken over the last 5 years (exclude activities related to your research/PhD) and explain how they have contributed to you personally and to your professional practice. (Maximum 150 words.)0/150
Commitment and Contribution to the Profession*

Outline why you are engaging in a higher degree involving research and describe how research enhances the profession and contributes to the quality and safety of patient/client care. (Please note, you can discuss the impact of your own research in a section below.) (Maximum 200 words.)0/200

6. Research Proposal
Title of your Research Project:*
Project Synopsis:*

Provide a plain-language synopsis of the project. (Maximum 50 words.)0/50
Project Summary*

Provide a succinct summary of your research project under the headings: research problem, background, aims, research design and methods, expected outputs and outcomes. (Maximum 500 words.)0/500
Research Significance:*

Please explain the significance of the research in terms of contribution to knowledge, patient/client care, professional practice, and leadership. (Maximum 200 words.)0/200
Budget:*

Indicate how scholarship funds will be used to support your studies. Upload further information or documentation if necessary. (Maximum 200 words.)0/200

7. Ethics Committee Approval and Confirmation of Candidature

Please answer the following questions about Ethics Committee Approval and Confirmation of Candidature
Have you submitted your research project to a Human Research Ethics Committee for approval?*

YesNo
What date was the proposal submitted?*
When do you anticipate submitting the proposal?*
Has your research proposal been approved by the Research Ethics Committee?*

YesNo
What date was the proposal approved by the Research Ethics Committee?*
Have you achieved your Confirmation of Candidature?*

YesNo
When do you expect to complete Confirmation of Candidature?*
e.g. 01/01/2025

8. Document Upload
Supporting Documentation

Please upload any other documents to support your application. Noting that you may have previously uploaded these documents earlier in the form.

File Naming

The file names of all uploaded documents should follow the formula: '[Surname] - [name of item]'

For example: Smith - CV.pdf or Smith - CoC.pdf
I have uploaded the following mandatory documents:*

Curriculum Vitae (max. 4 pages)Evidence of Australian citizenship (either passport or birth certificate) OR Proof of permanent residenceEvidence of enrolment (statement or certificate of enrolment or letter of offer)Letter of support or certificate of service from employer
I have uploaded the following documents as applicable:

Evidence of familial connection to ADF (where applicable)Additional budget documentation (where applicable)Evidence of Confirmation of Candidature (where applicable)Any other supporting documents (upload below)
Upload Documents*

Accepted file types: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif. (Max 25MB per document).
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9. Applicant's Declaration
Please confirm:*

I hereby declare that, to the best of my knowledge, the information I have provided in this form is true and accurate.
Please verify that you are human:*
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Scholarship Application: Postgraduate Research