Bursary Application Form

Bursaries are designed to assist First Nations People in joining this important annual gathering. Applications are welcome from anyone interested, including those not currently working in eye care. We encourage students and community members with an interest in this field to apply for this unique opportunity.

For questions, additional information, or support with your submission, please contact us at heyyoumob@fneha.com.au
CONTACT PERSON FOR AWARD NOMINATION

Bursary Application Form for NATSIEHC25
Name*

First NameLast Name
Phone Number*
E-mail*
example@example.com
Position / Job Title / Student*
Name of Organisation / School / University*
Are you of Aboriginal or Torres Strait Islander origin?*
Describe your interest in eye health, tell us why you want to attend NATSIEHC25 and what you hope to gain from participating in the conference :

Describe your interest in eye health (max 750 words, we recommend 250 for each question)
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Eligibility and Priority Criteria:

Are you a high school student?Are you a university student?Are you an Aboriginal Health Worker or Practitioner?Are you a staff member of an Aboriginal Community Controlled Health Service?
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Funding Assistance:
Do you require assistance with transport and accommodation? (Yes/No)
Have you explored other potential funding opportunities through your organisation or community?
If yes, please provide details
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Commitment
Are you willing to complete a survey after the conference about your experience? (Yes/No)
If your bursary application is successful you will be participating in a photo opportunity with sponsors during the event for conference-related communications, do you consent to this?
Additional comments
Any other relevant information or special circumstances you'd like to share
I confirm that all the information provided in this application is accurate and true to the best of my knowledge.

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CONTACT PERSON FOR AWARD NOMINATION

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