Gilead Scholarship Application Form
To apply for the AOD Nurse Practitioner Gilead Scholarship, please complete and submit the form below. Applications close at 5.00pm AEDT on 1 March 2026.
Applicant
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Location
*
Street Address
Street Address Line 2
Suburb
State / Province
Postal / Zip Code
Mobile Phone
*
I consent to my details being shared with sponsors.
*
Please Select
YES
NO
Registration
AHPRA Number
*
Applicants can apply for up to $500, please specify the amount you are applying for.
Employment & Education
Currently working as
*
AOD NP
AOD NP student/transitional/candidate
NP (other than AOD)
NUM
CNC
CNS
CN
RN
EN
Other
Currently working at:
*
Qualifications
*
PHD
Master
Grad Dip
Grad Cert
Other
Qualification Details
*
Further Information
Why do you wish to attend?
*
0/300
Budget estimate
*
Travel
Accommodation
Confirmation
*
I have not received funding from another source
Important information
Next Gen NPs cannot complete the review process unless applications are fully completed and submitted as outlined.
The decision of the Scholarships Committee is final and not subject to review or appeal.
All announcements must remain confidential until formal notification.
Applications close at 5.00pm AEDT on 1 March 2026.
By submitting this form you declare that the information submitted is true and
complete.
Signature
Please verify that you are human
*
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