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  • bongiorno group women in medicine grant 2026

    supporting gender equity in medicine
    illustrative design of women surgeons

  • about this application form

  • Eligibility
    Please first complete the elibigility and contact sections. Once complete, you will see the remaining sections and may click through to view application questions. 

    You may review grant eligibility requirements at bongiorno.com.au/grant

    Read each section before responding
    It's a good idea to read through all questions in a section before responding.

    If you previously applied to the Women in Surgery Grant...
    Unfortunately we are unable to pre-populate your fields from a previous application. You may wish to copy and paste relevant sections from your past application that was emailed (from Jotform) upon your submission.

    To save your application
    Scroll down to the bottom of the contact section or the bottom of the form and click on the Save button. Jotform will email you the link to continue editing your form.

    De-identified application
    As your application is de-identified before review, the selection panel will see your auto-generated application ID along with sections 3 - 7.

    Use clear, plain language
    Your application will be assessed on clarity and detail. As the selection panel includes a non-medical professional, please explain your activity clearly and use plain language as much as possible.

    Inputting your text
    To safe-guard losing any work in an online form, it's a good idea to draft your responses (eg in a Word doc) and paste text - please ensure you paste 'clean' (unformatted) text. The following key combinations will work in most browsers to paste 'clean' text: 
    PC: control, shift, V
    Mac: command, shift, V

    Long-form response boxes can be expanded to full screen to more easily input and check your response. Within the response box, click on the top right corner 'x' symbol.

    Word count
    All response boxes contain a maximum word count indicated by the number below the box. For example: 0/150 = the number of words that counts down to the 150 word limit as a response is entered. As a guide, a suggested minimum word count is included on some responses to indicate the preferred level of detail eg: (word guide minimum 100)

    Questions about this application?
    Email     grants@bongiorno.com.au 

     

    • 1. eligibility 

    • your eligibility

      The selection panel will not see this section
    • You need to select each box to be eligible for this grant:*
    • I am:*
    • I live, train or have my primary practice in: *
    • 2. contact information 

    • your details

      The selection panel will not see this section
    • Please select your title (choices are limited to non-gendered titles)*

    • Visit the Australian Government Monash Modified Model webpage

    • 3. career details  

    • your professional profile

    • I am a specialist medical college...*
    • Which is your final year of training?*
    • In which year did you obtain your Fellowship?*
    • Which date did you obtain your Fellowship? Please enter 01 if you are unsure of the DD date*
       - -

    • introduce yourself

    • 0/100

    • your current employment

    • your previous employment

    • 0/100

    • your awards, achievements and career highlights

    • 0/100

    • your presentations and publications

    • 4. qualifications and credentials 
    • 5. grant activity outline 

    • your activity location & timing

    • Is your activity timing confirmed?*
    • When will your activity commence?*
       - -
    • When will your activity conclude?*
       - -
    • When do you anticipate commencing your activity?*
       - -
    • When do you anticipate concluding your activity?*
       - -

    • your activity summary

    • 0/250
    • 0/150
    • 0/150
    • 6. estimated costs 

    • estimated costs

    • 7. save or submit 

    • save your application

    • When clicking on the SAVE button below, you'll be given the following options:
      1) create a free Jotform account
      2) 'skip' the account and enter your email to receive your draft application link
      3) copy the draft application link

      If you don't wish to create an account, we advise using a personal email to receive the link, as organisation email firewalls can block external emails. As a safeguard you could also copy the link and save in your files or email it to yourself.

      Due to Jotform's privacy restrictions, we are unable to access your application before it is submitted, and can't provide you with a link to your saved application.

      Note: once submitted, your draft application link is no longer valid. To edit your submitted application you'll need to use your submitted application link.

    • submit your application

      Upon submission, you'll receive a confirmation email from Jotform which includes an option to edit your application before the close date.
    • 0/100
    • Please let us know how you heard about this grant (you may select multiple boxes)
    • How long did it take you to complete this application?

    • thank you

      If you have responded to all required questions, you can now submit your application. You will receive a PDF of your application by email. 

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