Fogarty Futures Leadership Conference 2026 Application Form

  • Fogarty Futures Leadership Conference 2026

    Candidate Application Form
  • Gender*
  • Format: 0000 000 000.
  • Date of Birth*
     / /
  • Format: 0000 000 000.
  • Year Level in 2026*
  • Are you from a rural or regional area?*
  • If you are from a rural or regional area, do you wish to be considered for a travel grant to Futures?*
  • Is your school considered a low SES school?*
  • Do you identify as any of the following?*

  • Application Questions

    Your selection for the conference will depend on your responses to these questions. You are not required to reach the maximum words for any answer. Please keep an offline copy of your responses in case refreshing the page deletes your responses.
  • 0/250
  • 0/250
  • 0/200
  • 0/200
  • 0/150
  • 0/150
  • Have you attended Futures before?*
  • How did you find out about this conference?
  • If you are selected, do you expect to be able to pay the approximately $100 attendance fee? (This will not influence your candidacy in any way.)*
  • Conference attendees will each be provided with a Fogarty Futures jumper. If selected, what size jumper would you like?*

  • Opt in to Future Student Communications by UWA

    By opting-in you are consenting to the collection of your personal information by UWA for the primary purpose of contacting you about UWA's activities, including receiving newsletters, future student information and participating in surveys in accordance with UWA's privacy policy. By opting-in you are also confirming these details are your own and correct, and that you have obtained your parent's or legal guardian's consent where necessary. You may opt out at any time by advising UWA. Personal information collected is handled in accordance with the Australian Privacy Principles. 

  • Do you wish to opt in to the UWA Future Student Communications?*
  • Should be Empty: