• Student Nurse Bursary

    Student Nurse Bursary

    2026 Application Form
  • Closing Date: 5.00PM - Friday 30th October 

    The Adelaide Health Foundation is committed to ensuring that financial barriers do not prevent the study of nursing at Tallaght University Hospital.

    Bursaries are provided from the voluntary funds of the Adelaide Health Foundation and the awarding of a bursary is solely within the discretion of the Foundation.

    Applications are open to 1st 2nd and 3rd year student nurses who are attached to Tallaght University Hospital. 

    If you have narrowly missed out on SUSI funding due to level of household income, you may still be eligible for AHF Bursary

    Personal details will be kept strictly confidential.

    Please Read the Following Terms Carefully

    Bursary award is based on means tested income 

    Basis for assessment (“Who” is Means Tested/Assessed)

    1. Applicants between the ages of 17 and 23 years on or before 1 January on year of entry - the income of the applicant’s parents/guardians will be assessed.
    2. For applicants who are over 23 years on or before 1 January on year of entry and are residing with and dependent on their parents/guardians - The income of the applicants and the parents/guardians will be assessed.
    3. For mature independent applicants - the income of the applicant and the spouse will be assessed.

     *The assessment will be made for the income year prior to the year of entry (i.e. last year's income)

    Required Documentation

    Before you proceed, please have the following documents ready to submit by uploading to this form [Remove all Passwords]. 

    • Proof of all income is required for each relevant section. e.g
      • If income is from Department of Social Protection, provide Social welfare statements from last year[2025]
      • If income is from employment provide the Employment Detail Summary/Statement of Liability (former P21) for 2025.
      • If income was from Self-Employment/Farming please submit your 2025 Form 11 return summary or Business Accounts (with Tax exemption if applicable)
      • If income was from other sources e.g. Investments, Life Bonds etc. you must submit bank statements for 2025
    • Proof of registration as a student at TCD. You must be a Registered Student at Trinity College Dublin 
    • Proof of SUSI grant OR letter of refusal for your 2026[CURRENT] application

    When Providing Supporting Documents

    • Providing Password protected pdfs will result in your application being rejected. 
    • In certain circumstances, further documentation may be required
    • If you are unsure whether a source of income should be included in your application, you should provide details of this income. 
    • You may supply a description of your own or your family’s circumstances in the ‘Special Circumstances' section if you feel that it would be helpful in assessing the application.
    • AHF bursaries must be re-applied for every year

    For Support- 

    If you have queries [other than where to source your proof  of income from], you can email Esther@adelaide.ie 

     

     

     

     
  • INSTRUCTIONS

    Closing Date is 5.00pm, Friday 30th October 2026

    • You must complete every relevant section. Incomplete forms will be rejected
    • Your application will not be processed without supporting documents.
    • Supporting documents must be readable and accesible [remove password protection]
    • Supporting documents must be submitted with the application. [You may submit bulky documents separately but all must be received by closing date].
    • It is your responsibility to ensure the Application is fully and properly completed
    • Applications received after the closing date will not be considered
    • Do not use your @TCD email address [use personal Yahoo, Gmail etc emails only]
    • Check your SPAM/JUNK mail for our correspondence to you.  
    • Due to heavy server traffic on the closing day, applicants are strongly advised to submit applications well in advance of the deadline

    AHF will acknowledge receipt of your information. If you do not receive an acknowledgement from AHF-Jotform, first check your SPAM/JUNK Mail folders. If you still have a query, send an email to Esther@adelaide.ie 

    AHF take no responsibility for incomplete applications or missed deadlines due to missed email communication and are not in a position to make any allowances for same.

     

    ___________________________________________________

    GDPR STATEMENT 
    The Adelaide Health Foundation is a registered charity based in Tallaght University Hospital. Your information is held by the Board of the Foundation (the “Data Controller”) and managed day to day by the staff of the Foundation. To read our Data Policy Notice please visit www.adelaide.ie. or contact our Data Protection Officer by email - info@adelaide.ie  All individuals have rights with regard to the way their Personal Data is handled. For more information please see www.gdprandyou.ie  The contents of the Form will be kept confidential by the Adelaide Health Foundation
     

     

  • SECTION 1 - DETAILS OF STUDENT

  • Date of Birth
     - -
    2 digit day, 2 digit month, 4 digit year
  • What category of applicant are you?*
  • SECTION 2(CATEGORY1)

    INCOME DETAILS OF PARENTS/GUARDIANS OF UNDER 23 YEAR OLD DEPENDENT APPLICANTS
  • This section relates to the household income of the parents/guardians of dependent applicants for 2025 on which your application will be assessed.  

    You must submit proof of all 2025 income. 

    Please read carefully. 

    • All 2025 income received from all sources should be declared as required. 
    • All information in respect of income should be as accurate as possible to prevent delays in processing your application. [If you cannot confirm the exact amount, please give as accurate an estimate as you can]. 
    • If income was from Employment (PAYE)/Pensions,  please fill in details as per your 2025 Employment Detail Summary/Statement of Liabilty (former P21).
    • You must submit a copy of the summary(which can be found on your ROS account)
    • If there was payments from Social Welfare, please fill in details for 2025 and submit 2025 Social Welfare statements
    • If income was from Self-Employment/Farming please submit your  Form 11 return summary or Business Accounts (with Tax exemption if applicable)
    • If income was from other sources e.g. Investments, Life Bonds etc. you must submit bank statements for 2025
    • SUSI funding for your current college year – Provide proof of grant.
    • If you were refused funding, you must provide the letter of refusal.
    • If you did NOT apply for SUSI funding please indicate reason at the 'special circumstances' area. 
       

     

  • Provide details of Parents/Guardians*
    Rows
  • Section 2(CATEGORY 2)

    INCOME DETAILS OF MATURE DEPENDENT APPLICANT (over 23 Year Old living with & depending on parents/guardians)
  • This section relates to the household income of the over 23 Year Olds residing with & depending on parents/guardians for 2025 on which your application will be assessed.  

    You must submit proof of all 2025 income. 

    Please read carefully. Income of details of Parents/Guardians and appplicant are assessed. Provide proof of income for all parties. 

    • 2025 income details of Applicant 
    • 2025 Income details of applicants parents/guardians 
    • All information in respect of income should be as accurate as possible to prevent delays in processing your application. [If you cannot confirm the exact amount, please give as accurate an estimate as you can]. 
    • If income was from Employment (PAYE)/Pensions,  please fill in details as per your 2025 Employment Detail Summary/Statement of Liabilty (former P21).
    • You must submit a copy of the summary(which can be found on your ROS account)
    • If there was payments from Social Welfare, please fill in details for 2025 and submit 2025 Social Welfare statements
    • If income was from Self-Employment/Farming please submit your  Form 11 return summary or Business Accounts (with Tax exemption if applicable)
    • If income was from other sources e.g. Investments, Life Bonds etc. you must submit bank statements for 2025
    • SUSI funding for your current college year – Provide proof of grant.
    • If you were refused funding, you must provide the letter of refusal.
    • If you did NOT apply for SUSI funding please indicate reason at the 'special circumstances' area. 
       

     

  • Provide all income details *
    Rows
  • Section 2(CATEGORY 3)

    INCOME DETAILS OF MATURE INDEPENDENT APPLICANTS
  • This section relates to the household income for mature independent applicants for 2025 on which your application will be assessed.  

    You must submit proof of all 2025 income. 

    Please read carefully. 

    • 2025 income details of Applicant 
    • 2025 Income details of spouse/co-habiting partner
    • All information in respect of income should be as accurate as possible to prevent delays in processing your application. [If you cannot confirm the exact amount, please give as accurate an estimate as you can]. 
    • If income was from Employment (PAYE)/Pensions,  please fill in details as per your 2025 Employment Detail Summary/Statement of Liabilty (former P21).
    • You must submit a copy of the summary(which can be found on your ROS account)
    • If there was payments from Social Welfare, please fill in details for 2025 and submit 2025 Social Welfare statements
    • If income was from Self-Employment/Farming please submit your  Form 11 return summary or Business Accounts (with Tax exemption if applicable)
    • If income was from other sources e.g. Investments, Life Bonds etc. you must submit bank statements for 2025
    • SUSI funding for your current college year – Provide proof of grant.
    • If you were refused funding, you must provide the letter of refusal.
    • If you did NOT apply for SUSI funding please indicate reason at the 'special circumstances' area. 
       

     

  • Provide all income details *
    Rows
  • Section 3 Details of SUSI Grants

  • ****If you have applied for (and been refused) SUSI funding – you may still be entitled to a bursary from the Adelaide Health Foundation. Please upload letter of refusal or If you did not apply, indicate reason at the 'special circumstance' box.

  • Section 4 -Supporting Documents and Special Cases

    Upload supporting documents Here (remove all password protection)
  • NOTES 

    Required supporting documents:

    1. Proof of Income e.g. P21 or/and Statement of Liability or Social Welfare Statement for 2025 [see notes in income section] Password protected pdfs will result to the application being rejected.
    2. Proof of registration as TCD student
    3. Proof of SUSI awarded
    4. Letter of SUSI refusal 

    Providing Details

    • Password protected pdfs will result to the application being rejected. 
    • In certain circumstances, further documentation may be required
    • If you are unsure whether a source of income should be included in your application, you should provide details of this income. 
    • You may supply a description of your own or your family’s circumstances in the ‘Special Circumstances' section if you feel that it would be helpful in assessing the application.

     

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  • Further supporting documents can be forwarded [by registered postt] to:

    FAO: Esther Nyambura
    The Adelaide Health Foundation
    Tallaght University Hospital
    D24 NR0A

     

    For all Queries Email: 
    Esther@adelaide.ie 
     

     

     

     

     

     

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