Health Placements Travel Grant Application

Required fields are marked with an asterisk (*).

Personal details
Bank details
(6 digits)
Enrolment details
Placement details
Start date *
End date *
Accommodation details
Did you live away from your usual semester residence to participate in the placement? *
Where did you stay whilst on placement?

Please provide the full name, address and a copy of the receipt for your accommodation.





Additional information


Have you previously received a grant which is designed specifically to support you while on placement? *

(eg: Employability Grant, Mobility Grant)

Privacy statement

La Trobe University respects the privacy of your personal information. The College of Science, Health and Engineering collects personal information about you for the purpose of assessing your eligibililty for the travel grant and we will only use this information for this purpose. If your personal information is not provided to us your application will be incomplete and you will be deemed ineligible. You may have the right to access the personal information we hold about you subject to any exemptions in relevant laws, by contacting us on or 9479 5865.