Maternal and Child Health (MCH) Nursing Scholarship Application Form

Please provide the following information:

My details
Date of birth *
Please specify

Enrolment and registration details
Will you be enrolled full-time in your program? *
Are you a registered Division 1 nurse? *
Are you a registered midwife? *
Are you enrolled or have you received an offer into the Graduate Diploma in Child, Family and Community Nursing? *
Have you previously received an MCH Nursing Scholarship from the Department of Education and Training (DET) or Department of Health and Health Services (DHHS)?
Do you have a clinical placement confirmed? *

Maternal and Child Health (MCH) Nursing Bursaries

Only complete the following information if you are applying for a Maternal and Child Health (MCH) bursary (in addition to a scholarship) AND you meet one or more of the eligibility criteria below:

  • you identify as being of Aboriginal and/or Torres Strait Islander heritage
  • you are from a culturally and linguistically diverse (CALD) background
  • you are from a rural and remote region
  • your community has been affected by natural disaster (excluding COVID-19) in the last two years
  • you reside in an area projected to have high workforce demand for MCH services
  • you have demonstrated financial need, such as applicants in receipt of a Government tested low-income benefit or hold a Health Care Card
Do you wish to be considered for a bursary and meet the eligibility criteria? *

Nationality / citizenship
Are you an Australian Aboriginal and/or Torres Strait Islander?
A ‘letter of confirmation’ is usually obtained from an incorporated Indigenous organisation and must be stamped with their common seal.

PDF, JPG or PNG file type only. Max 8MB file size

Do you speak a language other than English at home?
Do you identify as being of culturally and linguistically diverse (CALD) heritage?

Community Details
Are you from a rural and remote region? (please check: https://www.health.gov.au/resources/apps-and-tools/health-workforce-locator)
Has your community been affected by natural disaster (excluding COVID-19) in the last two years?

Personal circumstance
PDF, JPG or PNG file type only. Max file size 8MB
Max 1000 words

You must provide a 2020-2021 ATO Notice of Assessment and 3 most recent payslips for all the people earning an income in your household or who provide any financial/living support to you.

NOTE: Applicants who do not provide this evidence will not be eligible.

Have you applied for additional funding from another source to support your study? * (e.g. council scholarships)

Declaration

As giving false or misleading information is a serious offence under the Criminal Code Act 1995 (Commonwealth), I declare that, to the best of my knowledge, the information I have supplied in this application is true and complete. I further:

  • acknowledge that by submitting this form I am agreeing to the terms and conditions of this scholarship;
  • acknowledge that La Trobe may cancel any scholarship I receive if I provide false or incomplete information or documentation within this application;
  • authorise La Trobe to obtain, where necessary, further information regarding my application from other relevant bodies; and
  • understand the scholarship application process is highly competitive with a limited number of scholarships available and not all eligible applicants will receive one.
Terms and conditions
  • Recipients may take one year's leave of absence after one semester of study and retain the scholarship funds
  • Recipients may not change courses, and must maintain enrolment in their postgraduate degree
  • Recipients must maintain sole responsibility in self-assessing his or her tax position and will seek tax advice in relation to the scholarship agreement and the receipt of the scholarship
  • Satisfactory academic performance must be maintained and will be reviewed at the completion of each semester. Failure to maintain satisfactory performance may result in payments being revoked or suspended.
  • Funding is paid via EFT transfer, each semester following census date. Students who are not enrolled, withdrawn or do not complete the course will forfeit any remaining unpaid scholarship funds.
  • Recipients will consent to La Trobe University providing the Department of Health and Human Services with any information as the Department may require in order to determine if the recipient is complying with their obligations under the Agreement, limited to information as relevant to the scholarship, such as ensuring satisfaction of the eligibility criteria, academic progress and results (non-inclusive of personally identifiable information and contact information).
  • Recipients will consent to being contacted by La Trobe University on behalf of the Department of Health and Human Services via their email address for a period of up to 5 years after the Term for the purposes of providing information to the Department regarding the recipient's experiences as a student, employment and experiences in the field of maternal and child health nursing.
  • Recipients will not be eligible to receive any other fully funded scholarship from the Commonwealth, State or Territory government body while in receipt of this scholarship.
Privacy

All information provided by applicants will be treated as confidential. At La Trobe University, we respect the privacy of your personal information. We collect personal information in your application to determine your eligibility for a scholarship, bursary or grant, and to assess your application as part of the ranking and allocation process. In accordance with privacy laws, personal information about you contained in your application will not be used for any other purpose or disclosed to any person who is not part of the La Trobe assessment and allocation process, without your permission. You may have the right to access personal information we hold about you, subject to any exceptions in relevant laws, by contacting the Scholarships Office. The La Trobe University privacy policy can be viewed at: www.latrobe.edu.au/privacy

 

I agree to the Declaration, Privacy and Terms and conditions above. *


Validation