Rural Health Placement Travel Grant Application

Personal details
Enrolment details
Placement details
Start date *
End date *
Accommodation details
Did you live away from your usual semester residence to participate in the placement? *

Please ensure that you have combined all relevant receipts into a singular document before attaching it to your application.
You can do this by placing the scans of your receipts into a singular Microsoft Word document or combining them into a singular PDF.

(doc, docx, pdf, jpg or png file type only. Max 8MB file size)
Additional information
Have you previously received a grant which is designed specifically to support you while on placement? *
The Australian Government requires us to track La Trobe Rural Health School graduates for up to 5 years to identify the impact on the rural and regional workforce. If successful, do you agree to submit the required survey of longitudinal tracking for up to 5 years after you complete your studies? *



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 UDRH team via email at The La Trobe University privacy policy can be viewed at: