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News & Media
Events
Shop
Contact
Login
Cultural Awareness Course Login
Become a member
Donate
About
Overview
Board of Directors
Work With Us
Annual General Meetings
Secretariat
Policy
Overview
Advocacy
Specialist Trainees Report
Cultural Safety
What is Cultural Safety?
AIDA’s Cultural Safety Program
Cultural Awareness – An Introduction to Cultural Safety
Members
Become a Member
Member Benefits & Opportunities
Eligibility
Medical Pathways
Overview
Resources
Student Representative Committee
Specialist Trainee Support Program
Partners
Avant Foundation Grants Program 2022 First Year Indigenous Medical Student Bursary Application Form
2023 Avant Foundation First Year Indigenous Medical Student Bursary Application Form
Name
*
First
Last
Phone
*
Date of Birth
*
Date Format: MM slash DD slash YYYY
Email
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
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Algeria
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Cook Islands
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Holy See
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US Minor Outlying Islands
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Virgin Islands, U.S.
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Country
State
*
ACT
NSW
VIC
QLD
NT
SA
WA
TAS
Please indicate below whether you identify as:
*
Aboriginal
Torres Strait Islander
Both Aboriginal and Torres Strait Islander
Please indicate your AIDA membership status:
*
I am a current AIDA Member
I have submitted an AIDA Membership Application
I agree to provide short reports/articles/interviews outlining my experience as a first-year medical student at the middle and end of the bursary. I understand that these may be used as part of relevant organisational articles, reporting and social media by AIDA and the Avant Foundation.
*
Yes
I consent to having my photo taken, and consent that these photos can be used in organisational products.
*
Yes
I will notify AIDA and the Avant Foundation of my progression through my degree.
*
Yes
Written Confirmation
*
I have attached written confirmation of my offer and enrolment from my training institution.
*
Yes
Which university will you attend in 2023?
*
If you are entering a graduate program, please list your undergraduate degree/s and major/s.
*
What motivates you to study medicine? (up to 200 words)
*
Discuss your commitment to Aboriginal and/or Torres Strait Islander health? (up to 200 words)
*
How do you intend to use the Bursary? How will this be of benefit to you? (up to 300 words)
*
Other comments (optional – up to 500 words)