2022 Royal Flying Doctor Service Aboriginal and Torres Strait Islander health scholarship

Name*

First Last

Email*

Gender

Phone*

Date of Birth*

Postal Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

State*

Please indicate below whether you identify as:*

Aboriginal
Torres Strait Islander
Both Aboriginal and Torres Strait Islander

Please indicate your AIDA membership status

What university are you attending*

What year will you graduate?*

How do you currently contribute, or how will the scholarship help you to contribute to Aboriginal and Torres Strait Islander health and/or rural/remote health? (up to 200 words)*

What special interests do you have in rural and remote health and/or Aboriginal and Torres Strait Islander health? (up to 200 words)*

Outline COVID-19 considerations for your placement e.g. if travel regulations change, if there is an outbreak at / near your placement etc.*

Please provide details of your proposed clinical placement and rural clinical experience to date? (up to 200 words)*

Other comments (optional – up to 500 words)

Consent and Agreements*

I agree to provide a 500-word article on my placement. I understand this may be used to inform relevant AIDA and RFDS organisational articles, reporting and social media.
I consent to have my personal details shared with RFDS and AIDA
I agree to obtain appropriate approvals from my workplace and/or university, and to provide written confirmation of my placement or research from the relevant practice or institution.
I agree to report on and acquit all funds and return all funds should my placement not proceed.

Insurance

It is recommended that applicants source indemnity insurance and travel insurance to cover their placement period. You can obtain indemnity cover from any of the following Medical Defence Organisations (MDOs): • MIPS - To apply, email info@mips.com.au • MDA National’s Student Indemnity Policy - Applications can be requested by calling their freecall number 1800 011 255. • AVANT - Applications online or call on 1800 128 268 • MIGA

Application Checklist*

completed the budget template
attached letters of approval from your university and/or workplace
arranged your clinical placement

Attach Budget

2022 RFDS Aboriginal and Torres Strait Islander health scholarship

Insurance