Placements Application

Unique ID

Eligibility

Select your Type of Scholarship(Required)

Please note: Members can apply for multiple scholarships; however, only one scholarship will be awarded per person per year. Please submit a separate application for each scholarship if you wish to apply for more than one scholarship.

Select your Type of Membership(Required)

Please select your current IAHA membership type

Personal Details

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State or Territory Post Code

Phone(Required)

Email(Required)

Enter Email Confirm Email

Do you currently have a placement or program scheduled that you will use the Scholarship funds for?(Required)

Yes

Please provide details on the placement or program that you would like to use the scholarship funds for, including expected travel dates(Required)

Please provide details on the placement or program including travel dates(Required)

Can you please advise how much funding you are seeking, including a breakdown of costs included in this amount?(Required)

Selection Criteria

Please briefly describe how the scholarship would benefit you professionally, personally and culturally(Required)

Maximum of 200 words

Please identify why you are seeking to undertake a placement or program(Required)

Maximum of 200 words

Please outline your personal experience to date as it relates to your chosen scholarship(Required)

Maximum of 200 words

Please define the outcome(s) you want to achieve at the end of this placement or program(Required)

Maximum of 200 words

Supporting Documents (Optional)

Please upload any relevant information to support your application (ie; placement plan, travel/accommodation information).

Upload File

Max. file size: 20 MB.

Upload File

Max. file size: 20 MB.

IAHA Engagement

Tell us about your IAHA engagement(Required)

Accessibility

IAHA tailor and deliver services and experiences that are safe, inclusive and accessible to our members. If you have any information about yourself on how we can best support you, please provide us with what you feel comfortable in sharing. Any information that is shared is kept private and confidential.

Do you have any access or disability related requirements you would like IAHA to be aware of? (eg: allergies, any impairments or health concerns)(Required)

Yes

Please tell us how we may be able to assist you.(Required)

Selection Process

All applications will be acknowledged by return email.

IAHA will establish a selection committee with the respective partnered organisation and assess each application and select the successful applicant/s. The selection committee may request more information and/or a telephone interview in support of the application if necessary.

The selection committee's decision is final.

There will be no appeals process.

The successful recipient will be notified by phone and email.

Applicant Declaration

Please tick each box if you agree:(Required)

I confirm that I am up to date with my vaccinations and can supply the relevant documentation to support my status.

I acknowledge that it is my responsibility to obtain appropriate approvals from my training institution/University prior to travel arrangements being made and will provide written confirmation of placement from the relevant institution to IAHA.

If I am successful I understand that travel and accommodation will be booked and paid for by IAHA using awarded scholarship funds upon receipt of completed travel documents submitted by myself (Any funds remaining after travel and accommodation costs may be provided to recipients to cover incidental expenses).

If I am successful I agree that upon completion of my placement, I will write a 500-word reflection on my experience and how the scholarship supported my cultural and professional growth. I understand that my reflection will be used for future publications, and I will submit my reflection to IAHA no later than four weeks after the conclusion of my placement.

If I am successful I will abide by IAHA's Code of Conduct and Terms and Conditions.

Applicant Name(Required)

First Last

Course(Required)

Institution(Required)

Full name (Electronic Signature)(Required)

Date(Required)

Comments

This field is for validation purposes and should be left unchanged.