Conference Scholarship Application Questions
Applications must be submitted using the Microsoft Forms link which will be posted at the appropriate time.
The following are compulsory questions that you need to complete online. For your convenience, we suggest you create a Word document with the answers so you can copy and paste them into the form.
1. Name
2. Phone number
3. Email address
4. What is the name of your employer?
5. What is your Job Title?
6. How many years have you been a NZWCS member?
7. Which Scholarship are you applying for? Multiple choice.
• $1000 attendance at national wound care related conference (one available)
• Registration only to NZWCS national conference (five available)
• $2000 attendance at international wound care related conference (one available)
• $4000 attendance at international wound care related conference with special conditions (one available)
8. What conference will you be attending?
9. Will you be presenting at this conference?
Please give an outline of the abstract. Have you been accepted?
10. Are you applying for funding through other organisations or your workplace? If so, please state how much and where from.
11. Outline your involvement in NZWCS activities:
12. Show how you intend to use this learning to benefit yourself, your employer, your clients and the NZWCS
13. Professional Qualifications
14. Include relevant details from your Curriculum Vitae (that are not previously given in this form).
Please put your professional Qualifications above. Limit approximately 500 words
15. State your practising certificate expiry date (if applicable)
16. Post-registration or post-graduate qualifications:
Include University/Polytech, Course, Year completed
17. Number of years working in an area where wound management forms part of your practice
18. Outline present contribution to wound management at a local and/or regional/national level.
19. List any publications:
20. Support letter from your manager
Please copy and paste the text only from your support letter here
21. Do you agree to complete a report suitable for the Tissue Issue within 3 weeks of returning from the conference?
yes
no
other
By submitting the form you agree to the terms.
