Masters of Psychology Clinical Placement Bursary Application – The UDRH Masters of Psychology Clinical Placement Bursary has been developed to support students with the cost of travel and accommodation when completing a rural clinical placement. Details regarding eligibility and criteria can be found at: To be eligible for the support scheme, students must register with the following information: Do you require assistance in finding a clinical placement? YES / NO Do you already have a placement secured? YES / NO PERSONAL DETAILS Surname* Names* Gender* Female Male Other Date of Birth* Do you identify as an Aboriginal or Aboriginal Torres Strait Islander? Torres Strait Islander Both Aboriginal and Torres Strait Islander Neither Aboriginal or Torres Strait Islander Are you an International fee-paying Yes student? No Email*: Mailing Address* Street: City: State: Postcode: Best contact phone number*: Please specify which Masters of Clinical Psychology course you are completing (ie. Education, Neurology etc.). Which University are you currently enrolled at for this course?* Please specify which clinical placement you are applying for? (please select one) 40 placement days 60 placement days How many placement days do you need to complete for this placement? How many days per week will this consist of? At which organisation will you be completing your clinical placement? (If more than one please list all) What is the main town/community of your placement?* (If more than one please list all) Placement commencement date*: Placement completion date*: In 3-5 sentences please provide a brief statement of need supporting your application for financial assistance:
Masters of Psychology – Clinical Placement Bursary Application The UDRH Masters of Psychology Clinical Placement Bursary has been developed to support students with the cost of travel and accommodation when completing a rural clinical placement. Details regarding eligibility and criteria can be found at: To be eligible for the support scheme, students must register with the following information: Do you require assistance in finding a clinical placement? YES / NO Do you already have a placement secured? YES / NO PERSONAL DETAILS Surname* Names* Gender* Female Male Other Date of Birth* Do you identify as an Aboriginal or Torres Strait Islander? Aboriginal Torres Strait Islander Both Aboriginal and Torres Strait Islander Neither Aboriginal or Torres Strait Islander Are you an International fee-paying student? Yes No Email*: Mailing Address* Street: City: State: Postcode: Best contact phone number*: Please specify which Masters of Clinical Psychology course you are completing (ie. Education, Neurology etc.). Which University are you currently enrolled at for this course?* Please specify which clinical placement you are applying for? (please select one) 40 placement days 60 placement days How many placement days do you need to complete for this placement? How many days per week will this consist of? At which organisation will you be completing your clinical placement? (If more than one please list all) What is the main town/community of your placement?* (If more than one please list all) Placement commencement date*: Placement completion date*: In 3-5 sentences please provide a brief statement of need supporting your application for financial assistance: