Carer grant application

Carer Grant

Your Details

* Indicates required field

Title *

If other, please specify *

Name *

First

Last

Institutional Affiliation *

If other, please specify *

Please select your role in OzGrav *

If other, please specify *

Phone Number *

Email *

Are you a primary carer? *

Yes No

use of funds

Amount applying for (up to $2,000) *

Please provide simple budget breakdown of what the funds will cover *

summary of event

Name of event/conference you would like to attend *

Date/s of event *

Location *

Benefits to attending this event *

Implications if unable to attend event *

Please outline your regular carer responsibilities and advise if you have previously had any career disruptions due to being a primary carer *

Your application will be received by the Chief Operating Officer, Yeshe Fenner, who will send it to the OzGrav Equity and Diversity Committee to review. If you would prefer that the application reviewed by the Committee is anonymous (i.e. your name, contact details, and institution removed), please tick the box below *

Please keep my identity anonymous

Submit

Carer's grant application​

Carer Grant

Your Details

use of funds

summary of event

Carer's grant application