Mildura Heath Scholarship Application Form

First Name *

Last Name *

Email Address *

Contact Number *

Please supply short Bio about you (500 words) *

While there is no requirement to disclose how you will use the scholarship funding please explain what receiving this scholarship will mean to you?

Terms and Conditions

To receive the $10,000 scholarship the following conditions must be agreed:

Permission for your Bio to be shared with the Board of Mildura Health.
Permission for your photo and a story to be added to the Mildura Health Fund website and used for media releases and on social media.
Permission to be contacted after Semester 1 and at the end of Year One of the degree with stories to be developed to add to the Mildura Health Fund website and used for marketing and communication purposes.
Further follow up at the end of the medical degree with a focus on where you are now practicing and what you hope to do in the future.
Payment: $5,000 at the start of Semester One and $5,000 at the start of Semester Two which is dependent on the successful completion of Semester One.
For students commencing February 2026.

Do you agree with the terms and conditions *

YesNo

Please provide evidence of Confirmation of Acceptance into the 2026 Monash Mildura General Practice Academy *

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