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About the AMSF
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Benevolent Fund Application
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Student Director Application Form
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Dr Ral Antic AM Rural Health Grant
Dr Ral Antic AM Rural Health Grant Application
Sponsor a Scholarship
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Graduate Director Application Form
Retirement dinner for A/Prof Mitra Guha
Retirement Lunch to honour Dr Ral Antic, AM
AMSF Gala Dinner 2018
Back to Medical School Event
AMSF Past Presidents' Dinner
Adelaide Medical School 125th Anniversary
Prof. Guha Farewell Dinner
ANZ Mortgage Introducer Program
/ Benevolent Fund Application
Benevolent Fund Application
Are you an Australian Citizen or Permanent Resident of Australia?
No - I am an international student
Please note that you must be an Australian Citizen or Permanent Resident to be eligible for the benevolent fund
How much are you applying for?
What is the reason for your application to the Benevolent Fund?
What other avenues have you tried in terms of applying for funding?
Current Financial Situation
Do you live at home?
Do you receive support from your parents?
Please detail the amount per week that you receive, plus relevant food, clothing, credit card, telephone and rent assistance etc received.
Do you receive Centrelink payments?
Please detail how much you receive and under which category(ies)
Do you currently work?
What is your average weekly wage?
What was your total taxable income for the last financial year?
Is this an accurate representation of the current year's income?
Which of the following following scholarships do you hold?
How much money do you have owing against your credit card(s)?
How much money do you currently have in your bank account(s)?
How much money do you have in any personal loan(s)?
Do you have any other savings?
Please detail any other financial information that you feel may be relevant or which may affect the outcome of your application
Is there a time frame by which the matter must be resolved by? (The Selection Committee will do their best to ensure that every application is considered as soon as possible, however we can make no guarantees)
Have you previously received a grant from the Benevolent Fund?
How much was this for, what purpose was it for, and in what year was it granted?
If you are not successful in your application what other ideas do you have to finance your endeavours?
Please upload a signed copy of the declaration form (download below)
Benevolent Fund Declaration