Travel Scholarship Application

Personal details

Full name:

Current year level:

Email address:

Mobile telephone number:

Elective supervisor details

Full name:

Position:

Email address:

Contact telephone number:

Elective details

Placement location:

Placement duration (days):

Proposed activities:

Justification

In 500 words or less, please explain how the elective will benefit you personally and/or professionally, and how an AMSF Travel Scholarship would enhance your experience.