Rural Practice Management Scholarship form header4
Before completing this application form we recommend that you read the full program guidelines, which are available at www.ruralhealthwest.com.au/rpms
1. Personal Details                                                                                                                                                                                         
2. Current employment details                                                                                                                                                                
Full time, part time, permanent, contract, casual etc
3. Selection criteria                                                                                                                                     
4. Statement of acknowledgement                                                                                                                                                      
Please tick to acknowledge the following:




Please upload any other supporting documentation, eg a resume, that you believe may help the selection panel
Choose file to upload

Thank you for your application.

If you are not directed to a new screen after pressing SUBMIT, please review your application to ensure you have completed all required fields.