CoNS Application

The National Rural Health Students' Network (NRHSN) represents 25 Rural Health Clubs (RHC) with over 6500 members located at universities throughout Australia. The NRHSN is a multidisciplinary Network.

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CoNS Application

Having read the CoNS Guidelines 2009, and researched the conference that you would like to attend, it's now time to apply!
Please make sure that you have all the information required, including that which needs to be emailed through to Jane seperately. You can always email or call Jane 03 9860 4700 if you have any questions before submitting your application.

Applications need to be submitted at least six weeks prior to the conference date.

Rural Health Club
Student Title
Student Name
Are you of Aboriginal or Torres Strait Islander descent	Yes No
University
Course
Year of Study
Postal Address	Please include address, suburb, state and postcode:
Email Address
Mobile Number
Phone Number
Description of applicant contribution to Rural Health Club	Please provide a detailed description of your past and current involvement with your Rural Health Club:
Conference Name
Dates of Conference
Location of Conference
Description of Conference	Please provide a description of the conference including theme, target audience and any focus on rural and remote health:
Registration Costs for Conference	Please include registration costs as well as early bird costs and closing dates for registration:
Relevance to principles of the National Rural Health Students' Network and Rural Health Club Movement
Student presenting at Conference	This is encouraged and looked upon positively by the CoNS Committee. Yes No If Yes, what are you presenting on; If No, why:
Alternate funding sought	This is encouraged and looked upon positively by the CoNS Committee as it assists in spreading the CoNS funding across more Rural Health Club members. Yes No If Yes, where from, how much and have you received this funding; If No, why:
Flight to Conference	Yes No
Date
Flight Number
Departure Location
Departure Time
Arrival Destination
Arrival Time
Cost (inc GST)
Flight from Conference	Yes No
Date
Flight Number
Departure Location
Departure Time
Arrival Destination
Arrival Time
Cost (inc GST)
Other Travel to and from Conference	Yes No What (taxi, airport bus etc.) and costs involved:
Accommodation during the Conference	Yes No Name and cost of accommodation sought: Check-in and check-out dates:
Responsibilities upon return from the Conference	Please detail how you plan on representing your experiences and knowledge gained at the conference to your Club and fellow students:
Conference Registration Form, Program and Presentation Abstract (if applicable)	Email as attachments to Jane
Application Checklist	Read the CoNS Guidelines to make sure that you have included everything that is required Complete this form including registration, accommodation and travel details/costs Emailed through your letter of support from your RHC executive
Application Process	Your application will be forwarded on to your Clubs NRHSN Senior Representative for confirmation of approval Once your application has been received it will be emailed to the CoNS Committee for assessment You will be advised whether your application has been successful within 1 month of receipt of your application If your application is successful the NRHSN will then organise, book and make payment or reimburse you if you prefer to book yourself
Have you read and accepted the Cancellation policy terms and conditions	Yes No

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