For help with this application or for a copy of the application form to complete and return by email please email: NSWH-AEHU@health.nsw.gov.au

If you are unable to upload any of the documents requested in this application, you can email them to: NSWH-AEHU@health.nsw.gov.au

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Personal details

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Resume / CV *

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Why are you applying for the Aboriginal Environmental Health scholarship? *Type response or upload as a file.

Upload: Why are you applying for the Aboriginal Environmental Health scholarship?

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Approximately 250 words

How did you hear about the Aboriginal Environmental Health Scholarship?

NSW Health websiteFacebookInstagramKoori mailEmailWord of mouth (family or friends)Other

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Aboriginality

Do you identify as an Aboriginal person? *

YesNo

Please provide information about your Aboriginal heritage and connection with Aboriginal people, community and culture: *

Upload confirmation of Aboriginality

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This can be either: a ‘Confirmation of Aboriginality’ from an incorporated Aboriginal organisation or Local Aboriginal Land Council a Statutory declaration.

Environmental health

Are you enrolled, or do you intend to enrol, in the Western Sydney University Bachelor of Science (Environmental Health) to study (or equivalent degree at an interstate university)? *

YesNo

For information on the Bachelor of Science (Environmental Health), visit Western Sydney University.

Please provide details including degree and university name: *

Please explain why: *

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