Medical Scholarship 2025

Fill Out
Now

This is a preview of the Medical Scholarship 2025 form. When you’re ready to apply, click Fill Out Now to begin.

Form Navigation

1. Applicant Details(Not Applicable)
2. Application Declaration(Not Applicable)

Applicant Details

* indicates a required field.

Name *

First name

Last name

Preferred Phone Number *

Must be an Australian phone number. This can be home or mobile.

Email Address *

Home Address *

Address line 1

Address line 2

Suburb	State	Postcode

Date of Birth *

Name of University *

Course Title *

Year Commenced *

Current Year of Study *

Statement of your aspirations, describing your purposes in studying Medicine and the uses to which you hope to put your training (maximum 500 words) *

Word count:

Please attach a copy of your Resume, including academic achievements, results of performance tests, employment experience (if any) and achievements to your school and community (maximum 2 pages) *

Attach a file: Upload new file

Please attach a proof of acceptance into Medicine at the University of NSW.

Attach a file: Upload new file

School Achievements and/or Civic Engagement - Details of any engagement you have undertaken while in High School, at University or in the community

Does you have any outstanding acquittals from previous rounds of AlburyCity grants or scholarships? *

Response required.

Yes

Clear

If yes, please provide details

Please note that if successful, AlburyCity will pay the grant funding by cheque. Please ensure that your bank name is correctly inputted to avoid any issues in banking the cheque.

Name on the cheque