Page 1 - Pre-RHD Scholarships 2026 - Metro North Hospital and Health Service

Name *

Title

First name

Last name

Gender

Female

Male

Other:

Clear

Are you of Aboriginal and/or Torres Strait Islander origin? *

Response required.

Yes, I am of Aboriginal origin

Yes, I am of Torres Strait Islander origin

Yes, I am of both Aboriginal and Torres Strait Islander origin

No

Prefer not to disclose

Clear

Employment Details (Not Applicable)

QH Employee ID *

Please enter your employee number (i.e. 00123456)

Professional Stream *

Response required.

Medical Services

Allied Health

Nursing & Midwifery

Other:

Clear

Position Title *

Position Level/Grade *

Department or Unit *

Facility or Service *

Response required.

Other

FTE *

Must be a number.

Employment Status *

Response required.

Permanent

Temporary

Clear

If temporary, please specify the duration of your temporary employment

Resumé *

Attach a file: Upload new file

A maximum of 1 file may be attached. Maximum 2 pages. Upload as PDF only.

Contact Details (Not Applicable)

Mobile Phone Number *

Must be an Australian phone number.

Alternate Phone Number

Must be an Australian phone number.

Queensland Health Email *

Must be an email address.

Preferred Email (if different from above)

Must be an email address.

Pre-RHD Scholarships 2026

Applicant Details

Employment Details (Not Applicable)

Contact Details (Not Applicable)

Grants Information

Technical Assistance