The Royal Australasian College of Physicians

Paediatrics & Child Health Division

APSSEAR TRAVELLING SCHOLARSHIP CRITERIA

The Paediatrics & Child Health Division of the Royal Australasian College of Physicians, offers an annual Travelling Scholarship to be administered by the Board of Censors (Paediatrics). The Travelling Scholarship is intended to help the exchange of knowledge and friendship between Australian paediatricians and colleagues in the South East Asian Region. Applicants must be resident in a country whose paediatric professional association is a member of the Association of Paediatric Societies of the South East Asian Region (APSSEAR).

Applications will be forwarded to the Secretary of the member society of APSSEAR in the country of residence of the applicant.

Each member society of APSSEAR may forward one application to the Secretary-General of APSSEAR who will forward the applications from all member societies to the Registrar of the Paediatrics & Child Health Division.

The Scholarship will be awarded by the Board of Censors (Paediatrics) of the Paediatrics & Child Health Division.

The successful applicant will be a young paediatrician at a relatively early post-residency stage of his/her career who wishes to obtain further training and experience in a selected area of paediatrics at an appropriate training center in Australia.

The value of the Scholarship will vary, the maximum award being determined from time to time by Paediatrics & Child Health Division.

The Scholarship is expected to cover traveling expenses and a reasonable living allowance for the successful applicant while in Australia.

The duration of the Scholarship will generally be for a period of at least 12 months, not exceeding 24 months, following which the trainee must return to practice in the country of origin.

The Scholarship must be taken up within six months from notification, otherwise it will be offered to the next highest ranked candidate.

The Board of Censors (Paediatrics) will take into consideration:
1. The appropriateness of the proposed training program to the needs of the applicant and his/her country of origin.
2. The ability of the applicant to communicate in English.

Applications will only be considered if typed on the application form and accompanied by a full curriculum vitae.

Registrar

Paediatrics & Child Health Division

The Royal Australasian College of Physicians

Paediatrics & Child Health Division

APPLICATION FORM

APSSEAR TRAVELLING SCHOLARSHIP

(Please enclose a detailed curriculum vitae and complete all sections)

1. SURNAME: ……………………………………………………………………………………….

GIVEN NAMES: ………………………………………………………………………………….

2. MALE FEMALE 3. DATE OF BIRTH

DAY ____ MTH ____ YR _______

4. COUNTRY OF 5. NATIONALITY:

BIRTH: ____________________ ______________________________

6. MARITAL STATUS MARRIED SINGLE

7. HOME ADDRESS: ……………………………………………………………………………..

……………………………………………………………………………..

8. PROFESSIONAL ……………………………………………………………………………..

ADDRESS:

……………………………………………………………………………..

……………………………………………………………………………...

9. ACADEMIC QUALIFICATIONS

DEGREE

CONFERRING

INSTITUTION

YEAR

CONFERRED

UNDERGRADUATE

POSTGRADUATE

10. POSTGRADUATE APPOINTMENTS (Detail all appointments held)

Previous Position Held

HOSPITAL/

UNIVERSITY

POSITION

COMMENCEMENT

DATE

FINISING

DATE

LENGTH OF

APPOINTMENT

Present Appointments

HOSPITAL /

UNIVERSITY

POSITION

DATE

COMMENCED

11. SCIENTIFIC PUBLICATIONS (If insufficient space, attach list)

………………………………………………………………………………………………….

12. FIELD WHICH YOU WISH TO STUDY

………………………………………………………………………………………………….

13. CENTRE(S) WHERE STUDY WILL BE UNDERTAKEN (If Known)

………………………………………………………………………………………………….

14. WHO WILL SUPERVISE WORK? (If known) Indicate if they have agreed in

writing.

………………………………………………………………………………………………….

15. AIMS OF TRAVEL TO AUSTRALIA (Include details of course of study, position to be

held or details of research projects if any of these are known)

………………………………………………………………………………………………….

16. HAS APPLICATION BEEN MADE FOR ANY OTHER FINANCIAL SUPPORT FOR THE

STUDY PERIOD?

………………………………………………………………………………………………….

17. WHAT DO YOU SEE AS THE BENEFIT TO PAEDIATRICS IN YOUR COUNTRY

OF ORIGIN ARISING FROM YOUR STUDY IN AUSTRALIA?

………………………………………………………………………………………………….

18. WHAT FORMAL TRAINING AND EXPERIENCE DO YOU HAVE WITH

ENGLISH?

Reading: ………………………………………………………………………………………

…………………………………………………………………………………………………

Spoken: ………………………………………………………………………………………

…………………………………………………………………………………………………

19. DO YOU INTEND TO STAY LONGER THAN THE SIX MONTHS STAY

PROVIDED FOR BY THE SCHOLARSHIP?

………………………………………………………………………………………………….

20. NAMES AND ADDRESSES OF THREE (3) REFEREES

(i) .…………………………………………………………………………………………….

………………………………………………………………………………………………….

(ii) .…………………………………………………………………………………………….

………………………………………………………………………………………………….

(iii) …………………………………………………………………………………………….

………………………………………………………………………………………………….

REFEREES FORM

THE PAEDIATRICS & CHILD HEALTH DIVISION

APSSEAR TRAVELLING SCHOLARSHIP

NAME OF THE CANDIDATE: …………………………………………………………….

REFEREES STATEMENT

(i) Please comment in detail on this candidate’s ability to communicate in English.

………………………………………………………………………………………………….

(ii) Do you regard the proposed study as appropriate to the candidate and your country’s
requirements?

………………………………………………………………………………………………….

(iii) What are the prospects for the candidate utilizing his experience on return to his own

country?

………………………………………………………………………………………………….

GENERAL STATEMENT AND COMMENTS ABOUT CANDIDATE

(Use separate sheet if necessary)

………………………………………………………………………………………………….