Designated Registered Nurse Prescribing Scholarship

Designated Registered Nurse Prescribing Scholarship Application
Thank you for your interest in applying for a Chief Nursing and Midwifery Office Scholarship.

To start this application, simply click the 'Next' button and answer the questions.

You can save your answers at any time by clicking the 'Save' button. You will receive an email with a link to continue the application at a later stage.

You are required to provide documents in your application. Please have these ready to upload. Failure to do so may result in your application being deemed unsuccessful.

Documents to provide evidence of:
- Letter of Support from Health Service/Organisation (template available on the WA Designated Registered Nurse Prescribing Webpage)
- Citizenship or permanent residency
- University enrolment
- University tuition fees
- Nursing and Midwifery Board of Australia Registration number
- Change of name documentation, if applicable
Prior to submitting your application please ensure you read Scholarships webpage and Important information for scholarships webpage.

Closing Date: Monday 29th June 2026 16:00 WST

Applications must be received online through this application link only.

Late or emailed applications will not be accepted.

Personal Details
First name
Surname
Phone number
Please enter a valid phone number.Format: 0000000000.
Alternative phone number
Please enter a valid phone number.Format: 0000000000.
Email address
example@example.com
Residential Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you identify as being Aboriginal or Torres Strait Islander?

Application Assessment

Course Details
Are you enrolled in the Graduate Certificate in Designated Registered Nurse Prescribing at Edith Cowan University?
Which university are you enrolled at?
Exact date of commencing course

DayMonthYear
Date
Expected course completion date

DayMonthYear
Date
Please attach evidence of university enrolment.

Attachment can only be uploaded in PDF, JPEG or Word formats
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If you have any further comments relating to your enrolment, please enter below:
Please attach evidence of University Tuition Fees

Attachment can only be uploaded in PDF, JPEG or Word formats
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Employment Details
Are you employed in a fixed-term or permanent capacity?
Where are you currently employed within Western Australia?
Current position?
What is your Nursing and Midwifery Board of Australia registration number?

Reimbursement Details
Successful recipients will be reimbursed via Electronic Funds Transfer (EFT). Please advise of your banking details below:
Personal bank account name:
Bank account BSB:
Bank account number:

Supporting Documents
Please provide letter of support from health service/organisation

Attachment can only be uploaded in PDF, JPEG or Word formats
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Please attach proof of Australian citizenship, permanent residency in Australia, a permanent humanitarian visa, or a New Zealand Special Category Visa indicating long‑term residency.

Attachment can only be uploaded in PDF, JPEG or Word formats
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If relevant, please attached evidence of name change.

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Please confirm that you have read and understand the criteria below:
Should be Empty: