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Completing your application form

Please read the information and criteria notes before completing all sections of the form. Use lower case rather than capital letters to complete all sections of the form.

Some questions have a limit on the number of words so please be concise.

Full guidance notes for completing the application form are available below, or you can download a PDF version to read offline.

Contents:

Section 1: applicant details

Give your name, job title and email address and whether you are a doctor, nurse or clinical officer.

Section 2: organisation details

Provide contact details for your employing organisation and a brief description of the work it does.

Section 3: course details

3.1 Course organiser

Provide contact details for the course organiser as well as the web address (URL) which links to the course details if there is one.

3.2 Course title

(25 words maximum)

Priority is given to applications to attend courses in the eligible courses list. If you wish to apply for a bursary to attend a different course, please contact us before making an application. Decisions regarding suitability will be taken on a case by case basis.

3.3 Course details

(150 words maximum)

Provide a short description of the course or years’s content (if applying for a particular year of a multi-year course) and outline three main topics that will be covered.

3.4 Why do you want to attend this course?

Tell us why you want to do this course and outline three learning objectives you hope to achieve from it.

3.5 How will this course benefit palliative care in your workplace?

(200 words maximum)

In your answer consider how the knowledge and skills you will learn from the course will make a difference to:

you and your professional development
the team you work in as well as your employing organisation
the patients and the quality of healthcare provided
anything else you would like to mention.

3.6 How will you share what you have learned with others?

(200 words maximum)

We are looking for evidence that you have thought about how you will share your learning so that more people as well as other organisations benefit from it. For example, in what different ways will you spread what you have learned to your colleagues and other organisations working in your region/country?

3.7 Type of course

3.8 How long is the course you are applying to do?

3.9 If applying for a particular year of a course lasting more than one year, choose which year of study you are applying for.

3.7 - 3.9

More about the course you intend to study.

3.10 If your course fees are greater than the maximum amount of bursary available, how will you fund the remaining costs?

We are looking for evidence that you have considered ways of making sure that you will complete the course, particularly if the annual fees cost more than the maximum bursary available in one year (£1,500).

3.11 Have you attended any related courses previously? If so, please state when and where.

Provide details of any similar courses you have recently attended to improve your professional development. We are interested in:

the course name
when you attended
where it was held.

3.12 If your application is successful, are there any further actions required before you can start?

If your application is successful identify any further actions required before you can start. This could include any problems or things to organise before you can attend the course.

Section 4: breakdown of costs

Provide a detailed breakdown of the costs of attending the course showing how you calculate the total cost. Your application will not be assessed without a detailed breakdown. It could include:

course fees (for a particular year if applying for a multi-year course)
travel (up to £500)
accommodation costs.

Please show how much you are requesting from us.

If you have funding secured from other sources, state how much and from where.

Section 5: timetable and comments

State when the course starts and ends. Remember that courses that have already started are not eligible. We are looking for specific dates, so avoid vague answers such as 'when funding has been secured'.

Grants must be claimed within twelve months of an award being made. Help the Hospices reserves the right to withdraw funding after twelve months, so it is important that you keep us up to date with progress.

There is space for any additional information not already mentioned in the application form which will enable us to fully consider your request for funding.

Section 6: statement from the application sponsor

This application must be endorsed by the chief executive/director of your organisation. If the applicant is the chief executive/director of the organisation then it must be signed by the chairperson or a trustee of the organisation.

The application sponsor should explain why this course is important in improving:

the applicant's own personal skills and development
the services offered by your organisation.

If the application is successful, the applicant sponsor will be asked to sign a copy of the statement which they wrote and an acceptance form to confirm their support of your application and acceptance of the terms and conditions of the grant.

Submitting the form online

By submitting the form online, you confirm that you accept all of the terms and conditions of the grant application as indicated in the grant application form.