NES SCHOLARSHIP APPLICATION FORM Please Complete All Boxes

nes scholarship application form * please complete all boxes on this form except the shaded grey areas. * thi

NES SCHOLARSHIP APPLICATION FORM
*
Please complete all boxes on this form except the shaded grey
areas.
*
This form should be submitted with a letter of support from your
line manager. The letter should be signed and on headed paper, or
sent to [email protected] from the line manager’s NHS e-mail
account (forwarded e-mails will not be accepted).
*
Scholarship applications will only be considered once an
application has been made through EUCLID for a programme of study,
providing a unique university number (UUN), or if a paper
application has been received for a CPD course studied for credit.
*
All documents must be received by 30th June for semester 1
courses, or 23rd October for Semester 2 courses.
*
The completed form and supporting documentation should be sent to
Lorna Sheal, MSc CYPMHPP, Medical School, Teviot Place, Edinburgh
EH8 9AG or [email protected]
*
We award on an annual basis, and will endeavour to support ongoing
studies. Please only request for courses you plan to study in the
forthcoming year.
Applicant details
Full Name
Correspondence Address
Email Address
UUN (e.g. s123456)
Job Title
Health Board
Professional Group/Qualification (e.g. nursing)
Study plans
Programme of Study (Please select one)
CPD course

PGCert cyCBT

PGCert Psychological Interventions for Children and Young People

PGCert Children and Young People’s Mental Health and Psychological
Practice

PGDip Children and Young People’s Mental Health and Psychological
Practice

MSc Children and Young People’s Mental Health and Psychological
Practice

Date commencing studies
Date of completion (planned)
Scholarship Request
Please list the courses you are seeking a NES scholarship for in this
academic year
Name of course
Cost
Total
Do you have other funding sources?
Yes/No
If yes, please provide details of funding sources
Supporting statement
How will the programme of study be useful to your work? How will
learning be applied in practice?
Please list any other academic or training courses you have completed
since qualifying.
You do not need to include mandatory training, conferences or one-off
CPD events
Line Manager Approval?
Yes/No
University Offer Made?
UO/CO/Reject
Decision (sum awarded)
Notes
NES Representative
University Representative
Signature
Signature
Date
Date