Global Health Office

Faculty of Medicine

Global Health Bursary Application

Please contact the program manager if you have any questions. Once you complete this application form it will be be sent directly to the Global Health Education Program.

General Information

Student Name

Student Email

Program/Year of Study

Elective Information

Elective Specialty

Country

Region/City

Elective Start Date

Format: yyyy-MM-dd

Elective End Date

Format: yyyy-MM-dd

Facilitating Organization / Contact: (GHO, NGO, University, Hospital)

* Reminder *
If your application for an Global Health Bursary is successful, when you return you will be required to submit a variety of documents about your experience. If you have any questions, please contact the Global Health Education Program.

Please answer the following questions to complete your application. These questions are the basis for awarding the bursary.

1. What are your learning objectives?

2. How do you expect to meet them through this elective?

3. Why are you applying for this bursary?

4. What benefit will this bursary add to your elective?

5. Please provide an estimated budget for your elective.

6. Is there any further information you feel the bursary committee should consider with your application?

Captcha

By submitting this application you agree to meet all Pre-Departure and post elective requirements (eg. Narrative Reports, Thank you letter etc.) if awarded.

Dalhousie University

Global Health Office

Global Health Bursary Application

General Information

Elective Information