HEALTH CONTROLLED FORM EBERHARD WENZEL SCHOLARSHIP FOR INTERNATIONAL PUBLIC HEALTH APPLICATION FORM CRICOS PROVIDER 00233E

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EBERHARD WENZEL SCHOLARSHIP FOR INTERNATIONAL PUBLIC HEALTH

The late Dr Eberhard Wenzel was an academic in the School of Public Health and worked in public health with a range of international
health agencies for over 20 years. Dr Wenzel had a tremendous knowledge and understanding of public health issues facing humanity
and his establishment of the Virtual Library for Public Health and the International Public Health Watch websites provided important
means for him to engage with others who shared his passion for the field.

The objective of this Scholarship is to enable students to undertake research which will advance understanding of a public health topic
relevant to the academic interests of the late Dr Eberhard Wenzel.

There is one (1) Scholarship valued at $2,000, for a student enrolled in either full or part-time study in the Master of Public Health
(research option), Master of Health Services Management (Honours), or an Honours program with the School of Public Health. The
intent of the scholarship is to support the thesis component of the student's honours or masters program of study.

Selection will be based on review and assessment of applications.

SELECTION CRITERIA

Selection will be based on the following criteria:
! The Scholarship is open to all applicants of:
o Griffith Health Group Honours Program enrolled with the School of Public Health
o Master of Public Health (research option),
o Master of Health Services Management (honours).
! The scholarship is open to both Australian residents and international students of the above named programs
! The Scholarship will be awarded on the basis of Grade Point Average (GPA), referees reports, applicant's proposed project and
relevance to Dr Eberhard Wenzel's research interests and the applicant's personal achievements.

For further enquiries
Email: scholarships@griffith.edu.au
Web: www.griffith.edu.au/scholarships

INSTRUCTIONS FOR APPLYING

1. Complete section 1 - Personal Details.
2. Complete Section 2 - Attach a brief description of the proposed research project topic, identifying the relevance of your chosen
topic to the academic interests of Dr Eberhard Wenzel.
3. Section 3 - Fill in required referees details.
4. Section 4 - Attach any further information (no more then 1 full A4 paper).
5. Sign and date the Declaration form.
6. Submit application form by the due date.

! If short listed you may be required to attend an interview.
! Only successful applicants will be notified.

COMPLETED APPLICATION FORM AND ATTACHMENTS

Applications must be lodged by 5.00pm Friday 21st March 2014.
Applications and/or supporting documentation submitted after the closing date will not be considered.

By Post
Undergraduate Scholarships and Prizes Office
N53 Willett Centre, Nathan Campus
Griffith University Qld 4111
In Person
At any Griffith University Student Administration Centre on the Nathan, Gold
Coast, Logan, Mt Gravatt or South Bank Campus
Location of Student Administration Centres
www.griffith.edu.au/about-griffith/campuses/campus-maps

PROTECTING PRIVACY

Griffith University collects, stores and uses personal information only for the purposes of administering student and prospective student
admissions, enrolment and education. The information collected is confidential and will not be disclosed to third parties without your
consent, except to meet government, legal or other regulatory authority requirements. For further information consult the University's
Privacy Plan at www.griffith.edu.au/ua/aa/vc/pp/ or Telephone (07) 3735 7700 or (07) 5552 8811.
EBERHARD WENZEL SCHOLARSHIP FOR INTERNATIONAL
PUBLIC HEALTH APPLICATION FORM 2014
HEALTH CONTROLLED FORM EBERHARD WENZEL SCHOLARSHIP FOR INTERNATIONAL PUBLIC HEALTH APPLICATION FORM CRICOS PROVIDER 00233E [Page 2 of 4]







Section 1



Griffith Identification Number QTAC/UAC Application Number QTAC/UAC Course Code



Title: Mr Miss Ms Other

Family Name:!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!...Date of Birth!!!/!!.!./!..!!!..
Given Names:!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Address:!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!.
Suburb/Town:!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!..State!!!!!!!!.!!!!!!!!
Country:!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!.Post Code!!!!!!!!!!!!!.
Email Address:!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!..
Telephone Number:!!!!!!!!!!!!!!!!!Mobile Number!!!!!!!!!!!!!!!!!!!!!!!!....


Please indicate your citizenship status below:
Australian Citizen
Aboriginal or Torres Strait Islander (Please provide a Certificate of Aboriginality)
Permanent resident (Please provide Residency documentation)
Permanent Humanitarian Visa holder (Please provide Residency documentation)


Are you currently attending Griffith University? Yes No


Credit Points completed:
(e.g.: 240CP)
Grade Point Average (GPA):



Section 2


PROGRAM DETAILS

This scholarship is only open to students enrolled in:
! Griffith Health Group Honours Program, enrolled with the School of Public Health
! Master of Public Health (research option),
! Master of Health Services Management (honours).

List Proposed
Honours/Masters Program :



EBERHARD WENZEL SCHOLARSHIP FOR INTERNATIONAL
PUBLIC HEALTH APPLICATION FORM 2014
PERSONAL DETAILS
CITIZENSHIP STATUS




EDUCATION STATUS

HEALTH CONTROLLED FORM EBERHARD WENZEL SCHOLARSHIP FOR INTERNATIONAL PUBLIC HEALTH APPLICATION FORM CRICOS PROVIDER 00233E [Page 3 of 4]
Name of proposed
Supervisor(s):



Nominate the proposed field
of research:



List preliminary topic for the
research project:




Please attach a brief description of the proposed research project topic, identifying the relevance of your chosen topic to the academic
interests of Dr Eberhard Wenzel in one or more of the following areas:

! International Public Health
! Equity and inequality in Health
! Globalisation, Development and health and/or
! Indigenous Health

Describe how your proposed research demonstrates innovative/alternative thinking in your approach to the research topic and design
of the research methodology.
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Section 3

ACADEMIC REFEREES

You are required as part of this application to supply two referee contact details:

Academic Referee 1
Name of referee:
Position:
Email: Telephone:

Academic Referee 2
Name of referee:
Position:
Email: Telephone:


Section 4

PERSONAL STATEMENT

Please attach further information that your would like to add to support your application. (No more then (1) A4 paper).

DECLARATION

I declare that to the best of my knowledge and belief, the information I have supplied in this application is correct and complete. I
understand that if I provide incorrect or incomplete information this may result in the cancellation of any offer made by Griffith
University.

I understand that if the University becomes aware of or has reason to believe that I have provided false or misleading information in my
application, my eligibility will be reassessed.

I recognise that it is my responsibility to provide all necessary documentation.

I authorise the University to obtain information concerning my status required under the Higher Education Support Act 2003 (HESA).

I understand that the scholarship selection process is competitive and not all applicants who meet the basic eligibility criteria are
necessarily awarded scholarships.

Signature of applicant: Date: