Student Scholarship Application: APAC Forum on Quality Improvement in Health Care
Thank you for your interest in the APAC Forum on Quality Improvement Health Care on September 20-21, 2012 in Auckland, New Zealand. A limited number of scholarships for reduced registration fees are available for full-time students. Scholarships will be rewarded on a first-come, first-served basis. Please note that you are responsible for your travel, food and accommodation costs associated with attending the program.
To be eligible for this scholarship, you must be a full-time student.
Applicant First & Last Name
Applicant Email Address
All correspondence will be sent here
Are you a full-time student?
Name of University/College
Major/Program of Study
(Medicine, Nursing, Pharmacy, Engineering, etc.)
Year of Graduation
Are you part of the IHI Open School community?
Yes, I'm a Chapter Leader
Yes, I'm a Chapter Member
No, I'm not involved
If yes, what is the name of your Chapter?
Who referred you to this event?
First & last name
Please include any further information or comments about yourself that you would like to share.
(Examples: Why you should be selected, your improvement experience, future plans, etc)
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