WDA HEALTHCARE SCHOLARSHIP APPLICATION FORM (2015)
ABOUT THE WDA HEALTHCARE SCHOLARSHIP
1.
Objective: The WDA Healthcare Scholarship is developed to empower healthcare professionals to
progress in their careers and assume leadership positions. It is also open to mid-career switchers
who wish to make a contribution in the healthcare and community and social services sector.
2. Course List & Bond Period:
Course
Institution
Bond Period
Graduate Diploma in Healthcare
Management and Leadership
Singapore Management UniversitySingHealth
1 year
Master of Health Administration
Flinders University, Australia (in
partnership with Parkway College)
1 year
Master of Public Health
National University of Singapore
Graduate Diploma of
Gerontology
SIM University
1 year
Master of Gerontology
SIM University
1 year
Master of Science (Speech and
Language Pathology)2
National University of Singapore
3 years
Master of Science (Audiology)
National University of Singapore
3 years
Master of Psychology (Clinical)
National University of Singapore
3 years
Master of Counselling
SIM University
1 year
Master of Social Work
SIM University
1 year
1 – 3 years1
Bond period: Both medically qualified full-time and non-medically qualified full-time – 3 years; Both medically
qualified part-time and non-medically qualified part-time – 1 year.
2 Master of Science (Speech and Language Pathology) is not applicable for 2015.
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Updated as of 17 March 2015
3.
Who Can Apply: Employees currently working in restructured hospitals, community hospitals,
private acute hospitals and ILTC institutions, MOH-registered eldercare institutions, primary
healthcare institutions and MSF-supported social services. Career switchers from other industries
will need to source and secure employer sponsorship in order to qualify.
4. Eligibility Criteria:
Career Switchers*
In-service Upgraders
i.
ii.
iii.
iv.
v.
vi.
Singapore Citizen
Meet entry requirements of the selected courses
Candidate is prepared to serve a bond period ranging from 1 to 3 years (depending on
course) upon completion of training
Candidate is not currently on any scholarship or serving any bond with WDA or any
other organization

At least 5 years working
experience in the industry and at
least 2 years with sponsoring
employer

At least 2 years working
experience

Identified as high potential
employees

Secure employer sponsorship
(*) Career Switcher category is only applicable for the Master of Science (Audiology).
5. Funding Mechanism:
a. Candidates are to be nominated by their employers (reporting officer and
CEO/ED/MD/HOD).
b. WDA will sign letters of offer with successful organization applicants. Funding will be
disbursed directly to employers.
6. Funding Components and Rates:
Component
Funding Rate
Course Fee Grant**
90% of course fee (Graduate Diploma courses capped at
$20,000, Master courses capped at $50,000)
Up to 70% of last drawn monthly salary, capped at $3,000 per
month.
[A further cap of 12 months is applicable for the Master of
Public Health]
One-time grant of $2,000 per scholar
Training Stipend (for full
time courses only)
Misc Fee (Registration Fee,
Book Allowance etc)
Maximum of $100,000 per scholar
(**) Sponsoring employer pays the remaining course fee.
7. Other funding terms and conditions: Any taxes (e.g. Goods and Services Tax) as imposed by
the Government of Singapore on the above fundable components will not be borne by WDA. The
above funding rates and caps are subject to WDA’s prevailing corporate funding policies. WDA
reserves the right to revise the rates and caps at any point.
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Updated as of 17 March 2015
INSTRUCTIONS TO EMPLOYER
1.
Incomplete or illegible applications may be rejected. Form A is to be completed and signed by a
member of the management team.
2.
Any false particulars given or wilful suppression of material fact will disqualify this application /
scholarship award.
3.
The candidate may select up to 3 courses in the application form. Please rank these choices in
order of preference if more than one course is selected.
4.
Please attach the following documents to this submission:
a. Curriculum vitae of nominated employee
b. Employment contract / Conditional employment contract (for career switchers)
c. A copy of the NRIC (front and back)
d. Completed Form A and Form B
5.
Please use separate forms if you are nominating more than 1 employee.
6
Please email completed forms and supplementary documents to wda_healthcare@wda.gov.sg
AND send them by post to:
Singapore Workforce Development Agency
1 Marina Boulevard, #16-01
One Marina Boulevard
Singapore 018989
Attn: Mr. Julian Quek (HSBD)
8. Closing date: 30 April 2015
*** ***
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(blank page)
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Updated as of 17 March 2015
Form A
EMPLOYER NOMINATION FORM (TO BE COMPLETED BY EMPLOYER)
(A)
GRADUATE DIPLOMA / MASTER COURSES SUPPORTED UNDER THE WDA
HEALTHCARE SCHOLARSHIP
Please put up to 3 ticks to indicate the course(s) the candidate wishes to apply for
under this Scholarship. Rank your choices (if any) in order of preference, 1 being the
most preferred and 3 being the least preferred.
Course
Institution
Next
Intake
Bond
Period

Graduate Diploma in
Healthcare Management
and Leadership
Singapore Management
University-SingHealth
Jul 2015
1 year

Master of Health
Administration
Flinders University,
Australia (in partnership
with Parkway College)
Jun 2015
1 year

Master of Public Health
National University of
Singapore
Aug 2015
1–3
years3

Graduate Diploma of
Gerontology
SIM University
Jul 2015
1 year

Master of Gerontology
SIM University
Jul 2015
1 year

Master of Science (Speech
and Language Pathology)4
National University of
Singapore
Jan 2017
3 years

Master of Science
(Audiology)
National University of
Singapore
Aug 2015
3 years

Master of Psychology
(Clinical)
National University of
Singapore
Aug 2015
3 years

Master of Counselling
SIM University
Jan 2016
1 year

Master of Social Work
SIM University
Jan 2016
1 year
Have you or your nominated staff made any enrolment application(s) to the
course(s) of choice?
Rank of
choice
Yes
Bond period: Both medically qualified full-time and non-medically qualified full-time – 3 years; Both
medically qualified part-time and non-medically qualified part-time – 1 year
4 Master of Science (Speech and Language Pathology) is not applicable for 2015.
3
A-1
Updated as of 17 March 2015
No
Form A
(B)
EMPLOYER’S DETAILS
1. Name of organisation:
2. Type of industry:
3. Name of CEO / ED / MD / HOD*:
4. Email address of CEO / ED / MD / HOD*:
5. Name and Designation of Reporting Officer:
6. Email address and contact no. of Reporting Officer:
* Please delete as appropriate.
(C)
EMPLOYEE’S DETAILS
1. Full Name :
4. NRIC No. (PINK):
2. Designation :
5. Department:
3. Years of service with current employer:
(D)
EMPLOYEE’S JOB SCOPE
Please answer the following questions about the nominated employee. Delete
responses as appropriate.
1.
For in-service staff: Does your nominated staff have at least 5 years of
experience in the healthcare sector, of which at least 2 years are with your
organisation?
For career switchers: Does your nominated staff have at least 2 years of
working experience?
Yes
No
2.
Does he/she meet the entry requirement of the selected course(s)?
Yes
No
3.
Is he/she prepared to serve a bond with your organisation upon
completion of training?
Yes
No
4.
Is he/she currently on any other scholarship or serving any bond with any
organisation?
Yes
No
5.
a. (In-service upgrader candidates only) Does he/she currently have any
managerial responsibilities? If yes, please elaborate:
Yes
No
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Form A
b. (Mid-career switcher candidates only) Please share briefly why the
candidate has been identified as a potential hire.
6.
Is he/she identified and being groomed for a higher level position? If yes,
please explain and describe your organisation’s development plan for this
staff.
7.
Is your organisation willing to participate in WDA’s outcome evaluation /
tracking survey to ascertain the effective of this programme?
8.
What were his/her current and past performance grades? Please
indicate in the boxes to the right for years 2012-2014. (Not
applicable to career switchers)
9.
What is the most significant achievement or contribution of this staff in recent years? Please
elaborate: (Not applicable to career switchers)
10.
Please state and elaborate any other reasons for nominating this staff. Please be as
detailed as possible.
A-3
Yes
No
Yes
No
2012 2013
2014
Updated as of 17 March 2015
Form A
(E)
DECLARATION
We, the undersigned, declare that the information given above is true to the best of
our knowledge and have not wilfully distorted or suppressed any material fact. We
accept that if any of the information given by us in this application is found to be
false, misleading or incorrect, this application may be disqualified and WDA may at its
discretion, withdraw the scholarship award and recover immediately from us any
grant that may have been disbursed to our organisation.
Nominated by
(Reporting Officer):
Name and designation
Signature
Date
Name and designation
Signature
Date
Endorsed by
(CEO/ED/MD/HOD):
Company Stamp:
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Form B
NOMINATED EMPLOYEE FORM (TO BE COMPLETED BY EMPLOYEE)
(A)
PERSONAL PARTICULARS
1. Full Name :
4. Designation:
2. NRIC (PINK) :
5. Email Address :
6. Tel :
3. Address :
(O) /
(HP)
7. Date of Birth :
8. Sex : *M / F
* Please delete as appropriate.
(B)
EDUCATIONAL QUALIFICATIONS
i) University Degree(s) / Diploma (s)
Name of Institution
Period of
Study
(MMYY to
MMYY)
Highest Level of Qualification Obtained
ii) *GCE 'A' Level / GCE 'A' Level Equivalent
Name of Institution:
Period of Study (MMYY to MMYY):
Subject
Grade
Subject
Grade
* Please delete as appropriate.
(C)
SCHOLARSHIPS & AWARDS
Sponsoring Organisation
Duration of Bond
From (year)
B-1
To (year)
Name of Scholarships/Awards
(including PSC awards)
Updated as of 17 March 2015
Form B
(D)
PROFESSIONAL QUALIFICATIONS & MEMBERSHIPS/OTHER EDUCATIONAL
CERTIFICATES OR TRAINING UNDERTAKEN OR CURRENTLY PURSUING, OTHER AWARDS,
MEDALS & PRIZES
Year
(E)
Description
PAST PROFESSIONAL EXPERIENCE
Please provide information of your employment history. The details should be found in your CV.
Total number of years of full-time working experience :
Organisation Name
(F)
Period of Employment
(MMYY – MMYY)
Job Title
LANGUAGE PROFICIENCY
Please indicate the languages that you are proficient in, and indicate your proficiency with Poor,
Average or Good.
Language
Proficiency
Written
(G)
Spoken
OTHER SKILLS AND PROFICIENCIES
Skill
Proficiency
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Updated as of 17 March 2015
Form B
(H)
REFEREES
Please indicate 2 referees who are not from your organisation. WDA may contact these referees in
the evaluation of your application.
Full Name
(I)
Occupation
Organization
Contact
Years
Known
Email
DECLARATION
Please answer the following questions with a tick in the appropriate box.
1. Have you ever suffered, or are suffering from any medical condition, illness,
disease, mental illness or physical impairment?
Yes
No
Yes
No
3. Have you ever been convicted in a court of law in any other country (excluding
parking offences or criminal records disclosed above)?
Yes
No
4. Have you been charged with any offence in a court of law in Singapore or in any
other country for which the outcome is pending (excluding parking offences)?
Yes
No
Yes
No
Yes
No
Yes
No
2. Do you have a criminal record in Singapore or in other countries?
5. Have you been or are you under any financial embarrassment i.e. (a) an
undischarged bankrupt, (b) a judgment debtor, (c) have unsecured debts and
liabilities of more than 3 months of last drawn pay, (d) have signed a promissory
note or an acknowledgement of indebtedness?
6. Do you currently have any obligations to any organisation(s) in terms of bond, study
loans, scholarships, etc?
7. Have you previously broken any bond?
8. If you answered ‘Yes’ to any of the questions above, please provide details here: ______________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
I declare that the information given in this application form is true to the best of my knowledge and
have not wilfully distorted or suppressed any material fact. I accept that if any of the information
given by me in this application is false, misleading or incorrect, I may be disqualified from this
scholarship and may be liable to pay liquidated damages.
________________________
Signature of applicant
________________________
Date
B-3
Updated as of 17 March 2015