Application for Funding under Commonwealth Specialist Training Program 2015
Rural Supplementation @ $15,000 (GST inclusive) per annum
Training Facility
Discipline
Rural Location (City)
State
Name of Supervisor
Name of Trainee
FTE of Trainee
Application Contact
Principles to be agreed – Please answer below to establish eligibility for the Rural
Support:
1. The training position is located within an Australian area classified
under the Remote Area classification as RA2, RA3, RA4 and RA5.
Y/N
2. The trainee is not on secondment from another country or employed
by a hospital/training facility that is not within an Australian rural
location.
Y/N
3. The trainee is an Australian citizen or permanent Australian resident
and enrolled in the Royal College of Pathologists of Australasia
(RCPA) training program.
Y/N
4. The rural training facility is accredited by the Royal College of
Pathologists of Australasia (RCPA)
Y/N
5. The rural training facility will provide trainees with the opportunity to
undertake assessment activities in accordance with the RCPA
training program (where appropriate)
Y/N
Evaluation Criteria – (please detail what the proposed funding is to be used for and
outline how the proposed activities will contribute to the pathology training in rural
areas).
See RCPA Guidelines for Rural Supplementation Funding when completing your
application.
1. Conference /Course/ Training Session/Study Visit Allowance
Estimated Costs
2. Textbook and Publication Allowance
Estimated Costs
3. Research Projects
Estimated Costs
4. Microscopes/Equipment
Estimated Costs
5. Accommodation Allowance Contribution for Rural Rotation
Estimated Costs
Supervisor Signature
Trainee Signature
Date
Supervisor Name
Trainee Name