Abbvie Professional Development Award 2014 Application Form:

Name:
Position:
Institution:
Address:
City: / Post Code:
Country:
Telephone:
Email:

ANZUNS current financial memberYesNo

How many years as an ANZUNS member:

In making this this application the recipient acknowledges the requirement to

a)Provide a written report to the ANZUNS executive on how the activity improved clinical practice

b)Return to ANZUNS 2015 ASM to provide a podium presentation on how the

Activity details:

Proposed Activity
Venue details
Proposed dates to undertake
Amount of funding requested / $
Cost of travel (if applicable) / $
Cost of accommodation (if applicable) / $
Cost of registration (if applicable) / $
List details of any other costs requested: / $
List details of any funding from other sources proposed as part of this activity: / $
Where from:
List 3 expected learning outcomes form this activity / 1.
2.
3.

Provide details below of how the activity is relevant to your practice, how it will contribute to improving the management and support urology patients in your work setting and how to this knowledge will be disseminated both locally and to the ANZUNS membership (800 – 1000 words max)

Don’t forget to include with this application form:

1)Brief Curriculum Vitae

2)Letter of support from manager

This award closes to application 15th January 2014

Abbvie Professional Development Award 2014

The Abbvie 2014 Nursing Professional Development Award is available for Registered Nurses to use for personal professional development which can be shown to enhance urology nursing practice.

The award can be utilised in the following ways:

  • Travel Scholarship (International or within Australia / NZ)
  • Conference or other formal education forum
  • Other PD activity with direct link to patient care benefit

This is a competitive grant application and the award will be made to the applicant whom in the opinion of the judging panel best meets the criteria below:

Selection Criteria:

  • A Registered Nurse
  • Employed in a urology focusednursing position for at least 0.5FTE per week
  • Has been a financial member of ANZUNS for a minimum of 12 months and is active member at time of application
  • Has not received any prior benefits from ANZUNS which are sponsored by Abbvie
  • Demonstrates an ongoing commitment to urology nursing by outlining 3 objectives and accompanying text which describe the relevance of the chosen education program to the applicant’s practice, how it will contribute to improving the management and support urology patients in the nurses’ work setting and how to this knowledge will be disseminated both locally and to the ANZUNS membership.
  • Acknowledge they will be available to present their findings from their professional development activity and discuss how this information has been used to change practice at the 2015 ANZUNS meeting in SA.
  • Provide a complete application with accompanying requested CV and letter of support from their manager

Award Conditions

The award of $5,000 is payable to the recipient on acceptance of a schedule of what the activity will entail.

Additional funding is available on completion of the activity for ANZUNS approved travel, accommodation and registration at the 2015 ANZUNS meeting to present findings as a podium paper.

  • Applicants need to provide evidence of support to undertake the proposed professional development activity from their line manager.
  • The successful applicant is required to provide feedback to ANZUNS, in the form of a written report which in turn may be published on the ANZUNS website and / or newsletter. The report will provide a synopsis of the educational program undertaken along with any key messages learnt.
  • The activity must be completed by 31st January 2015
  • Monies will be forwarded by banker’s cheque to the successful applicant upon on acceptance of a schedule of what the activity will entail.

Key dates to note

Award opens for application / 1st November 2013
Closes to application / 15th January 2014
Applicants will be notified of the outcome of their application / 28th February 2014
ANZUNS 2014 ASM / 16th – 19th March 2014
Deadline for completion of the proposed activity / 31st January 2015
Recipient to provide written report on PD activity to ANZUNS President / 28th February 2015
Recipient to provide oral presentation on PD activity at ANZUNS ASM / 2015

Application Process

  • Applications will only be accepted using the designated proforma
  • Application forms may be obtained from the ANZUNS websiteand submitted electronically to Julie Sykes, ANZUNS President at
  • Please include Curriculum Vitae in your application together with your application form and letter of support from your manager
  • Applications close 15th January 2014
  • Late or incomplete applications will not be accepted.
  • The Award recipient will be announced at the 2013 ANZUNS meeting and the name ofthe successful applicant will also be posted on the ANZUNS website. Attendance is not funded for the award recipient to attend this meeting to receive the award in person and is not mandatory.

Taxation Advice:

Applicants are advised to seek their own taxation advice regarding the income tax/fringe benefits tax and its effect on any funding they receive from ANZUNS