Personal Details

Name*
Address*

Statement of Scholarship Purpose

Provide a statement (max. 500 words) describing what you hope to achieve with this scholarship experience and how that can benefit your professional development/education. Please include how this can also impact your workplace and the greater community.

Project Proposal

Provide a clear outline of the activity or project. This should include the project plan, objectives, and intended outcomes. (max. 1500 words)

Submit Your Required Documents

Please use the following link to submit the following documents:

– Current CV
– A letter of support from the applicant’s supervisor, manager, clinical director or equivalent.
– Two letters of recommendation
– Required travel documents including Visa
– Required vaccination record specific to host institution/country
Submit your required documents via mission:brain’s Dropbox

Accuracy of Statement

I hereby confirm that the information provided on my application and CV/Resume is to the best of my knowledge true. I consent to this information being verified by mission:brain to contacting my school of attainment and/or employer(s) as needed.*
This field is for validation purposes and should be left unchanged.