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The Sussex Heart Charity
Improving the lives of people with heart conditions in Sussex
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Educational/Conference Bursary Application Form UHSussex

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  2. Educational/Conference Bursary Application Form UHSussex

Before you begin

Which NHS Trust do you work for? *

This is the UHSussex bursary application form.

As you work for East Sussex Healthcare NHS Trust, please use our ESHT Educational Bursary Application Form instead.

This bursary scheme is for eligible cardiac staff within UHSussex and ESHT.

If you're unsure which form you should complete, please contact the Sussex Heart Charity.

About You

Helper text: e.g. Staff Nurse, Cardiac Physiologist, ACP, Healthcare Assistant
Helper text: e.g. Cardiac Rehabilitation, CCU, Cath Lab, Cardiac Physiology, Heart Failure, Arrhythmia or ACHD

Approval & other funding

Has your line manager approved this application? *

Please obtain your line manager’s approval before submitting your application.

Have you explored other sources of funding for this course or conference? *

Please explore any available Trust, departmental or professional-development funding before applying to the Sussex Heart Charity.

What was the outcome? *

Course or conference

Is there an official webpage for the course or conference? *
Please provide a link to the organiser’s official webpage showing details of the course or conference.
For example, an event programme, course information, invitation or booking information showing the organiser and dates.
No file chosen
How will you attend? *

Costs and funding requested

Please tell us the costs associated with attending and the amount you are requesting from the Sussex Heart Charity.

£
Are any of these costs being shared with another attendee? *
Are you receiving funding towards these costs from another source? *
Please provide a breakdown of the costs you are claiming and include links to the relevant course/conference, travel and accommodation information where available. You may copy and paste prices or booking details from the relevant websites.

Benefit of attending

Please explain what knowledge, skills or experience you expect to gain from attending.
Please explain how you expect to use what you learn to improve your service, support colleagues or benefit patient care.

Supporting the Sussex Heart Charity

Our Educational Bursary programme is funded by charitable donations. In return for this support, we ask successful applicants to help us demonstrate the difference our funding makes to cardiac staff and patients across Sussex.

If your application is successful, we will ask you to provide evidence of attendance and complete a short post-event feedback form. We may also ask for a suitable photograph, short testimonial or other material that helps us share the impact of the bursary programme.

If your application is successful, your email address will be added to our Educational Bursary recipient list. We use this list to send information relating to the bursary programme, including award information, post-event requirements, evidence and feedback, payment arrangements and other important programme updates.

This is separate from the Sussex Heart Charity’s general mailing list. Please see our Privacy Policy for more information about how we use your personal information.

Keep in touch with the Sussex Heart Charity
May the Sussex Heart Charity use the feedback, photographs or testimonials you provide to help demonstrate the impact of your bursary? * *This may include sharing them on our website, social media, newsletters and other charity communications.

Declaration

Please check your application carefully before submitting it. By confirming below, you are agreeing to the conditions associated with an SHC Educational Bursary.

Read the Educational Bursary Terms & Conditions

By submitting this application, I confirm that:

  • the information I have provided is accurate and complete
  • my line manager has approved this application
  • I have explored other appropriate sources of funding
  • this application is being made before the course or conference takes place
  • any bursary awarded will only be used for the purpose described in this application
  • I will provide evidence of attendance and complete the required post-event feedback before payment
  • I will provide receipts, invoices or other evidence of expenditure if requested
  • I will notify the Sussex Heart Charity if the course, conference or my circumstances change
  • I have read and agree to the Educational Bursary Terms & Conditions

The information provided in this form will be used to assess and administer your bursary application. Please see our Privacy Policy for information about how we use and protect your personal data.

The Sussex Heart Charity

Southpoint, 8 Paston Place, Brighton, East Sussex, BN2 1HA
  • The Sussex Heart Charity is a registered Charity No. 1120998
  • Registered as a Company limited by guarantee in England & Wales No 6339790
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    01273 523 026

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