JCU Prizes Browse all prizes Emeritus Professor Beverley Glass Legacy Award for Distinguished Impact in Pharmacy Emeritus Professor Beverley Glass Legacy Award for Distinguished Impact in Pharmacy Application

Emeritus Professor Beverley Glass Legacy Award for Distinguished Impact in Pharmacy Application

For more information about the Emeritus Professor Beverley Glass Legacy Award for Distinguished Impact in Pharmacy.

First name *

Last name *

Email *

Postal address * Please include postcode

Phone number *

Degree you graduated with from JCU *

Year you graduated *

Year

Personal and Professional Details *
Please provide:

Full name
Year(s) of completion of James Cook University degree(s)
Details of any additional university qualifications
Current professional memberships and registrations
Employment history, including current role and relevant previous positions
Awards, honours, and other professional recognition

Written Application *
A written statement of 500 to 1,000 words outlining how you meet the award criteria:

Distinguished career as evidenced by high level achievement and/or advancement of knowledge in their field of endeavour (professional, academic, research);
Demonstrated engagement with the University to benefit the Pharmacy Program, its students, and their communities through their career;
Sustained and significant impact in their area of pharmacy practice (professional, academic, research);
Demonstrated contributions to rural, remote, and very remote Australia, showing commitment to Australia Aboriginal and Torres Strait Islander communities; and
Forward thinking and innovative leadership in the pharmacy profession.

Referee Details *
The names and contact details of two referees who can speak to your professional achievements, impact, and suitability for the award.

Your application cannot be considered unless you accept these conditions *

I have read and agree to the conditions below

I declare that I have read and understood the Scholarship Rules for the scholarship which I am applying for.
I declare that I have read and understood the Coursework Scholarships, Bursary and Grants policy.
I authorise JCU to verify any information provided by me.
The information I have been provided may be shared with staff involved in the selection process.
I declare that, to the best of my knowledge, all information supplied in this application is true and correct.
I am aware that my application and supporting documentation will only be used for the Scholarship for which I have applied.
I recognise that it is my responsibility to provide all the necessary documentation to support this application as per the application procedure.

Privacy statement *

I have read JCU's privacy statement

Privacy statement

James Cook University complies with the Information Privacy Act 2009.

The information contained in this form is collected for scholarship and administrative purposes. The information will be held by James Cook University and may be accessed and used by people employed by the University.

Personal information will not be passed on to any other external bodies, other than as outlined above, without my authorisation unless required or authorised by law, or otherwise in accordance with the Information Privacy Principles.

The provision of this information is voluntary, but if this information is not provided, the University may be unable to process my application or provide services to me. I have a right of access to, and correction of my personal information, subject to any exceptions in relevant legislation. I can direct any enquiries I may have in relation to privacy to the University's Privacy Officer (Deputy Director, Governance Support and Corporate Information, Governance and Corporate Services Office, James Cook University, Townsville Qld 4811).