Application Form

The Scholarships are a K•A•C (Knowledge•Action•Change) initiative funded by a grant from the Foundation for a Smoke-Free World (FSFW). The programme was independently designed by and is run by K•A•C. Successful scholars will enter into a scholarship agreement with K•A•C.

Please ensure that you complete all the sections of the application form. Links to any additional information that you wish to be considered should be written in the appropriate box.

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Personal Details

Only If Applicable
Only If Applicable
Postal Address, Telephone, Mobile etc.

Project Details

Please ensure that you provide:

  • a description of your proposed project,
  • a brief summary of what you hope to achieve,
  • a description of how you think the activities and learning might be relevant to reducing the harm caused by tobacco,
  • contact details for a reference.
Complete this field using plain text. No HTML / formatting, please. Please do not exceed 4,000 characters. [{ charactersLeftActivities }]
Name, E-Mail, Phone, Optionally Address

Learning

How do you think the learning from the activities might be used elsewhere in order to achieve the aims of the scholarship? (i.e. building research capacity in tobacco harm reduction, adding to the evidence base, or disseminating findings).

Please do not exceed 4,000 characters. [{ charactersLeftLearning }]
Please put links to, or include any additional information that you wish to be considered in the box below.
Link to a document stored in a cloud (e.g. Dropbox).

Before you submit the application, please make sure you have read the prospectus and the privacy policy, and agree to both.

I have read the prospectus and the privacy policy, and agree to both.