NAPSA Congress Newcastle 2020 Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

It's that time again to register for the 2020 NAPSA Congress! Limited places are available so get in fast!

NAPSA Congress 2020 is taking place in Newcastle, hosted by our friends at the University of Newcastle Association of Pharmacy Students (UoNAPS). The National Australian Pharmacy Students Association (NAPSA) runs a congress every year to bring pharmacy students from across Australia together in a week of education, networking, and fun. All 17 NAPSA branches from Australia, and some from New Zealand too, are given the opportunity to expand their clinical knowledge while developing a professional network beyond their home university.

Where: Newcastle
When: Thursday 23 January 2020 - Wednesday 29 January 2020
Cost: $600

The $600 fee includes accomodation for the week, access to all social and education events, and major meals (this may exclude some meals on free days).

Applications will close 27th September 2019 at 5pm
Acceptance letters will be released soon after the application closing date. You will be required to pay the $600 fee within 7 days of being accepted. Failure to do so may jeopardize your opportunity to attend congress.

Please contact Sam at qpsa.externalaffairs@napsa.org.au for any questions or further information.

Given Name *

Surname *

Preferred Name

If different to name provided above

Student Number *

Year Level of Study in 2019 *

Date of Birth *

YYYY

Gender / Sex *

Female

Male

Other:

E-mail Address *

Use any email you regularly check

Postal Address *

Contact Number (Mobile) *

Emergency Contact Name *

Emergency Contact Relationship *

Emergency Contact Number *

Dietary Requirements *

Vegetarian

Vegan

Kosher

Halal

Gluten-free

None

Other:

Required

Allergies *

Medical Conditions or Disabilities *

T-Shirt Size *

Are you a member of QPSA? *

Yes

Briefly describe your previous involvements with QPSA and/or NAPSA *

Why do you want to attend the 2020 NAPSA Congress? *

Do you agree to pay the $600 fee within 7 days of application approval? Note failure to do so may jeopardise your position to attend. *

Yes

Other arrangement required (contact by QPSA officials)

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of NAPSA. Report Abuse

Forms