Full Name*(Minimum 2 & Up to 10 Words)
Phone Number (Include country code)*
Country of Residence *
Institution / Organisation*
Scholarship Category (select one)*
Motivation Statement*(Minimum 10 & Up to 300 Words)Why do you wish to attend the conference? How will it impact your work?
1_300
Impact & Contribution *(Minimum 10 & Up to 300 Words)How does your work advance mental health research, policy, or services in Africa, and how does it incorporate people with lived experience (PWLE) or community engagement?
1_300
Need for Scholarship*(Minimum 10 & Up to 300 Words)Explain why financial support is required.
1_300
Financial Support Requested (select all that apply)* (Minimum 1, Up to 100 selections)
Specify*(Up to 100 Words)