Nancy Llewellyn Bursary Application | NL Registered Nurses' Education & Research Trust

Please note: this application form is for non-credit continuing education only. If you are enrolled in an academic program (BN, MN, PhD), you must complete the academic application form.

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By completing and submitting this application I declare that the following is true:*

I have read the application requirements.

Available here: Application Requirements

I have read the bursary eligibility criteria.

Available here: Eligibility Criteria

I meet the eligibility criteria for this bursary.

I will provide information that, to the best of my knowledge, is complete, true and accurate. I understand that failure to provide complete, true and accurate information may prevent my receiving a scholarship/bursary now or in the future.

I understand that it is my responsibility to notify the Trust of any changes to this application, including but not limited to, changes to the budget amounts or withdrawal of the application.

If my application is successful, I authorize the Trust to use my name for publicity purposes regarding the recipients (including publication of a list of successful applicants).

A. Personal Information

First Name:

Last Name:

Email:

All application notifications are sent via e-mail. Please use an address that you check regularly.

CRNNL Registration Number:

If you do not know your registration number, please check the CRNNL Member Search.

Social Insurance Number:

Your social insurance number is required for income tax purposes. In the event that an application is submitted with a SIN, the Trust reserves the right to withhold funding until the number is provided.

Have you received a bursary or scholarship from the Trust in the past 5 years?

Yes

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Year:

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Year:

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