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. Indicates required field By completing and submitting this application I declare that the following is true:* Declaration2 I have read the application requirements. Available here: Application Requirements Declaration1 I have read the bursary eligibility criteria. Available here: Eligibility Criteria Declaration3 I meet the eligibility criteria for this bursary. Declaration4 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. Declaration5 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. Declaration6 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. Do you currently reside in the Bay St. George area? Yes No The geographical area of the Bay St. George Chapter is defined to include the South Western area of the province starting at Long Point in the District of Port Au Port, east to Gallants and Bay St. George Districts. Error message You must reside within the Bay St. Geroge area to be eligible for this bursary. Have you received a bursary or scholarship from the Trust in the past 5 years? Yes No Award: - None -ARNNL 50th Anniversary ScholarshipBachelor of Nursing ScholarshipBay St. George Chapter ScholarshipBN Post RN ScholarshipCNA Certification BursaryFlo Hillyard ScholarshipFlorrie Penney BursaryGraduate Nursing ScholarshipGraduate Non-Nursing ScholarshipHealth Educators BursaryKay Daley ScholarshipMarcella Linehan ScholarshipNancy Llewellyn Pediatric BursaryNL Gerontological Nursing Association BursaryNursing Research AwardPost Basic Course BursaryRN Re-Entry ScholarshipSt. Clare's Alumni Association ScholarshipViolet Ruelokke Primary Health Care Award Year: Award: - None -ARNNL 50th Anniversary ScholarshipBachelor of Nursing ScholarshipBay St. George Chapter ScholarshipBN Post RN ScholarshipCNA Certification BursaryFlo Hillyard ScholarshipFlorrie Penney BursaryGraduate Nursing ScholarshipGraduate Non-Nursing ScholarshipHealth Educators BursaryKay Daley ScholarshipMarcella Linehan ScholarshipNancy Llewellyn Pediatric BursaryNL Gerontological Nursing Association BursaryNursing Research AwardPost Basic Course BursaryRN Re-Entry ScholarshipSt. Clare's Alumni Association ScholarshipViolet Ruelokke Primary Health Care Award Year: Award: - None -ARNNL 50th Anniversary ScholarshipBachelor of Nursing ScholarshipBay St. George Chapter ScholarshipBN Post RN ScholarshipCNA Certification BursaryFlo Hillyard ScholarshipFlorrie Penney BursaryGraduate Nursing ScholarshipGraduate Non-Nursing ScholarshipHealth Educators BursaryKay Daley ScholarshipMarcella Linehan ScholarshipNancy Llewellyn Pediatric BursaryNL Gerontological Nursing Association BursaryNursing Research AwardPost Basic Course BursaryRN Re-Entry ScholarshipSt. Clare's Alumni Association ScholarshipViolet Ruelokke Primary Health Care Award Year: Leave this field blank
