IEN Bridging-RN & Re-Entry Scholarship Reference | NL Registered Nurses' Education & Research Trust

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Thank you for agreeing to provide a reference to assist the applicant in obtaining this scholarship. If you are unable to meet the deadline for receipt of references, please notify the applicant. Failure to receive references will jeopardize the applicant's ability to meet the scholarship requirements.

This form can be used to provide a reference for either scholarship.

A. Applicant Information

Please provide the following information about the applicant.

First Name:

Last Name:

Email:

CRNNL Registration Number:

Above information is provided by the applicant.

Please indicate:

(i) how you know the applicant

(ii) how long you've known the applicant (years)

B. Your Information

Please provide the following information about yourself.

First Name:

Last Name:

Position:

Employer:

Email:

Phone Number: