RN Bursary Test

Goals and Objectives for My Nursing Future

*Maximum 250 words

RN Verification

Please provide proof of current BCCNM registration. Documentation can be downloaded from their website. https://registry.bccnp.ca/

Proof of current registration*

*Accepted file types: doc, docx, pdf, jpg, jpeg

My current employer is*

My position/area of practice is*

Personal Information

Name*

First Last

I am also known as

First (Nickname) Last (Maiden Name)

Best Contact Phone*

Address*

Address Line 1 Address Line 2 City Province Postal Code

Email (please use your personal email rather than your school email)*

Social Insurance Number (SIN)*

Please ensure the accuracy of your input.

I am a Canadian citizen or permanent resident*

I confirm

Proof of BC Residency for 6+ months*

Accepted forms of proof include: BC Drivers License, BC ID Card, or a Utility Bill. *Please note that the ID should include your address. Passports and Permanent Residency cards are NOT accepted. *Accepted file types: doc, docx, pdf, jpg, jpeg

Education

Indicate the program of study in which you are enrolled for 2021.

Name of Program*

Name of Program (Other) i.e. MBA in Healthcare Administration:

Area of Specialization or Field of Study

Name of Educational Institution

If you have chosen Other, please specify the school and title/name of degree program you are enrolled in.

Proof of Current Enrollment

If you are a continuing student, attach a copy of your on-line confirmation of 2021 enrollment PLUS if available, a copy of your current class/term registration schedule. Please ensure that your student number is included. If you are starting your program in 2021, attach a copy of your Letter of Acceptance and if available, a copy of your current course/term registration schedule. All attached documents must be in the accepted file type.

Maximum file size - 1MB

*Accepted file types: doc, docx, pdf, jpg, jpeg

Name as shown on Current Enrollment documents

Enrollment Eligibility

Please confirm that you are enrolled in a term that falls within the 2021 calendar year.

I am enrolled in a term within the 2021 calendar year

Enrollment Term

* Please note that your proof of enrollment documentation must correspond with your Enrollment Term.

Anticipated Graduation Year

Name of your Educational Institution's Signing Officer

Title of that Signing Officer

Who can confirm your school registration i.e.: Registrar, Dean of Admissions, Nursing Director?

Proof of Current Enrollment or Letter of Acceptance*

Drop files here or

*Accepted file types: doc, docx, pdf, jpg, jpeg

Bursaries

Default Bursaries

If you are a registered nurse enrolled in post-basic degree nursing education programs you are automatically eligible for the following bursaries:

Agnes M. Publicover Bursary
Carol Winter Memorial Bursary
Elgin & Vivian Lockridge Bursary
Esther Paulson & Sylvia Code Memorial Bursary
Frederick & Elizabeth Willett Bursary
Helen Margaret King Memorial Bursary
RNABC Nursing Education Bursary
Ruth Echo (Littlejohn) McIlrath Memorial Bursary
Sylvia J. Holmes Bursary
The American Woman's Club of Vancouver
Vivian Grantham Bursary

Additional Bursaries

In additional to the default bursaries, you may be eligible for any one of the following. Please note they each have special eligibility requirements - DO NOT APPLY FOR THEM if you do not meet those requirements or your application will most likely be disqualified.

RNFBC Bursary Boost Award (NEW in 2020) By completing a valid application you will be automatically eligible for this bursary on a random draw basis, The number of available awards depend on the balance of donations received each year to be awarded for this purpose.

Applicants of the St. Joseph's School of Nursing Alumnae bursary must be a descendant of a graduate of St. Joseph's School of Nursing or a resident of Vancouver Island, BC

I am a descendant of a graduate of St. Joseph's School of Nursing
I am a resident of Vancouver Island

Have you applied for bursaries that require additional documents? You can upload them here:

Drop files here or

*Accepted file types: doc, docx, pdf, jpg, jpeg

Statement of Understanding

All check boxes are required fields. Failure to complete all statements will mean that you will be unable to complete your application process.

I have read the application instructions and completed the entire application form and have checked its accuracy.

I confirm

I will pay the $35 administration fee. I understand that this fee is non-refundable and that becoming a RNFBC member is not considered to be payment of my bursary application fee.

I confirm

I have included all the required documentation and my statement of goals.

I confirm

I have submitted complete and true information on this form. I understand that failure to do this may prevent my receiving assistance now or in the future.

I confirm

I understand that it is my responsibility to advise RNFBC immediately if any of the information I have provided should change, including a change in address from the one I have submitted today.

I confirm

I agree to send a letter of thanks for my bursary donor based on the information provided in my award notification letter c/o RNFBC's offices. I further agree that my thank you may be included in whole or in part to assist RNFBC in future donor communications, the RNFBC website, newsletters and other communications to help RNFBC strengthen and garner future support.

I confirm

I understand that should I be awarded a bursary, I will be expected to provide a Letter of Good Standing from my school prior to receiving the award package.

I confirm

I consent to allow the RNFBC to make use of my name and, if requested, my photograph and bio, for any publication regarding the recipients.

I confirm

I consent to allow my name to be added to the RNFBC's mailing list.

I consent

I will return the award to the RNFBC if I am unable to use the money for my nursing studies.

I confirm

Application Fee

The application fee is $35.00 and is non-refundable. Please pay below via PayPal.

Please note, your application WILL NOT be submitted or considered complete until payment is made via PayPal.

*Becoming a RNFBC member, while much appreciated, does not count as your application fee.

I acknowledge and understand the application fee and payment terms.

I confirm

Method of Payment

PayPal

RNFBC Bursary Application Fee

To pay your application fee: Once you click "submit", you will be taken to PayPal to complete the payment process. You will not be able to return to this page to complete the payment process at a later date.

Price: $ 35.00 CAD

PayPal Email Address

Please enter the PayPal Email Address that will be used to for payment. If this email is of someone other than yourself, please ensure that you make note of your name in the PayPal info so that the payment can be credited to your application. This information is for RNFBC bookkeeping purposes only and your email will not be sold to an outside party.

Total

$ 0.00 CAD

Name

This field is for validation purposes and should be left unchanged.

RN Bursary Test

TEST > 2021 Registered Nurses Bursary Application

RN Verification

Personal Information

Education

Proof of Current Enrollment

Bursaries

Statement of Understanding

Application Fee