Please email us at atlanticbranches@physiotherapy.ca if you have any questions or would like a form.

We offer an education bursary award to members each year to support continuing education and professional development.

The deadline to apply is December 31 annually, and the award will be given at the following AGM.

All decisions of the Board are final for all applications. Please cut and paste from below:

 

Education Bursary Application /  Demande de bourses

Name / nom : _____________________________              # CPA /ACP _______________

Address / adresse : _______________________________________________________ 

Proposed or Completed continuing education program / Programme d’éducation continue proposé :

Title / titre : ____________________________________________________________

Instructor / Enseignant : ____________________________________________________________________

Location / Lieu :  ______________________________________________________________________

Duration :     from / de ___________________ to / à ________________________________

Fee / frais :  $___________   Required text or materials/ matériaux ou textes requis : $__________

*Attach proof of acceptance into program\receipt (mandatory) and receipts for mileage and / or travel and accommodation expenses (optional), the course must have been completed in the past 2 calendar year / Attachez la preuve d’acceptation dans le programme/reçu (obligatoire) ainsi que les reçus pour le kilométrage, hébergement, dépenses de voyage etc… (optionel), le cours doit avoir été complété au cours des 2 dernières années civiles.

Relevance of proposed program to career goals./ Pertinence de ce programme par rapport à vos objectifs de carrière _____________________________________________________________________

Signature: _______________________________________         Date: _____________________

Return to / retournez à : Monique Rogers

                                           104 Dorothea Drive, Saint John, NB E2J 3J2                                                    

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