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Student Incentive Grant - Practical Nursing Application

Effective January, 2019 - for post-secondary students enrolled in a Manitoba Practical Nursing program which include:

Assiniboine Community College
Université de Saint-Boniface
University College of the North

Applicant Name

Permanent Address

City

Province

Postal Code

Tel #

Email

Temporary Address

City

Province

Postal Code

Tel #

Email

Name of Education Institution

Name of Educational Program

Start Date of Education Program (month/day/year)

Date of Expected Graduation (month/day/year)

Preferred Health Site/Facility

Copy of Education Transcripts

Two (2) Letters of Reference

Resumé

The applicant accepts and complies with the conditions of a required Return of Service commitment of 12 months with Southern Health-Santé Sud

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