Exit Healthcare Professional Development Award Application Form The Leduc Community Hospital Foundation is pleased to offer financial awards to help support continuing education and/or professional development opportunities, such as courses or seminars, for healthcare professionals working in the Leduc region. Two (2) awards of up to $500 each will be awarded annually to eligible applicants.Eligibility CriteriaThis award is open to health care workers who are pursuing continuing education and/or professional development opportunities in a healthcare field. Applicants must: Be employed at a minimum of a 0.4 FTE, working at the Leduc Community Hospital or the Community Health Centres in Beaumont, Leduc or Thorsby. Be enrolled in a continuing education/professional development program, course or seminar that build skills and knowledge that can be applied in a health care setting in their chosen healthcare field. Be a Canadian citizen or permanent resident. Complete their professional development/continuing education courses, seminars, etc. within the fiscal year (April 1 – March 31 annually) that the award is granted. Application ProcessApplications must include: Completed application form. A one-page essay (500 words) that details why continuing education/professional development is so important to them and their chosen health care profession. Resume. Confirmation of registration for a continuing education/professional development course or seminar. Declaration of other financial awards or scholarships already received for the course in this application. Incomplete or late applications will not be considered. The deadline for applications is February 15. Additional DetailsThis award shall be used for course/registration fees; it cannot be used for expenses incurred to attend classes, courses or seminars (i.e., travel, mileage, parking, accommodations, meals, etc.).Successful applicants will receive the award (up to $500) upon confirmation of completion of their program, course or seminar.This awards program would not be possible without the support of the generous donors and supporters of the Leduc Community Hospital Foundation. Question Title * 1. Contact Information Full Name (first and last) Address City/Town Province Postal Code Email Address Phone Number Question Title * 2. I am a (select one): Canadian citizen Permanent resident Question Title * 3. I am currently employed at (select one): Leduc Community Hospital Beaumont Public Health Centre Leduc Public Health Centre Thorsby Public Health Centre Question Title * 4. Program, course or seminar enrolled in: Question Title * 5. When do you begin your program, course or seminar? Program start Date Question Title * 6. When do you expect to complete your program, course or seminar? Program completion Date Question Title * 7. Have you previously received an award or scholarship from the Leduc Community Hospital Foundation? Yes No If yes, please tell us when: Question Title * 8. Have you received any other financial support/awards for the program, course or seminar you are enrolled in? Yes No If yes, please specify. Question Title * 9. Attachment 1: Essay Upload your one-page essay (500 words) that details why continuing education/professional development is so important to you and your chosen healthcare profession. PDF, DOC, DOCX file types only. Choose File Choose File No file chosen Remove File Upload your one-page essay (500 words) that details why continuing education/professional development is so important to you and your chosen healthcare profession. Question Title * 10. Attachment 4: Resume Upload your resume. PDF, DOC, DOCX file types only. Choose File Choose File No file chosen Remove File Upload your resume. Question Title * 11. Attachment 5: Confirmation of Registration Upload the confirmation of registration for your continuing education/professional development program, course or seminar. PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Upload the confirmation of registration for your continuing education/professional development program, course or seminar. Thank you for submitting your application. The Scholarships and Awards Committee will review all applications. Successful applicants will be notified of the committee's decision within three weeks of the application deadline. For more information contact info@lchfoundation.ca. Since 1993, the Leduc Community Hospital Foundation has been building relationships with community partners to support and enhance healthcare in the community. Submit