NARHC 2019 Bursary Bursary Form Question Title * 1. Did you come to Canada, or another country, as a refugee fleeing conflict or war? Yes No Question Title * 2. What is your name? Question Title * 3. What is your email address? Question Title * 4. What was your profession in your country of origin? Healthcare Practitioner Nurse Physician Mental Health NGO Other (please specify) Question Title * 5. Please explain why you would like to attend the North American Refugee Health Conference Question Title * 6. Would you feel comfortable speaking to the media regarding your participation? Yes No Question Title * 7. What is your country of birth? Question Title * 8. How will participating at NARHC 2019 support your professional development? Question Title * 9. Can you commit to attending all 3 days of the conference? Yes No Question Title * 10. How long have you been a refugee in Canada, or another country? 1-2 years (recently arrived) 3-5 years more than 5 years Done