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* 1. Please provide your full name.

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* 3. Please provide your phone number.

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* 4. Please provide your address.

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* 5. Are you a Registered Nurse (RN) or Nurse Practitioner (NP) in good standing with the College?

*Please note for this position you must be a Registered Nurse or Nurse Practitioner in good standing with the College.*

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* 6. What is your understanding about the work of the College of Registered Nurses and its mandate?

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* 7. Why are you interested in serving on the Complaints Investigation Committee?

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* 8. What would your education, skills, and experience bring/add to the Complaints Investigation Committee?

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* 9. Electronic signature and application certification

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* 10. Please upload your resume here in support of your application.

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* 11. Please upload any other documents here in support of your application.

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