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