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APPLICATION FORM

Occupational Health and Safety Scholarship

Eligibility Criteria

Please note: ALL criteria must be met for the application to be considered

q Provide a copy of your ONA membership card as proof that you are a bona fide member

q Provide a course outline and anticipated outcomes for yourself and/or your bargaining unit.

q The course you are intending to take must be an occupational health and safety course, workshop, conference or education other than one sponsored by ONA.

t Scholarship funds will be provided to successful applicants upon proof of completion of the course.

t Successful candidates must give a presentation on what they have learned at a bargaining unit or local meeting.

Deadline

Applications must be received at ONA by May 15, every year. Successful applicants will be notified by mail within one month of the decision by the Board of Directors.

Name: ____________________________________________________

Address: __________________________________________________

City: _____________________________Postal Code_______________

ONA I.D. # ______________ Local # _______________________

Send your application to: Office of the President

Ontario Nurses’ Association

85 Grenville Street, Suite 400

Toronto ON M5S 3A2

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