MR Test - Choose2Care.ca - BC Health Care Assistants

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Personal Information

Name

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone

Learning Plan

This Learning Plan outlines the conditions, including remedial education requirements and completion timeframes, to ensure eligibility to receive the bursary funds. The following Learning Plan was discussed during my consultation call with the HCA team.

Remedial Education Requirement #1

Course/Program

Next Steps

Required Completion Date

Add another course/program

As per the Required Completion Date(s) outlined above, it can be expected that I will be registered with the Registry approximately two months after my course completion dates.

Acknowledgement & Consent

Check the boxes below in order to finalize and submit your application

As indicated by my agreement below, I confirm that the contents of this application are true and complete to the best of my knowledge and belief. I understand and agree that if I make a false or misleading statement or representation with respect to my application, I will not be eligible for this bursary.

As indicated by my agreement below, I confirm that the contents of this application are true and complete to the best of my knowledge and belief. I understand and agree that if I make a false or misleading statement or representation with respect to my application, I will not be eligible for this bursary.

I understand that I must complete all of the remedial education requirements set above within the established timeframes to be eligible to receive the bursary funds. If there are any changes to my course date(s) established in this bursary agreement, I must notify the HCA Team in writing by sending an email to info@choose2care.ca explaining the reasons I was unable to complete the course within the established timeframes. Should I not complete these requirements by the above deadline, I understand that absent extenuating circumstances beyond my control, I will become disqualified from receiving any bursary funds.

I understand that I must complete all of the remedial education requirements set above within the established timeframes to be eligible to receive the bursary funds. If there are any changes to my course date(s) established in this bursary agreement, I must notify the HCA Team in writing by sending an email to info@choose2care.ca explaining the reasons I was unable to complete the course within the established timeframes. Should I not complete these requirements by the above deadline, I understand that absent extenuating circumstances beyond my control, I will become disqualified from receiving any bursary funds.

I understand that all personal information related to my application for the Remedial Education Bursary is collected in accordance with applicable privacy legislation, for the purposes of administering my participation in the program, facilitating the evaluation process, funding verification, entitlement, disbursement of financial stipends, grants, reimbursement or waiver programs, statistical analytics, surveys, research, potential recruitment, employment, and other such related purposes. I understand that no personally identifiable information will be disclosed to outside parties, except as described in this application form.

I understand that all personal information related to my application for the Remedial Education Bursary is collected in accordance with applicable privacy legislation, for the purposes of administering my participation in the program, facilitating the evaluation process, funding verification, entitlement, disbursement of financial stipends, grants, reimbursement or waiver programs, statistical analytics, surveys, research, potential recruitment, employment, and other such related purposes. I understand that no personally identifiable information will be disclosed to outside parties, except as described in this application form.

I consent to BC Care Aide & Community Health Worker Registry sharing personal information in my online Registry account with Health Match BC for the purpose of confirming my eligibility for this bursary.

I consent to BC Care Aide & Community Health Worker Registry sharing personal information in my online Registry account with Health Match BC for the purpose of confirming my eligibility for this bursary.

If you have any questions about the application form or the use of this information, please contact us at info@choose2care.ca

This form is unique to you and can only be used once. Once the form has been submitted, this page will no longer be accessible so make sure your data is complete and accurate.

Personal Information

Funding Disclosure

Learning Plan

Documents Required

Bursary Distribution

Acknowledgement & Consent