Application for the
Do you have a current license to practice medicine in Nova Scotia?
Or, do you plan to practice in Nova Scotia? beginning when?
Have you experienced the need for this knowledge in your practice?
Do you currently have patients in your practice suspected of having EI?
Do you have the capacity in your practice
to begin seeing patients suspected of having EI?
Would you like to add anything else in support of your application? (Use additional paper if desired)
After filling in the above application form, send it to:
NSAEHAor use email to email@example.com, subject line Scholarship, by February 24, 2003.
Or email the completed application to firstname.lastname@example.org