The Association of Registered Nurses of BC


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Corinne Balance

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Please note, you will not be able to save the form and return to it. Ensure you have all materials gathered before starting the application process.

For a full list of criteria you will need before submitting a nomination, please click here.

As well, please do not forget to click the 'Submit' button at the bottom of the form.

* all fields are required.
First Name:
Last Name:
Mailing Address:
Preferred contact email:
Preferred contact phone:
Nominee Declaration Form
Nominee Photo
Nominee Introduction
Letter of Support #1:  
Letter of Support #2:  
   * Additional letters can be submitted via email by clicking here.
Please submit one of the following:
  Letter from Nominee:  
  Video link from Nominee:  
  I certify that the above information is accurate
Please attach all necessary files before hitting the Submit button
(valid files to upload include: PDF, DOC, DOCX, GIF, JPG, JPEG, PNG, RTF, TXT, XLS, XLSX)