Nova Scotia Health Learning Institute for Health Care Providers

Registration

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First Name*

Last Name*

Email*

Affiliation*

Phone*

Preferred Name*

Middle Name (please put N/A if you do not have a middle name)*

Emergency Contact Name*

Emergency Contact Phone Number*

Street Address*

City/Town*

Postal Code*

Province/Country*

Country of Study*

Years of experience as a Registered Nurse*

Employee Number (Please enter N/A if you are not a Nova Scotia Health employee.)*

Please indicate which zone you live in:

Professional Designation*

By completing this registration, I acknowledge that I have read, understood, and agree to abide by the policies found on the Learning Institute website under the About the Learning Institute menu.*

By clicking on register, you agree with our Usage Terms.