Applications due March 30, 2018!! 2018 Application for Strides for Stroke Bursary Awards

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1 Applications due March 30, 2018!! 2018 Application for Strides for Stroke Bursary Awards Mackenzie Health is the District Stroke Centre for York Region as part of the Ontario Stroke System and was awarded with Accreditation Canada s Stroke Services Distinction in 2013 and As we are also the only designated stroke centre in the Central LHIN, we are responsible for advancing stroke care and clinical best practices across a large geographic area. Mackenzie Health is committed to promoting life-long learning, autonomy, accountability and leadership for professionals in a setting that respects interprofessional collaboration and professional growth. Richview Manor Strides for Stroke This year marks the 13 th year that Mackenzie Health Foundation has organized and operated the Richview Manor Strides for Stroke 5km Run/Walk. This event has raised significant funds to support and increase the activities of stroke care at Mackenzie Health. Strides for Stroke Bursaries will be awarded to interprofessional team members to allow them to attend a conference or course where the focus is on best practices across the continuum of stroke care. There are $2,600 worth of bursaries to be awarded! Application Due: March 30, 2018 Return the completed application to Janet Belusic, Administrative Assistant, Professional Practice c/o Mackenzie Health 10 Trench Street, Richmond Hill, Ontario L4C 4Z3 1

2 Eligibility Strides for Stroke Bursary Awards The Strides for Stroke Bursaries are designed to support the Mackenzie Health District Stoke Centre s mission to advance stroke care and clinical best practices. In order to be eligible for this award, applicants must have been working part time or full time at Mackenzie Health for a minimum of 1 year (1950 hours) prior to applying for the bursary. The funds may be used for tuition fees in an academic program or conference/course fees in the upcoming 12 months. Travel expenses related to attending the conference/course may be covered in part. Successful applicants are eligible to receive a Strides for Stroke Bursary only once. Selection Criteria All applicants for the Strides for Stroke Bursaries will be reviewed and selected based on the following criteria: o The applicant is a health care professional employed by Mackenzie health who has worked part time or full time for a minimum of one year 1 point; o Manager Endorsement 1 point; o Demonstrated commitment to professional activities, for example: Mackenzie Health committee membership 1 point; o Attendance at previous stroke related education 1 point; o The program/conference/course focuses on enhancing care for patients at risk of stroke or for patients with stroke 2 points possible; o Award winners commit to sharing the learning with colleagues at Mackenzie Health 2 points possible. Maximum points = 8. 2

3 How Can I Apply? The application form is available below, from or from Janet Belusic, Professional Practice, Room 5914 B-wing, or by Janet.Belusic@mackenziehealth.ca Please review the information requested carefully and ensure you have completed the application form in its entirety. When is the deadline? A completed application with attachments must be received by Janet Belusic by March 30, 2018 at 4 pm. or By Mail: Janet Belusic, Professional Practice, Room 5914 B-wing, 10 Trench Street, Richmond Hill, Ontario, L4C 4Z3. Tel: ext By Janet.Belusic@mackenziehealth.ca How Will Applications Be Reviewed? The Strides for Stroke Bursary Committee will review all eligible applications. All applicants will receive a response from the review panel. Successful candidates will be informed by April 16, Presentation of the awards to successful candidates will occur during the awards ceremony of Nursing Week, May 7-11, Bursaries will be paid directly to the successful applicant upon submission of eligible receipts after the course event occurs: Please ensure that you obtain a receipt for payment and a certificate of attendance to submit. 3

4 Date Received 2018 Application for Strides for Stroke Bursary Personal Name: Department: Position Title: Work Extension: Home Telephone: Manager/Supervisor s Name: Employment Status: Full time Part time Date of Employment: 4

5 Bursary Information 1. Identify what course, conference or academic program you are requesting bursary support? Please attach accompanying brochure. 2. Identify the name of institution/organization where program/course will be taken. 3. List the dates of the program/course and the amount of funding you are requesting. 4. How will this award help you develop your knowledge and skill in caring for patients at risk of stroke or suffering from a stroke? 5. How do you plan on sharing your learning with your colleagues? 5

6 6. Other funding sources: 6

7 Financial Details Currency: (e.g. Canadian dollars) H.S.T. Registration #: Course/Registration Fee: Travel: Accommodation: H.S.T. Total Request: Total Approved: Signature of Applicant Date By mail: Janet Belusic Administrative Assistant, Professional Practice Mackenzie Richmond Hill Hospital Room 5914, B-Wing 10 Trench Street, Richmond Hill, Ontario, L4C 4Z3 Tel: ext By Thank you for your application. We look forward to reviewing your application and encouraging your learning in the area of stroke care best practices. 7