NAD Healthcare Practicum Funding

Northern Alberta Development Healthcare Practicum Funding Application

Important Reminders:

1) Students are only eligible for funding if they must travel to a northern location for practicum. You will not be eligible if you are attending practicum in the same town or city that you currently live in. However, if you are travelling greater than 50km per day (25km one way) to a practicum location, you may still be eligible.

2) You must fill out a separate application for each practicum site. We are unable to process applications that have multiple sites and dates combined.

The Healthcare Practicum Funding program is offered by Alberta Health Services (AHS), through funds provided by the government of Alberta. The purpose of this program is to support students considering a northern location placement for their practicum.

Decisions on applications are made on an ongoing basis. Funding is available only for practicum placements in certain healthcare centers and programs within the geographical boundary of Northern Alberta. Funding approval is not automatic.

It is suggested that applicants submit applications as soon as practicum location and dates are confirmed. Funds are limited and applications may be prioritized based on location and program of study linked to a career in high demand by Alberta Health Services.

If your program or facility is not identified on the attached listing please contact student.strategies@ahs.ca to confirm funding eligibility.

In order to verify your eligibility for Healthcare Practicum Funding program, Alberta Health Services requires the following personal information:

Details of your educational facility, practicum information, and coordinator signature
Your personal contact information information
Residency Status
Amount of funding requested

If your application is successful, your Social Insurance Number (SIN) will be required in order to issue a T4A for income tax purposes.

The the below are the Eligible Locations:

Athabasca Healthcare Centre
Beaverlodge Municipal Hospital/Community Health
Bonnyville Community Health Services/Extendicare
Boyle Healthcare Centre
Buffalo Lake Settlement Community Health
Central Peace Health Complex, Spirit River
Cold Lake Healthcare Centre/Community Health
Elk Point Healthcare Centre/Community Health
Fairview Health Complex
Fishing Lake Métis Settlement Community Health Services
Fort Vermilion Community Health Centre
Fox Creek Healthcare Centre
Grande Cache Community Health Complex
Grande Prairie Community Health Centre/Care Centre
Grande Prairie Regional Hospital
Grande Prairie Queen Elizabeth II Hospital
Grimshaw/Berwyn & District Community Health Centre
High Prairie Health Complex
Hythe Continuing Care Centre
Kikino Métis Settlement
La Crete Continuing Care Centre
Lac La Biche Healthcare Centre
Manning Community Health Centre
Northern Lights Regional Health Centre, Fort McMurray
Northwest Health Centre, High Level
Peace River Community Health Centre
Peace River Correctional Centre
Sacred Heart Community Health Centre, McLennan
Slave Lake Healthcare Centre/Family Care Clinic
St. Paul Community Health/St Therese Healthcare Centre
St. Theresa General Hospital, Fort Vermilion
Swan Hills Healthcare Centre
Valleyview Health Centre/Community Health
Wabasca Desmarais Healthcare Centre/Community Health
Whitecourt Healthcare Centre/Community Health
Worsley Community Health Services

The the below are the Eligible Programs:

Audiology
Addictions Counsellor
Biomedical Engineering Technology
Diagnostic Medical Sonography
Environmental Health
Health Information Management
Licensed Practical Nurse
Medical Laboratory Technology
Medical Radiation Technology
Nurse Practitioner
Nursing Attendant / Health Care Aide
Nutrition – Dietetics Specialization

Occupational Therapy
Paramedic (PCP and ACP)
Pharmacy
Pharmacy Technology
Physiotherapist
PT, OT, SLP, REC Therapy Assistant
Recreation Therapist
Registered Nurse
Registered Psychiatric Nurse
Respiratory Therapy
Social Worker
Speech/Language Pathology

NADB Healthcare Practicum Funding Application
Section 1: Student's Contact Information

Student to complete.
Student's Name*

First NameLast Name
Student's E-mail*
example@example.com
Student's Phone Number*
Student's Permanent Mailing Address (address funding will be will be mailed to if application is successful)*
City*
Province*
Postal Code*
Name of city/town that you consider your home community*

Section 3: Practicum Information
Name of AHS Facility you are attending practicum?*
Name of town/city of practicum?*
Practicum Start Date*

MonthDayYear
To the best of your knowledge.
Practicum End Date*

MonthDayYear
To the best of your knowledge.

Section 4: Funding Request

Eligible maximum amounts are listed below.
What is the main reason that you have chosen to pursue a practicum in nothern Alberta? Choose all that apply.*

I live or have lived in the area previouslyI would like to explore new opportunitiesI have family in the areaThe funding opportunity interests meOther

Section 4: Funding Request
Please note funding for accommodation is only eligible if you have to maintain two residences while on practicum. Proof of payment is required for both residence during practicum AND maintaining your primary residence outside of practicum.
I will be maintaining payment for my current residence and will need to pay for accommodation during my practicum placement.*

YesNo
Is this your first or second practicum placement in northern Alberta?*

First (claim $20 per day)Second (claim $25 per day)
If this is your second practicum placement, where was your first? (include facility and community)
How many days will you maintain 2 residences?*
Travel Funding of $0.505/KM is Available
Address you are living at during in class portion of your education? *
Address you are living at while on practicum? (Practicum Residence)*
Distance (KM) relocating from your primary residence to your practicum site?*
Will you be travelling greater than 50 km per day (25km one way) between practicum site and the residence you are stay at during practicum (Practicum Residence)?

YesNo
How many KM will you be travelling per day between practicum site and the residence you are staying at during practicum?*
How many days will you be travelling to practicum site from the residence you are staying at during practicum?
Airfare Amount ($) (receipts required if relocating from outside of Alberta)
Healthcare Centre Parking Fees($) (receipts will be required if applicable)

Total Costs
Maximum funding eligible based on duration of practicum length (you will be notified when your application has been reviewed to determine total eligible amount that you qualify for based on travel, accomodation and duration):*

$1200 (0-3months)$1800 (3-6months)$2500 (6+ months)
If you have any questions or comments about filling out this application please enter them here. We will reach out to you via email address provided once we have reviewed your application.

Section 5 - Declaration of Applicant
I declare that the information given on this application is true and complete.

I understand that:
- If I make a false or misleading statement in this application or fail to disclose information as requested by Alberta Health Services, I may be denied financial assistance and/or be required to immediately repay all financial assistance received.
- Personal information and documents may be disclosed and exchanged by and between any third party authorized to collect a debt owed to Alberta Health Services
- Summary information will be provided to the Northern Alberta Development Bursary Program for the purposes of statistical analysis and program evaluation.
Student Signature*

Clear
Date*

MonthDayYear
Date

WHAT’S NEXT?

The above information will be sent to your practicum coordinator for verification.

Any questions about practicum funding should be directed to student.strategies@ahs.ca
- Practicums for the NADB Healthcare Practicum Funding Program
  must be completed between April 1 and March 31 of the fiscal cycle. The
  deadline for applications is February 15th.
- Decisions on applications are made on an ongoing basis. Funds are
  limited and applications may be prioritized based on practicum location
  and field of study. All decisions will be finalized by March 31st of each year.
- You will receive notification of your application’s approval from Talent
  Acquisition – Student Engagement.
- If approved, full payment of the funding is made upon completion of the
  practicum, receipt of a declaration form signed by your supervisor which
  includes your SIN and all applicable receipts, as well as receipt of a
  completed evaluation related to this funding program.
FIND OUT MORE ABOUT OTHER Northern Alberta Development Bursaries here
Should be Empty:

Northern Alberta Development Healthcare Practicum Funding Application

NADB Healthcare Practicum Funding Application

Section 1: Student's Contact Information

Section 2: Educational Information

Section 3: Practicum Information

Section 4: Funding Request

Section 4: Funding Request

Travel Funding of $0.505/KM is Available

Total Costs

Section 5 - Declaration of Applicant