McCarthy/Stewart International Medical Graduate Grant

Applications must be received by 11:59 p.m. on Oct. 13, 2023.

For more information, please email Sydney Keyamo or call 902-877-6128.

Applicant's name

First

Middle

Last

Applicant's Social Insurance Number

Current address

Address

City/Town

Province

- Select -AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonAlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming

Postal Code

Email

Telephone

Do you practise family medicine?

- Select -YesNo

If no, please specify your specialty.

In what year did you complete the Practice Ready Assessment Program?

Have you been licensed by the Nova Scotia College of Physicians and Surgeons?

- Select -YesNo

If yes, please provide your licence number.

Are you a member of Doctors Nova Scotia?

- Select -YesNo

If yes, please provide your member ID number.

Are you within your first two years of practise in Nova Scotia?

- Select -YesNo

If yes, in which community do you practise?

1. Briefly describe your journey to practising medicine in Nova Scotia. (250 word limit)

2. Describe why you wish to practise as a physician in Nova Scotia. (250-word limit)

3. Describe why you feel you should be considered for the award and provide any additional information you want the selection committee to know. i.e., current financial pressures, barriers experienced in Nova Scotia, etc. (250-word limit)

Additional requirements

If you are successful, at a later date we will require your:

• Banking information
• Participation in the program evaluation

Signature of applicant:

Reset

Sign above

Date:

Submit