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CRMC Internships for the RN Prescriber
in the Family Medicine Setting
Application Form
Date of Birth of Applicant
Year
Month
Day
Status in Alberta
Canadian citizen
Permanent resident of Canada
Do you meet both of the following CRNA requirements: Full RN License from the CRNA and at least 3,000 certified hours of RN practice since graduation? (YOU WILL BE ASKED FOR PROOF)
Yes
No
Do you meet at least one of the following 4 additional requirements? (YOU WILL BE ASKED FOR PROOF)
Postgraduate education in either Nursing, Family Medicine, Emergency Medicine, or Occupational Health
3,000 hours of RN experience in either family medicine clinics, medical or surgical admission units, or emergency departments in the last 5 years
Certification by the ANCC for Ambulatory Care Nursing (AMB-BC)
Successful completion of the CEPIEN with 3/3 in all competencies
Do you meet one of the following requirements? (YOU WILL BE ASKED FOR PROOF)
I hold a Canadian BScN with a GPA of at least 3.5 out of 4
I hold a foreign BScN with a GPA of at least 3.5 out of 4 certified by WES Canada on a course-by-course report
I hold a foreign BScN with a GPA of at least 3.5 out of 4 certified by WES USA on a course-by-course report
Are you a resident of either Calgary, Okotoks, High River, Chestermere, Diamond Valley, Priddis, Airdrie, or Bragg Creek? (YOU WILL BE ASKED FOR PROOF)
Yes
No, but I am employed at an Affiliated Satellite Site that belongs to Covenant Health
No (your application will be automatically rejected)
You must have recently passed an English language exam (within the past 6 weeks) to be admissible; which one of the following have you completed? (YOU WILL BE ASKED FOR PROOF)
IELTS (Academic) with a score of at least 7.0 in all components
Duolingo English Test with a minimum score of 130 in all four components
CELPIP with a minimum score of 9 in all four components
I am exempt from this requirement because I graduated in either Canada, Australia, New Zealand, the Republic of Ireland, the UK, or the USA.
Date of Application
Year
Month
Day
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