Nursing for Reinstatement Application Form

George Brown College offers a Nursing for Reinstatement: Evidence of Safe Practice program. To gain acceptance into the program, you must complete the information below.

Fee Waiver Eligibility Form

Note: Items marked with an asterisk (*) must be completed.

Personal Information
Full Legal Name
Contact Information
Academic Information
Type of Applicant
What is the purpose of your application?

(Check all that apply.)

How many clinical hours do you require to meet the CNO's evidence of safe practice?
Declaration
Privacy Policy

General Collection Notice: George Brown College (the “college”) collects personal information under the authority of the Ontario Colleges of Applied Arts and Technology Act and in accordance with the Freedom of Information and Protection of Privacy Act. The college collects personal information for the purposes of administering its statutory objects/powers, programs, and activities and to carry out other services and functions. The college will secure personal information and use for such purposes as set out in the George Brown College Notice of Collection. If you have any questions about the collection, use, and disclosure of personal information at the college, please visit the college-wide Privacy Policy page. You may also contact the Privacy Office via email at privacy@georgebrown.ca.