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Name
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Email address
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Phone number  *
Would you like us to connect with you via phone/WhatsApp?
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What's your current mailing address?
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What is you country of initial nursing education?
What is the country of your initial nursing education?
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What is the country of your current residence? If in Canada, specify the province/territory
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What is your nursing degree?
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What is the current registration/licensure status in Nova Scotia or any other Canadian province/territory?
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If registered/licensed as a nurse in Nova Scotia/Canada, please specify your category of registration below. *
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What year did you become registered/licensed in Nova Scotia/Canada?
How long was the registration process? *
How many years of nursing experience did you have before obtaining a nursing license in Nova Scotia/Canada? *
What is/was your area of practice in your home country before applying for Nova Scotia/Canadian nursing registration? Examples include emergency, ICU, pediatrics, maternity, education, administration, etc. *
What is your current area of practice as a  nurse in Nova Scotia/Canada? Examples include emergency, ICU, pediatrics, maternity, education, administration, etc.
 *
What are/were the top three challenges in your registration/licensure process?
What are the top three challenges that you face in workplace?
How can the Nova Scotia IENs Network support you?
Would you be interested in mentoring another IEN?
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Would you be interested in getting connected to an IEN mentor?
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Any other comment/suggestions?
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