Application Form Important Information Before you start the application, please ensure that you have your CNO number as you will be required to enter it as part of the application process. If you do not currently have your CNO number, there will be an opportunity to provide further details as to why. Please see below for important information on your program of choice then scroll down to complete the application. PLEASE INDICATE THE PROGRAM YOU ARE APPLYING TO:* Registered Nurse - Perioperative Nursing PERSONAL INFORMATIONName* First Last Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Telephone*Email* EMPLOYMENT INFORMATIONHow would you describe your employment status within the health field? Currently employed Previous relevant employment history No relevant employment history Please list your current or most recent relevant employment history (IF APPLICABLE)Job Title Employer Address Start date (dd/mm/year) End date (dd/mm/year) How many years of experience do you have as an RN? ADDITIONAL INFORMATIONDo you have a CNO number?YesNoIn ProgressPlease enter your CNO number Please explain why you do not currently have a CNO number.Date expected to receive number Preferred Clinical Placement Hospital (We will try our best to accomodate student preference but cannot guarantee placement at preferred hospital) Why are you interested in completing the RN Perioperative program? I certify that the information provide herein is complete and accurate. I authorize Algonquin College to make reasonable inquiry to confirm the information on this application. I understand my failure to provide complete, accurate, and truthful information on this application will be grounds to deny or withdraw my admission. NotificationAlgonquin College has a Confidentiality of Records Policy which protects the privacy of personal information held on student records. This policy is now supported by the Freedom of Information and Protection of Individual Privacy Act which came into effect January 1, 1989. The information gathered through the Program Application is collected under legal authorization of the Colleges and Universities Act R.S.O. 1980, c.272. The information is used for the educational, administrative and statistical purposes of the College and/or Ministries and Agencies of the Government of Ontario and the Government of Canada. Δ Applications are now closed for this program and will open again in March 2024.