I hereby agree to accept the offered medical education scholarship from The New Brunswick Medical Education Foundation recognizing the following stipulations.

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• I have every reasonable intention to practice in New Brunswick following completion of my studies for a period of at least one year for each award received from The New Brunswick Medical Education Foundation.

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• If the award is tied to more than a one-year return-to-service commitment, I understand this pledge is indicative of my intent to practice in New Brunswick for the term indicated in the associated Scholarship Agreement established between the donor and The New Brunswick Medical Education Foundation. 

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• If the award is tied to a specific region of New Brunswick (e.g. Riverview, Bathurst or Dieppe), I understand that this return-to-service pledge is indicative of my intent to practice in that community. 

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• If the award is a renewable scholarship, it may be renewed following confirmation, by June 30 annually, of my continuing commitment to practice in New Brunswick following completion of my studies. I understand that I must reapply annually for this scholarship to be re-awarded. 

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• I have confirmed my status as a full-time student and have provided documentation that confirms the successful completion of my preceding year of studies (e.g. a transcript or letter from my university). 

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• The New Brunswick Medical Education Foundation may request that I disclose other sources of scholarships or bursaries I am presently receiving, or will be receiving, for the upcoming academic year. I will provide this information if and as requested. 

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• This scholarship is based on the assumption that I, the student and recipient, meet the conditions as stipulated in both my application and in the associated Scholarship Agreement established between the donor and The New Brunswick Medical Education Foundation. If my circumstances change materially from those identified in my application, I recognize that I must notify the Grants Committee for the Foundation at the earliest opportunity. 

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• I understand that I, the student and recipient, will be asked to write a thank-you letter to the donor(s) of my scholarship. I agree to provide this letter to the Foundation, which will share with the donor(s) on my behalf. 

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• It is my responsibility to ensure I share my contact information with the Foundation annually until my return-to-service pledge has been completed. This includes my contact information, and information pertaining to my program of study, employment and/or other activities as required. If my circumstances change, and I am unable to complete my return-to-service pledge in full, I recognize that I must notify the Alumni Committee for the Foundation at the earliest opportunity. 

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Please Note:

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• Because our scholarships were established to encourage students to locate their medical practices in New Brunswick, there is an expectation by the Foundation that if you choose not to locate in New Brunswick following completion of your studies, the scholarship awarded will be repaid to the New Brunswick Medical Education Foundation to assist other students.

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• Scholarship recipients will be required to participate (at their convenience) in media events to promote the Foundation. The New Brunswick Medical Education Foundation reserves the right to use the recipient's name and image for this purpose and in its promotional materials.

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• E-mail reminders will be sent out annually to remind recipients to update their contact information, especially for issuance of Income Tax receipts.

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• E-mail reminders will be sent to graduating students in the spring of each year to remind recipients to provide their new contact information as they move into Residency.

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• Residents approaching the end of their Residency will be sent a reminder of the terms of their scholarship and individuals who no longer feel willing/able to practice in New Brunswick at the conclusion of their Residency training will be encouraged to contact the Foundation.