Gert Vorsteher Memorial Award

The BC Rehab Gert Vorsteher Memorial Award was created to assist individuals with a physical disability who are undertaking or have undertaken rehabilitation in the Province of British Columbia. Recipients of this award demonstrate incredible determination toward their personal rehabilitation goals and pursuing their

Next Application Deadline

Friday, February 21, 2019

Gert Vorsteher Award Application

Date of Application*
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Name of Applicant*
First Last
Address
Street Address City State / Province / Region ZIP / Postal Code
Email
Phone
Date of Injury
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Type of Injury
Date of Birth
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Date admitted to GF Strong
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Date released from GF strong
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- Presently residing at GF Strong
Do you have any sources of funding as the result of IBC claims, Workers Compensation, Insurance, Legal Law Suit, etc.
- Yes
- No
1. Please explain briefly how you were injured or acquired your disability?
2. Describe your rehabilitation at GF Strong and how you progressed during your physical rehab process.
3. Describe how you are pursuing your independence after leaving GF Strong Rehabilitation Centre.
4. The Gert Vorsteher Memorial Award is accompanied by a $5,000 monetary prize. If you were a recipient of this award, how would it assist you in furthering your independence?
Additional Information
Please include the name of two members of your support team at GF Strong. We encourage members of your rehab team to write letters of support for your application.
Name #1
First Last
Job Title
Phone
Email
Name #2
First Last
Job Title
Phone
Email
Upload supporting letters
Please feel free to attach any additional information you feel relevant to this application!
Before you submit an application for the BC Rehab Gert Vorsteher Memorial Award please note:
• In the event of any material change in circumstances before the awards ceremony, our committee has the discretion to reallocate awards.
• If you are a successful recipient of the Gert Vorsteher Award you will be expected to submit a follow-up report 6 months after receiving your award.
• By applying for this award you agree to allow BC Rehab to use your name and photograph on our website or in any related media material if you are a successful applicant. You will be required to sign a media release form should you be an award recipient.
*
- I agree*