Step 1 of 5 20% Testimonial FormPlease provide as much information as possible highlighting your positive experiences working in healthcare in Manitoba.Name First Last Profession Date Submitted DD dash MM dash YYYY Email About YouTell us a little bit about yourself: 1. Where did you grow up? 2. Where did you take your professional training? Where are you now?Please describe the city/town, hospital or site you are currently working in. Important FactsIdentify some important fact that you think other healthcare professionals should know about practicing in Manitoba.Why did you choose to Move/Stay? 1. Why did you choose to practice in Manitoba? 2. How long have you been practicing here? 3. Why did you make the decision to practice in your current location. What do you Like Most?What do you like most about living and practicing in Manitoba?Describe your PracticePlease provide highlights of your practice life: Photo ConsentConsentI hereby irrevocably grant Shared Health Inc. (“Shared Health”), and anyone that Shared Health authorizes, the absolute permission to use, modify and reproduce and disseminate any photograph or footage or text submitted by me (collectively, your “Submission”), or any in which I may appear, in whole or in part as Shared Health sees fit, in its sole discretion. I hereby confirm that I am the sole copyright owner of any content I submit and am thereby duly authorized to grant such license to Shared Health. I agree as per the statement abovePhoto UploadPlease include a photo of yourself with your testimonial. See the photo requirements below: 1. Photo should be in a JPEG format 2. Photo measurements should be at least 1080 px x 1080 px 3. Total file size no larger than 500 kb Max. file size: 10 MB.Date Photo was Taken MM slash DD slash YYYY Note: Your Submission may be used in any communications vehicle and you are hereby agreeing that Shared Health possesses all right, title and interest (or holds valid license) to use, whether or not registered, all intellectual property rights in your Submission. You hereby waive the right to inspect or approve the use of your Submission or text that may be used on conjunction with it, or to approve the use to which such material may be applied. You release Shared Health, and its officers, directors, agents, representative and affiliates (including, in this case, all Service Delivery Organizations) from any liability for any damage, injuries or cases of action that you may incur in any way related to your Submission. This release shall be binding on your respective heirs, executors, administrators, personal representatives, successors and assigns.