SD ENA Academic Scholarship

Scholarship:

$500 SD ENA Academic Scholarship Application

Personal Information:

* Indicates required field

Name *

First

Last

Credentials *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Licenses and Membership:

Nursing License Number & State *

ENA Membership Number *

How long have you been an ENA member *

Educational Institute Information:

Name of educational institution at which you are currently enrolled *

City & State of institution *

Degree pursuing *

Current enrollment: *

Start date *

Expected completion date *

Upload: Acceptance letter from the institution *

Max file size: 20MB

Please explain your professional experiences. Please include any honors and achievements. (1000 word max). *

Please explain your professional emergency nursing and educational goals and how this scholarship will help you obtain them (1000 word max). *

Reference:

Two references are required for all applicants. It is required that at least one of the references be an active ENA member to validate applicants ENA participation.

Reference 1: Name *

First

Last

Reference 1: Phone number *

Reference 1: Relationship to applicant *

Reference 1: Is this person an ENA member? *

Reference 2: Name *

Reference 2: Phone number *

Reference 2: Relationship to applicant *

Reference 2: Is this person an ENA member? *

I have reviewed this application for SDENA Scholarship and to the best of my knowledge, the information enclosed is accurate. It is understood that the decision as to whether any application qualifies me for approved funding rests solely and exclusively on the SDENA Scholarship Committee and the decision is final. Within 30 days of successful course completion, award recipient will provide proof of completion (course grade of B or higher). Funds will be distributed upon receipt of appropriate documentation.

Thank you for applying

Submit