KATHERINE WDOWIAK MEMORIAL AWARD

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1 KATHERINE WDOWIAK MEMORIAL AWARD This award was established in honour of the late Katherine Wdowiak who made tremendous contributions to nursing and health care to improve the health of all Nova Scotians. Ms. Wdowiak was a valued member of the Xaverian Family through her work as an Educational Consultant in the Certificate in Continuing Care Distance Nursing Program. Students embraced her warm, supportive approach to learning, as well as her ability to facilitate the integration of new information into the experiential knowledge base of practicing nurses. Throughout her professional nursing career, Ms. Wdowiak held many nursing leadership positions including Community Health Liaison, Supervisor of Community Health (Atlantic Unit), and Supervisor of Nursing, Home Care Nova Scotia. She was a strong advocate for nurses and encouraged nurses in all practice settings to continue to develop professionally through the attainment of new skills and higher education. Ms. Wdowiak was an active community citizen and a valued participant on many community committees. She received recognition on several occasions from a variety of organizations for outstanding community involvement and participation in community development initiatives. Applicants for this award will be evaluated on the following criteria: Community Involvement Academic Ability Cooperative Attitude Commitment to Continuing Education While academic ability must be demonstrated, it is the candidate s involvement in the community that is most influential in determining the awarding of this scholarship. Through a personal statement, the student must demonstrate active participation at the community level, such as involvement in community action groups, volunteering (e.g., committee work, athletic groups, community activities), coordinating community health services, and/or by contributing in some way to the enhancement of the cultural and spiritual value of the community. Two awards will be presented annually to two students enrolled in a StFX Post RN Distance Nursing Program (i.e., BScN, Certificate in Gerontology, or Certificate in Continuing Care) and who have completed a minimum of one year of studies. The award monies will be forwarded to the Business Office at St. Francis Xavier University to be applied to the students account to offset tuition. The deadline for applications is February 28 th. Applications should be submitted to the Distance Nursing Program Office.

2 Katherine Wdowiak Memorial Scholarship St. Francis Xavier University Distance Nursing Programs Student Name Student ID # Please complete the following application and return to the Program Office with the following supporting documents by February 28 th. One required reference (form enclosed) must accompany your application in order to be considered for the award. Student copy (unofficial) transcript Professional (nursing) associations or memberships Office/positions held in professional associations (if any) Participation in Community Organizations (may include spiritual, cultural, sports, children s groups, advocacy groups, self-help groups, etc.) See over

3 Offices held in community groups (if applicable) Identify how your experience with community groups has influenced your nursing - or how your professional experience has influenced your interest/participation in community activities. Previous awards for professional or community related activities (if applicable) Please identify the name of the reference who has direct or specific knowledge of either your professional activities or your community activities. PLEASE NOTE: The deadline for applications is February 28 th. Applicants can only receive the award once during their BScN program. Students may submit consecutive applications if they have not received the award. The receipt of StFXU Study Awards from the BScN Program does not influence eligibility for this award.

4 Katherine Wdowiak Memorial Scholarship St. Francis Xavier University Distance Nursing Programs REFERENCE Name of Applicant Please indicate the duration and nature of your relationship to the applicant. Please indicate the strengths of this applicant regarding professional activities. Please indicate the strengths of this applicant regarding professional leadership abilities. See Over

5 Please indicate the strengths of this applicant in regards to community activities. Please indicate the strengths of this applicant in regards to leadership in community activities. Would you endorse this applicant for the Katherine Wdowiak Memorial Scholarship? Signature: Position: Date:

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