APHA PUBLIC HEALTH NURSING SECTION ANNOUNCES PUBLIC HEALTH NURSING SCHOLARSHIP PROGRAM

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1 APHA PUBLIC HEALTH NURSING SECTION ANNOUNCES PUBLIC HEALTH NURSING SCHOLARSHIP PROGRAM The Public Health Nursing Section of the American Public Health Association invites BSN students who plan to engage in PHN practice, Graduate nursing students with a public health concentration, Early Career professional nurses (within 3 years of finishing your degree), and a mid-career professional to submit an application to become a recipient of a PHN Scholarship to provide $ to assist in attendance at the 2015 Annual Meeting of the American Public Health Association. This program provides a scholarship to students/nurses for the purpose of establishing meaningful connections in the public health nursing community, developing future PHN leaders, maximizing awardees experiences at the APHA annual meeting, and supporting involvement in the PHN Section. Once selected, applicants will be matched with and mentored by an experienced PHN. The mentorship experience is expected to enhance the students or new professionals role as a public health nurse. Eligibility requirements, awardee responsibilities, and an application are attached. For more information contact, Sarah Kelly at [email protected] ELECTRONIC APPLICATIONS ARE DUE BY CLOSE OF BUSINESS DAY (5PM EDT), July 30, 2015

2 Public Health Nursing Student Engagement Committee Public Health Nursing Section Membership Committee American Public Health Association Awardee Eligibility and Responsibilities Awardee Eligibility 1. Is a BSN student who plans to engage in PHN practice, graduate nursing student with a public health concentration, an early career professional PHN, or a midcareer PHN currently employed in an agency with a public health focus. 2. Demonstrates an interest in the advancement of public health nursing through the applicant essay. Awardee Responsibilities 1. Exchange contact information and develop a tentative time schedule of annual meeting activities with assigned mentor prior to the annual meeting. 2. Attend the Quad Council program, APHA Opening Session, PHN luncheon, and at least one PHN section business meeting and scientific session. 3. Provide an evaluation of the experience to the committee by completing the leadership program evaluation form. 4. Prepare a written summary of the events attended and assessment of the mentorship experience within 30 days of conference attendance- for the PHN section newsletter and/or other PHN section promotional or informational publications. Awardees summary statements will describe future intentions related to practice and involvement in PHN/CHN. Award recipients will be photographed with the other award winners for publication in the PHN newsletter. 5. Must also complete and submit a W-9 form. 6. Remain in touch with mentor throughout the calendar year. Awardee Selection Process The committee will collaborate with public health/community health nursing organizations, agencies, and others to distribute announcements about the program. Each interested applicant must complete an application form and return it to the committee. The committee will select the awardees. Applicants will be asked to describe themselves and their backgrounds. Successful applicants will be asked to give permission to the PHN Section to publicize their names and professional biographical information within the PHN Section.

3 PHN Nursing Scholarship Program 2015 Scholarship Application The complete application package must be received by no later than the close of business (5PM EDT) on July 30, Please submit electronically to Sarah Kelly, address: Fax application page requiring a signature to: Sarah Kelly, PhD, RN Assistant Professor and Director of Generic Undergraduate Program Rutgers University School of Nursing Fax Number: Please provide all information requested. Attachments should be presented as electronic files with the application form. Part I: Applicant Information Name: Year of Graduation (BSN) Type of PHN Membership: Student Early Career Ethnicity/Race Telephone (Home) Work Mailing Address City: State: Zip: Address: Part II: Applicant Credentials Please attach electronic file with resume or curriculum vitae. Part III: Applicant Essay In 500 words or less please respond to the following questions: Describe yourself, your background, and your interest in attending the Annual Meeting of the APHA. What outcomes do you anticipate from participation in the annual meeting of the American Public Health Association? How will your participation in the program enhance your practice as a public health nurse and contribute to your lifelong learning? How will you continue to engage in public health nursing after the conference?

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5 Part IV: Academic Institution or Public Health Agency Name of Academic Institution/ Department or Public Health Agency: Mailing Address: Academic/Agency Certification: In the space below obtain a signature from an authorized certifying agency official or Department Chair within the above named health agency or department/academic institution certifying your status as an enrolled student or employed professional nurse. On behalf of the above named agency or academic institution, I certify that the above named applicant is currently employed in a community or public health setting or enrolled as a student and is eligible to apply for the PHN Scholarship Award. Type or print name and title of authorized certifying official/department chair. (Name) (Title) Signature: Date: Part V: Signature of the Applicant By signing below I certify that I have met the eligibility requirements to receive the PHN Scholarship Award and agree to participate in the activities outlined in the description of the award. (Type or print name of applicant) Signature: Date: The application deadline date is: 5PM EDT, July 30, applications to: PHN/APHA Scholarship Award Attention: Sarah Kelly, PhD, RN [email protected]