NBNA Scholarship Program
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- Allyson Miranda Cummings
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1 NBNA Scholarship Program ANNUAL SCHOLARSHIPS AWARDEDNBNA is committed to excellence in education and conducts continuing education programs for nurses and allied health professionals throughout the year. The association provides annual scholarships for students. Scholarships provide funding for continuing education. This funding enables nurses to grow and better contribute their talents to the health and healthcare of our communities. Please review the Scholarship Application form carefully, remember, to submit ALL required documents with your application. Scholarships and Certifications The National Black Nurses Association, Inc. offers various scholarships each year including: Dr. Lauranne Sams Scholarship NBNA Board of Directors Scholarship Margaret Pemberton Scholarship Rita E. Miller Scholarship Maria Dudley Advanced Practice Scholarship Martha R. Dudley Scholarship Martha A. Dawson Genesis Scholarship Reverend Pauline L. Cole Scholarship Sheila Haley Scholarship United Health Foundation Scholarship Esther Colliflower/VITAS Innovative Hospice Care Scholarship Della Raney Nursing Scholarship Lynne Edwards Research Scholarship Children s Mercy Hospitals and Clinics Scholarship These scholarships will range from $1,000 - $5,000 Scholarship Requirements: 1. Must be a member of NBNA and a member of a local chapter (if one exists in your area). 2. Candidate must be currently enrolled in a nursing program (Doctoral, Master s, B.S.N., A.D., Diploma or L.P.N. / L.V.N.) and in good scholastic standing at the time of application. 3. Applicant must have at least one full year of school remaining.
2 National Black Nurses Association, Inc. Application for Scholarship Please Type or Print clearly in Ink Name First Middle Last Daytime Phone#: Current Address: City State Zip Code Social Security No.: Place of Employment and/or Spouse $ Yourself Spouse $ NBNA Member Chapter: (Spell out chapter name. If you are a Direct Member print Direct Member on line) Year you joined Head of Household: Father Mother Self Other Others You Support: Name Relationship Age School/Place Employment Do you currently hold a Nursing License? Yes No Type: RN LPN If yes: License Number: State Anticipate Source of Income: i.e., Family, Scholarship, Grant, Loans, Veterans Benefits, etc. Please list:
3 Current School of Nursing Enrollment: Name Address: City State Zip Code Dean/Director School Phone No.( ) Type of Nursing Program Circle One: LPN RN BSN Masters PhD Expected Graduation Date Advisor Extracurricular/Community Activities (List) Are you a NBNA Student Member: Yes No Year joined: Full Chapter Name: I hereby affirm that all the information provided is true. Any false statement will forfeit the award. Signature Date [You may attach a continuation sheet if necessary] Please application and supporting documentations to elazenby@nbna.org Have your school mail your official transcript to: NATIONAL BLACK NURSES ASSOCIATION Attn: Estella Lazenby/Scholarship Committee 8630 Fenton Street, Suite 330 Silver Spring, MD RECEIPT OF APPLICATION AND ALL REQUIRED INFORMATION MUST BE POST OFFICE MARKED APRIL 15, 2012 OR CLOSE OF BUSINESS 5:00 pm BY .
4 What You Need to Complete Your NBNA Scholarship Application In order to be considered for the National Black Nurses Association Scholarships, you will need to thoroughly complete an application. To assist you we have compiled a list of the information you will need to complete the application. Please review the scholarship application form carefully. Remember to submit ALL requested documents with your application. Application submitted by to elazenby@nbna.org. Deadline: April 15, 2013 Official Transcripts - Post marked by April 15, 2013 Submit two page essay A current professional photo (headshot) place picture in a separate file Must be enrolled in an Accredited School of Nursing Must have at least 1 full year remaining in school Must show evidence of active participation in local chapter. If direct member, evidence of community service Must sign honor agreement to pay membership dues as a first year graduate and as a full member the second year as a nurse Describe how degree will apply to nursing Two letters of recommendation (one from local NBNA chapter president if applicable). Community service: Participation in student nurse activities and or involvement in African American community If selected for a scholarship, a nursing student must submit a Thank You letter and a current Resume by to elazenby@nbna.org prior to receiving your check Limit the number of supporting documents to 10 pages, certificates, letters, articles all documents to elazenby@nbna.org, except official transcript which must come from the School of Nursing and post marked by April 15 th. Mailing Address: NBNA, Attn: Estella A. Lazenby/Scholarship Committee, 8630 Fenton Street, Suite #330, Silver Spring, MD All applicants must be a current member of NBNA and a member of a local chapter (if one exists in the area). Thank you, NBNA Scholarship Committee
5 National Black Nurses Association, Inc Fenton Street, Suite 330, Silver Spring, MD Phone: (301) Fax: (301) NBNA SCHOLARSHIP PROGRAM Written Essay Guidelines Each applicant is to submit with the application a two-page typed, 12 pitch font size, 1 margins, and double-spaced essay. Essay to include a description of extracurricular activities and community involvement. These may include (but not be limited to) local chapter activities, community based projects, school level projects, organizational efforts, state level student nurse activities, activities impacting on the health and social condition of African Americans and other culturally diverse groups. Also include a presentation of your ideas of what you can do as an individual nurse to improve the health status and/or social condition of African Americans and a statement about your future goals in nursing.
6 NBNA Scholarship Recipient Honor Pledge As a recipient of the NBNA Scholarship, I promise to remain a member in good standing in a local chapter or as a direct member to the NBNA over the next two years. Signature of recipient: Date:
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