Alabama Nurses Foundation
360 North Hull St. ~ Montgomery, AL 36104
PH: 334-262-8321 ~ FX: 334-262-8578

Alabama Nurses Foundation Scholarship Application
Licensed Nurses

Application Deadline and Award

The Alabama Nurses Foundation will award two academic scholarships to recipients who demonstrate scholarship, commitment, and potential for leadership in the practice of Nursing. The amount will be $2000. Deadline to receive all required materials will be March 1, 2018 for an award to be given by April 17, 2018 at the Elizabeth Morris Clinical Education Sessions – FACES’18.

Eligibility

It is available to any current licensed Alabama nurse enrolled in higher education leading to a degree in the field of nursing. The candidate must be an Alabama resident currently enrolled or accepted into an Alabama School of Nursing and have a minimum overall GPA of 3.5 out of 4.0 scale.

The scholarship will be awarded based on academic performance, nursing leadership in either/or academic setting or community, and professional activities

Required material to be submitted by March 1, 2018

  1. Scholarship application form
  2. Copy of official transcript
  3. Two completed applicant Recommendation Forms from two current faculty members (previous faculty members if not currently enrolled in an academic program). Use the provided form
  4. Picture (head shot) which will be published in the Alabama Nurse (if awarded).
  5. Incomplete applications will not be considered

Attestation Statement

I, (print your name), certify the enclosed information is accurate and true to the best of my knowledge and the material will remain the property of the Alabama Nurses Foundation. I understand that misrepresentation may result in forfeiture of the scholarship.

If I am awarded the scholarship, I agree to complete the nursing program specified and to work as licensed Registered Nurse in Alabama for at least one year following graduation.

I certify that I am enrolled in School of Nursing. My anticipated date of graduation is . If awarded I designate that this scholarship be sent to the ( ) college/university or ( ) student loan repayment.

The Alabama Nurses Foundation does not discriminate on the basis of race, creed, color, national origin, religion, age, sex, handicap, disability, veteran status, marital status, sexual orientation, or any characteristic prohibited by law.

Signature of Applicant Date

Applicant Information

Name

Student Identification Number

Address

City Zip Code State

Telephone Personal Email

Academic

College/University

Address

City Zip Code State

Additional Information (attach no more than one (1) page for each question)

  1. Leadership – Describe your leadership in either academic and/or community setting, including positions held, awards, etc.
  1. Professional activities - Provide evidence of professional activities (not continuing nursing education)
  1. Nursing Goals – Briefly provide your short and long term goals for your nursing career

Licensed Nurses Scholarship Application Recommendation

Provide the following information to the applicant in a sealed envelope. All materials must be postmarked by March 1, 2018. This recommendation is part of the ASNA Member Scholarship application.

Name of Applicant

Academic Institution

Name of Faculty MemberDay Phone

Signature of Faculty MemberDate

  1. In what context and how long have you know the applicant?
  1. How has the applicant exhibited leadership achievement and or potential?
  1. Optional Remarks

Licensed Nurses Scholarship Application Recommendation

Provide the following information to the applicant in a sealed envelope. All materials must be postmarked by March 1, 2018. This recommendation is part of the ASNA Member Scholarship application.

Name of Applicant

Academic Institution

Name of Faculty MemberDay Phone

Signature of Faculty MemberDate

  1. In what context and how long have you know the applicant?
  1. How has the applicant exhibited leadership achievement and or potential?
  1. Optional Remarks