SGNA RN Advancing Education Scholarship Application
SGNAisofferingthis scholarshipto a Registered Nurse workingin Gastroenterology, who wishesto continuetheireducation bypursuingaBSN,MSN, orPhD. Fundsof$2500 fora fulltimestudentor
$1000toaparttimestudent(takingaminimumofthreecredithourspersemester)willbepresentedto the recipient(s) ofthis scholarship. Thisisa one-time, non-renewable scholarship. The winner(s) willbeannouncedinthefall,andthemoneywillbeawardedasareimbursementaftertranscriptshave beensenttoSGNAHeadquartersshowingthattheintendedcourseworkwascompletedwithaGPAat least 3.0
Criteria:
Applicantmust bea member ofthe SGNA, and a registered nursecurrentlyenrolled fulltime
(asdefinedbytheeducationalinstitution)orpart time(takingaminimumof3credithoursper semester)foraminimumofonesemesterinanaccreditedadvanceddegreeprogrampursuinga
BSN, MSN, or PhD witha GPAofat least 3.0.
Send completedapplication byJuly31st to: SGNAAwardsCommittee
330 N WabashAvenue
Suite 2000
Chicago, IL60611
To beconsidered,application mustinclude:
*Completed application
*Essay, no more than 500words, double-spaced
*Two lettersofrecommendation from faculty
*Transcript ofcourseworkcompleted to date
Statement:
Iunderstand that ifIam selected for the SGNARN AdvancingEducation Scholarship, Imust submit current transcriptsto prove a minimum GPAof3.0 before funds will be reimbursed to me for educationalexpenses. Iaffirm thattheapplicationisentirelymyown work.
Signed name:Date:
Printed name:
General Information:
Name:Home Address:
City:State:ZIP: Hphone: Wphone: Email
Employment
Brieflydetail youryearsspent inGIpracticeand your most currentemployment responsibilities:
Education
Previouseducation:
School where RNdegreewasattained: Present educationalinstitution: Current GPA(ifapplicable):
Indicatethe degree you are pursingadvanced nursingeducation in to which you intend toapplyan
SGNA scholarship:(BSN, MSN, PhD) Expected graduation date:
RelatedExperience
Howlonghaveyou been in themedical field?: Howlonghaveyou been a Registered Nurse?: Whydidyou originallyenter nursing?:
Howlonghaveyou been a GIRegistered Nurse?:What interested you in a career in GINursing?:
Advocacy
Please describe anycurrent or previousexperience you mayhave in the followingareas. Please date
eachactivityand provide the time COMMITMENTofyour personal involvement. Promotion ofpatienthealth or safetyissuesinyouremployment orin your community.
Developmentofeducational material foryour peersor patientsor your community.Performance improvement or qualityoutcome studies
DATE TIMEACTIVITY AND DESCRIPTION COMMITMENT
NOTE: PLEASE ATTACH A SEPARTE PAPERFOR ADDITIONAL DATA IF NEEDED
Professional Qualities
Listandbrieflydescribeanyvolunteerleadershiprolesyouhaveheldinthecommunity(includedates,
yearsofservice, location,etc):
List and brieflydescribe anyprofessional leadershiprolesyou have held (include dates, yearsof service,location,etc):
Howlonghaveyou been a memberofthe SocietyofGastroenterologyNursesAssociates?
Areyou currentlya member ofanyother professional organization? Please check theappropriate organizations:
American NursesAssociation
Sigma Theta Tau
National Student Nurses’ Association
Other (Please specify)
Areyour currentlycertified in any field in nursing? Areyou currentlycertified in gastroenterologynursing(ABCGN)?
Haveyou ever presentedan educationalprogram?Please list subject content:
Haveyou ever published anyprofessional material in local newsletters, journalsor professional magazines? Pleaselist content:
Short Essay
In no more than 500 words(typed, double-spaced),please answerthe followingquestion:
Describe achallengingsituation you see in the nursing field today.
Discusshowyou, asa Registered Nurse withanadvanced degree would best addressandmeet thischallenge.