SIGMA THETA TAU, BETA ETA-at-LARGECHAPTER

APPLICATION FOR THE GRADUATE STUDENT

2015-2016$1000 SCHOLARLY ACTIVITYAWARD (DNP Candidates)

Instructions for Applicants

From its inception, STTI has recognized the value of scholarship and excellence in nursing practice. In 1936,STTI became the first U.S. organization to fund nursing research.

The goal of the Beta Eta-at-Large ChapterDNP or PhD Scholarship/Research Award is to support the research training and scholarship in nursing science of a member of Sigma Theta Tau who is currently enrolled ina Doctoral program at either Edgewood College or the University of Wisconsin-Madison. Two (2) awards will be given: one for a DNP student (quality / EBP project), and one for a PhD student (research). Only members of Sigma-Theta Tau will be eligible for this award. Each category (DNP and PhD) will be evaluated separately, as these works are distinctly different.

The application will be reviewed independently by three Sigma Theta Tau Board members.A succinct and carefully written description of the proposed research will assist the reviewers inevaluating the purpose, method, and feasibility of theresearch plan.The winner of this award will be asked to present their proposed research at the Spring 2016 event on April 14th from 5-8PM at Edgewood College Washburn Heritage Room.

The application may be submitted by March1st, 2016, as a Wordattachmentto:

President of Sigma Theta Tau Beta-Eta Chapter, Heidi Lindroth at the following address:

In addition, If you are from Edgewood College submit a hard copy of the application with applicant and

faculty sponsor signatures to:

Taylor Garcia, Henry Predolin School of Nursing’s Program Specialist

Edgewood College

Henry Predolin School of Nursing

DeRicci 343B

1000 Edgewood College Drive

Madison, WI, 53711-1997

If you are from UW-Madison School of Nursing submit a hard copy of the application with applicant and faculty sponsor signatures to:

Heidi Lindroth at the following address: Cooper Hall #4160.

Questions about the application can be addressed to Heidi Lindroth, email:

Application for Sigma Theta Tau Beta EtaChapter-at-LargeScholarly Activity Award

– 2015-2016

I. GENERAL INFORMATION

Title of Scholarly Work:
Applicant: / Current Position
Contact Information:
Phone:
E-mail:
Member of Beta Eta Chapter since: ______
(Date)
(Note: If not a current member, you may apply to join Sigma Theta Tau – Beta Eta Chapter-at-Large by contacting Katie Selle or Jennifer Drake at jdrake2wisc.edu
FacultyAdvisor : ______
Co-investigators (if any): ______

Abstract:(limit to 250 words)

I accept responsibility for conducting this study as described and will submit a report to the Beta Eta Chapter office within one year of the award. I agree to participate in periodic updates on my post-award scholarly project activities. / Applicant Signature______
Date:______

FacultyAdvisor Signature:

Title:

School: Date:

II. APPLICANT INFORMATION

Submit a current Curriculum Vita with this application

III. PLAN FOR SCHOLARLY ACTVITIY

A.Introduction (maximum2 double spaced pages)

1.Purpose and Significance:Statement of the problem, overall purpose, and potential significance.

2.Background: Brief review of relevant literature supporting the need for the proposed activity.

3.Specific Aims and Clinical Relevance:

B. Method (maximum 2 double spaced pages)

1.Participants and Setting: Site(s) of study, participants, recruitment (if applicable) and consent procedures (Append consent form and copy of IRB or Human Subjects Committee approvals or indicate plan for obtaining approval.)

3.Method: Intervention components (if applicable), measures, and data collection procedures.

4.Data Analysis: Analyses planned to address specific aims.

5.Timetable: Projected dates for completion of each phase of the scholarly activity, with specification of what component of the study the award funding will support.

C. Resources(maximum 1 page double spaced)

1.Equipment and software: Equipment and software that will be needed.

2.Budget: Estimated expenditures and amount for each item to be covered by this request (maximum $1000).

D. References Cited: (APAformat.)

IV. BIOGRAPHICAL SKETCH

A brief 1-paragraph description of your educational and professional history and goalsthat can be used for publication in the Beta Eta Newslettershould you receive the award.

BetaEtaAwardApplication-2016

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