ELIZABETH M. FENLASON AWARD
Application Direction Sheet-2016
Graduate students at Rutgers School of Nursing are invited to submit applications for the Elizabeth M. Fenlason Award.
1. Complete and return this application form on or before
Monday, May 30, 2016.
2. Forward completed forms and transcripts of graduate studies completed to date to the address listed below.
3. Provide one written reference from a Graduate Program Nursing faculty member who teaches your area of specialization. Provide the faculty person the attached description to use as a guide for writing the letter. Have reference letter sent to:
Fenlason Alumni Award Committee
Office of Student Services
Attn: Samita Mezger
Rutgers School of Nursing
180 University Avenue
Ackerson Hall, Room 102B
Newark, NJ 07102
Fax: 973-353-1189
Email:
Elizabeth M. Fenlason Award
DESIGN: The award was established by the Rutgers College of Nursing Alumni Association in April 1977 as an endowed fund. The award is administered by the Rutgers University Foundation as fiscal agent, with the Fenlason Award Committee serving as liaison for selection. Preference is given to Rutgers School of Nursing alumni.
PURPOSE: The award will provide financial support to selected current graduate students pursuing Rutgers University.
QUALITIES SOUGHT: In selecting recipients, the Committee will give special attention to evidence that supports the applicant’s committed to graduate education in nursing; evidence of motivation, discipline, and purpose required for success in graduate school; evidence of academic accomplishments and intellectual ability; evidence of personal characteristics that will contribute to constructive relationships with peers and professional colleagues; evidence of the human sensibilities without which the applicants career can be narrow and technical; and evidence of concern for the relationship of ethical and moral values to individual and academic life.
ELIGIBILTY: Applicants must have:
1. Baccalaureate or Master’s Degree in Nursing from a nationally accredited institution.
2. Evidence of completion of at least 12 graduate credits in a Rutgers Graduate Program in Nursing.
3. Citizenship in the United States of hold a permanent resident visa.
ELIZABETH M. FENLASON AWARD APPLICATION
(ATTACH TRANSCRIPTS-UNOFFICIAL TRANSCRIPTS WILL BE ACCEPTED)
Name: ______
(last) (first) (middle)
Address: ______
(street) (apartment)
City/State/Zip: ______
Telephone: (_____) ______U.S. Citizen? ______Yes ______No
(home/mobile)
(_____) ______Permanent Visa No.: ______
(business)
R.N Licensure: ______
(state) (current number) (year) (social security#)
1. Education ( Baccalaureate Nursing Program)
______
( name of institution) (year degree received)
______
(address/city/state of institution)
Education since graduation from Nursing:
______
(name of institution) (field of study)
2. Employment experience since graduation (begin with current or most recent position):
Position/Title Institution/Agency Inclusive Dates
a. ______
b. ______
c. ______
3. List membership in professional/civic/honor society/organizations:
______to____
(organization name) (activity/office held) (years)
______to____
(organization name) (activity/office held) (years)
______to____
(organization name) (activity/office held) (years)
4. In essay format, discuss specifically your area of interest, desire for a master’s or doctoral degree, circumstances influencing your decision and future goals and plans.
5. Write in essay format, your reason for requesting an award.
(Page limit: 1 page, double spaced, 12 point-font.)
Signature: ______Date: ______
*Please note: Also include a letter of reference from one of your graduate faculty members.