Alabama Nurses Foundation
360 North Hull St. ~ Montgomery, AL 36104
PH: 334-262-8321 ~ FX: 334-262-8578
Helen Wilson Leadership Application
Application Deadline and Award
The Alabama Nurses Foundation will award annually a scholarship to an Alabama Association of Nursing Students (AANS) member. The amount will be $1000. Deadline to receive all required material will be August 15, 2018. The award will be granted during the AANS Annual Convention.
Eligibility
It is available to any current AANS member who has completed at least 12 nursing credit hours. Applicants must be enrolled in a RN Nursing program. The scholarship is awarded to an AANS member who has evidence of leadership and/or community involvement.
Required Material to be submitted by August 15, 2018
- 2018 Scholarship application form
- Copy of official transcript
- Two completed Applicant Recommendation forms from two current nursing instructors who will attest to the applicant’s ability to meet the scholarship requirements. In a sealed envelope.
- 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 Email
Academic
College/University
Address
City Zip Code State
Additional Information
Provide no more than one single sided typed page for the following questions
- Leadership – Describe participation in school and/or volunteer activities both in college and high school which demonstrate leadership.
- Honors and Awards – List honors and awards you have received and include nature of award and its relevance to nursing.
- Role in AANS – Describe your current participation in the AANA and how you anticipateyour role in the professional organization after graduation.
- Provide any other evidence you feel appropriate which demonstrates Leadership Achievement in nursing and/or the community.
- Provide a photograph (head shot) for publication in the Alabama Nurse, the official quarterly publication of the Alabama State Nurses Association.
Helen Wilson Leadership Application Recommendation
Provide the following information to the applicant in a sealed envelope. All materials must be postmarked by August 15, 2018. This recommendation is part of the Helen Wilson Scholarship application packet.
Name of Applicant
Academic Institution
Name of Faculty MemberDay Phone
Signature of Faculty MemberDate
- In what context and how long have you know the applicant?
- How has the applicant exhibited leadership achievement and or potential?
- Optional Remarks
Helen Wilson Leadership Application Recommendation
Provide the following information to the applicant in a sealed envelope. All materials must be postmarked by August 15, 2018. This recommendation is part of the Helen Wilson Scholarship application packet.
Name of Applicant
Academic Institution
Name of Faculty MemberDay Phone
Signature of Faculty MemberDate
- In what context and how long have you know the applicant?
- How has the applicant exhibited leadership achievement and or potential?
- Optional Remarks