Western New York Chapter Oncology Nursing Society

Western New York Chapter Oncology Nursing Society

MASTERS, POST MASTERS CERTIFICATE AND DOCTORAL SCHOLARSHIPS

PURPOSE:

1-To provide scholarships to registered nurses who are interested in and committed to oncology nursing.

2-To facilitate the process for members to continue their education by pursuing a master’s degree in nursing, post-masters certificate or are enrolled in a Doctoral Program.

AWARD:

2 -Masters degree, post-masters certificateor Doctoral scholarships are awarded $500.00 each.

SPONSORSHIP:

Western New York Chapter Oncology Nursing Society

QUALIFICATIONS:

1. The candidate must be currently enrolled in (or applying to) a masters nursing degree, post-masters certificate (CNS or NP) or Doctoral program at an NLN or CCNE accreditedSchool of Nursing.

1. The candidate must have a current license to practice as a registered nurse and must have an interest in and commitment to oncology nursing.

Upon completion of degree, the nurse shall submit a summary describing the education activities in which he/she participated.NOTE: An individual can receive both the Master’s scholarship,Post-Masters and Doctoralscholarship if they are two separate programs. Individuals can only receive the scholarship one time for each degree/certificate.

REQUIREMENTS:

1. All responses must be typed and confined to the space provided. Document is set to limit your response on Part A of the application form. You may wish to duplicate parts of the form to use as work sheets in preparing your application.

1. Please attach Resume or CV.

1. Please provide some form of documentation from the school for which you are enrolled (Transcripts, Registrar’s office documentation etc…)

APPLICATION PACKET: (SUBMIT Original and 2 copies of the application packet. The packet must be typed, unless electronic submission).

1. Application (parts A and B);

1. Submit documentation of enrollment in a MS, Post Master’s or Doctoral Program (transcript, registrar’s office receipt etc).

DEADLINE DATE:

The WNY ONS, regardless of postmark or other circumstances, must receive 2plus copies of completed application packet or electronic version by August for the Fall Semester or December 1 for the Spring Semester. If you have any questions, please contact a WNY ONS Board member. Contact list is located on the WNY ONS Chapter website or mail to

MAIL TO:WNY Chapter ONS

C/O Barb Dodds

Roswell Park Cancer Institute

Buffalo, NY14263

EMAIL TO:

Western New York Chapter Oncology Nursing Society

MASTERS DEGREE, POST MASTERS CERTIFICATE OR DOCTORAL SCHOLARSHIP APPLICATION

Please read the attached instructions before completing this application.

I am applying for:

Masters of nursing scholarship

Post-masters nurse practitioner certificate scholarship

Post-masters clinical nurse specialist certificate scholarship

Doctoral Scholarship (PhD, DSN, DNP)

General Information:

Full Name:Credentials:

Address:

(Street/Apt. Number/P.O. Box Number)

(City, State, Zip)

Home Phone: ( )Work Phone: ( )

E-mail Address:

Do you practice nursing in a rural urban setting?

R.N. License Number:State: Expiration Date:

State: Expiration Date:

Certifications: Yes No

LIST ALL CERTIFICATIONS:

OPTIONAL:

African American

Asian American

Hispanic/Latino

Native American

Other (Specify)

1. Masters student status:

I am currently enrolled.

Name of School of Nursing:

Percentage of the program completed:

Anticipated date of graduation:

1. Will you attend full time or part time

1. What degree in nursing will you receive?

1. If you are awarded a scholarship, do you agree to participate in long-term evaluations?

Yes No

Professional Nursing Experience

In 250 words or less, describe your role in caring for persons with cancer (insert work count at end of essay.

1. Biographical Information:Including employment experience: Please complete below OR submit a Resume or CV covering the next sections:

Work Experience:

2. College Education:

3. Membership in Professional Organizations

Nursing and non-nursing) Organizations:

4. Professional Contributions:List the most significant in the space provided. If none, please write none in the space provided.

Presentations: (Name of Presentation, Date, Target Audience, Location and Number of Hours)

Publications: (Site full reference of any health related journals/texts, newsletters)

Research: (Date, Title, Specific Involvement, i.e., Principle Investigator, Data Collector)

Other (Examples: Standards, Guidelines, Teaching Tools and Booklets)

Honors Awards:

5. Future Goals:In the space provided, describe your professional goals, how your goals relate to the advancement of oncology nursing and how this program will assist you in achieving stated goals.