Scholarship Application

Scholarship Application

Apply anytime
General information:

A limited number of scholarships are available yearly for NH School Nurses. The scholarship is not to exceed half the cost of the course or $500.00. As of 9/01/2024 $3000 per year is budgeted. NHSNA's fiscal year is September 1st to August 31st. First time applicants will receive priority.

The applicant must be a:

● A NHSNA member for at least two years.

● Be active in the practice of school nursing.

● Use the scholarship for an advanced degree in nursing, OR NCSN exam Reimbursement will be made after the applicant sends verification of successful course completion.
Today's Date*

MonthDayYear
Date
Name*

First NameLast Name
Credentials*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Name*
Home or Cell Phone Number*
Please enter a valid phone number.
Email*
example@example.com
RN License Number:
Have you received a scholarship from us in the past?*

YesNoOther
Course Title:*
If for NCSN Exam, state so here
Course Location:*
Course Start Date*

MonthDayYear
Date
Course End Date*

MonthDayYear
Date
Course Cost*
Amount Requested*
Comments
Should be Empty: