SC ENA Emerging Professional Scholarship Application

SC ENA Emerging Professional Scholarship Application

South Carolina Emergency Nurses Association
The South Carolina Emergency Nurses Association will award one recipient up to a $1,000 scholarship to cover the cost of tuition and books for a bachelor's, master's, or doctoral degree program in a nursing-related field. The recipient must be an emerging professional (5 years or less as a registered nurse). The recipient is required to submit an invoice showing the amount paid by the ENA member. The amount awarded cannot be more than the ENA member has paid.

Applications are open from January 1st to May 31st of each year. The award recipient will be notified by email in July of each year.
Name

First NameLast Name
Email
example@example.com
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Program Enrollment:
ENA Membership Number
Chapter affiliate:
Attended # Chapter Attended of # Chapter Held chapter meetings in the previous 12 months .
Attended # State Attended of # State Held state meetings in the previous 12 months.
Date when RN license was issued:

MonthDayYear
Date
Date of Original ENA Membership

MonthDayYear
Date
College/University
Program Name
i.e., Nursing, Education, Leadership, Informatics, etc.
Type of Degree
List any membership for committees/positions held with the local or state chapter for the South Carolina Nurses Association. Must include dates, chapters, and duties / responsibilities.
i.e., Chapter secretary, fundraising committee, golf tournament committee, etc.
Please Select any ENA activities or events that you have participated during the previous 2 years
Other ENA Events not listed above
Please upload proof of attendance/certification.

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List any current memberships in professional organizations other than ENA
Attach proof of any memberships listed above

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List any activities that you have participated in related to the profession of Emergency Nursing (not including duties required by your job)
i.e., Injury prevention, government legislation, etc.
List any activities that you have participated in related to the profession of Emergency Nursing that are within your regular job duties.
List any community service activities you have participated in within the past year. Must include the date and location of each event/activity. (please list in bullet form)
i.e., serve at the soup kitchen every other Saturday morning, coordinated a local food drive, etc.
Write an essay explaining why you are seeking this scholarship. If awarded, how will you utilize the funds? What do you anticipate your future contributions to SC-ENA to be? (minimum of 250 / maximum of 500 words).
Upload invoice / proof of payment:

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Signature of Applicant
Should be Empty: