Gloria J. McNeal Leadership & Public Policy Mentorship Fellowship

GLORIA J. MCNEAL LEADERSHIP & PUBLIC POLICY MENTORING FELLOWSHIP APPLICATION
Learn about the Gloria J. McNeal Leadership & Public Policy Mentorship Fellowship through the digital brochure. Next, the application process will begin with the following sections:

1. Applicant Information Form

2. Applicant two-page narrative

3. Applicant one-page statement of expectation

4. Applicant’s five-page resume or curriculum vitae

5. Letter of recommendation

GLORIA J. MCNEAL LEADERSHIP & PUBLIC POLICY MENTORING FELLOWSHIP APPLICATION
Name and credentials listed as applicant wishes them to appear on his/her certificate.
Street Address (Home)
City, State, Zip
E-mail Address
example@example.com
Phone number (Work)
Phone number (Home)
APPLICANT CURRENT NURSING EXPERIENCE
Current Employer
Street Address
City, State, Zip
Position
E-mail Address
example@example.com
Phone numbers: (Work)

APPLICANT EDUCATIONAL HISTORY

	Institution	Dates Attended	Degree Received
Nursing Program
College or University
Graduate Program
Other

I certify, I have met the criteria for eligibility and have submitted information that is correct to the best my knowledge. I give permission to ABNF to use and duplicate my submitted materials for the purposes of review, conference proceedings, promotion and placement in ABNF files. If selected, agree to submit a summary report of the Fellowship experience to be posted to the ABNF website or
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Date

MonthDayYear
Date

TWO-PAGE NARRATIVE STATEMENT (35 POINTS)

Description of how the applicant:

a. has engaged in leadership or political

b. will demonstrate how participation in the Fellowship experience will be of benefit to ABNF

c. will advance his/her professional goals and contribute to the nursing academic enterprise upon completion of the Fellowship experience
TWO-PAGE NARRATIVE STATEMENT

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ONE-PAGE STATEMENT OF EXPECTATION (25 POINTS)

The applicant will:

a. describe his/her expectation of the Fellowship

b. explain how the knowledge gained from the Fellowship experience will applied to the field of nursing

c. describe plans for disseminating knowledge learned to the ABNF membership
ONE-PAGE STATEMENT OF EXPECTATION

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SCOPE OF INFLUENCE AS DEMONSTRATED BY CURRICULUM VITAE (20 POINTS)

Describe how the applicant has met the following criteria:

a. is a member of ABNF

b. is a member of an ethnically diverse underrepresented group

c. holds a nursing education position within a healthcare organization or school of nursing

d. has held positions on professional organizations (school, church, community, state, etc)

e. has received state or national recognition (this may include certification)

f. has presented or published
SCOPE OF INFLUENCE AS DEMONSTRATED BY CURRICULUM VITAE

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LETTER OF RECOMMENDATION (20 POINTS)

Describe how the applicant has engaged

a. special projects

b. public speaking

c. political or leadership activities

d. a consultant capacity outside of the institution where employed and how this has impacted health
LETTER OF RECOMMENDATION

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