Koll Scholarship Application Form

Scholarship Application Form

Up to $300 will be reimbursed for attending a Emergency Nursing related class, conference or course. You will need to submit proof of attendance after the event for reimbursement. Recipients are selected quarterly and notified by email.
Scholarship Eligibility Criteria

To be eligible for this scholarship, applicants must:- Attend an ENA class or Emergency Nursing conference or a Regional conference examples : Cornerstones, Annual Essentials in Emergency Evaluation (Zumbro Valley) or Brief Topics in Emergency Nursing ( Central Chapter). TNCC/ENPC,BCEN Live conference. Due to changes in offerings other Emergency Nurse classes/conferences are eligible for consideration in the eligibility process.
Application Submission Dates

.August 20th and October 20h, January 20th and April 20th, for selection at the following quarterly chapter meeting.Applicants will be notified by the email provided.
Full Name

First NameLast Name
Email Address

Confirmation Emailexample@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Personal Statement (Describe your goals, achievements, and why you are seeking this scholarship)
Date of conference

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please specify which course you are attending.
Upload Supporting Documents (e.g., Agenda,, proof of enrollment)

Cancelof
Have you recieved this award previously?
Have you attended a local ENA conference?
Are you an ENA member?
Have you attended a Minnesota State sponsored course?
Have you attended a National ENA conference?
Should be Empty:

Scholarship Application Form

Scholarship Eligibility Criteria

Application Submission Dates