Cornerstones in Emergency Nursing Student Nurse Fee Reimbursement Application

Cornerstones in Emergency Nursing Student Nurse Fee Reimbursement Application
We welcome future Nurses! We will select up to 6 applicants for Cornerstones in Emergency Nursing Conference. Your 50$ tuition will be reimbursed after attendance. (Check in person or mailed if you attend virtually)
Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Mobile Phone Number
Format: (000) 000-0000.
Home Phone Number
Format: (000) 000-0000.
E-mail
Enter E-mail Here
Address

Street Address

Apt/Unit #

CityState

Zip Code
Have you attended a local chapter meeting or education of the Emergency Nurses Association?
College Information
College/University where you've been accepted
Are you a member of ENA, NSNA, MSNA or other Student Nurse Assocination?
Have you participated in an internship in an ED? If yes, which Hospital?
Did you know ENA offers a National Student membership for $25! Your membership includes: Podcasts, Education, the Journal of Emergency Nursing, Scholarships, Networking, Professional Development and Advocacy Click here for more information!

https://www.ena.org/!
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