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NBNA Scholarship Program

ANNUAL SCHOLARSHIPS AWARDEDNBNA is committed to excellence in education and conducts continuing education programs for nurses and allied health professionals throughout the year. The association provides annual scholarships for students.

Scholarships provide funding for continuing education. This funding enables nurses to grow and better contribute their talents to the health and healthcare of our communities. Please review the Scholarship Application form carefully, remember, to submit ALL required documents with your application.

Scholarships and Certifications

The National Black Nurses Association, Inc. offers various scholarships each year including:

 Dr. Lauranne Sams Scholarship

 NBNA Board of Directors Scholarship

 Margaret Pemberton Scholarship

 Rita E. Miller Scholarship

 Maria Dudley Advanced Practice Scholarship

 Martha R. Dudley Scholarship

 Martha A. Dawson Genesis Scholarship

 Reverend Pauline L. Cole Scholarship

 Sheila Haley Scholarship

 United Health Foundation Scholarship

 Esther Colliflower/VITAS Innovative Hospice Care Scholarship

 Della Raney Nursing Scholarship  Lynne Edwards Research Scholarship

 Children’s Mercy Hospitals and Clinics Scholarship

These scholarships will range from $1,000 - $5,000

Scholarship Requirements:

1. Must be a member of NBNA and a member of a local chapter (if one exists in your area). 2. Candidate must be currently enrolled in a nursing program (Doctoral, Master’s, B.S.N.,

A.D., Diploma or L.P.N. / L.V.N.) and in good scholastic standing at the time of application.

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National Black Nurses Association, Inc.

Application for Scholarship

Please Type or Print clearly in Ink

Name

First Middle Last

Daytime Phone#: Email: Current Address:

City State Zip Code

Social Security No.: ________________________________

Place of Employment and/or Spouse $

Yourself

$ Spouse

NBNA Member Chapter: __________________________________________________ (Spell out chapter name. If you are a Direct Member print Direct Member on line)

Year you joined _________________________________________________________ Head of Household: Father  Mother  Self  Other  Others You Support: _______ Name Relationship Age School/Place Employment

Do you currently hold a Nursing License? Yes  No  Type: RN ___ LPN ___

If yes: License Number: _______________ _______State ________________ Anticipate Source of Income: i.e., Family, Scholarship, Grant, Loans, Veterans Benefits, etc. Please list:

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Current School of Nursing Enrollment:

Name Address:

City State Zip Code

Dean/Director School Phone No.( )

Type of Nursing Program – Circle One: LPN RN BSN Masters PhD Expected Graduation Date _________________ Advisor _______ Extracurricular/Community Activities (List)

Are you a NBNA Student Member: Yes  No  Year joined: _____________________ Full Chapter Name: ______________________________________________________

I hereby affirm that all the information provided is true. Any false statement will forfeit the award.

Signature _______ Date

[You may attach a continuation sheet if necessary]

Please email application and supporting documentations to

[email protected]

Have your school mail your official transcript to:

NATIONAL BLACK NURSES ASSOCIATION

Attn: Estella Lazenby/Scholarship Committee

8630 Fenton Street, Suite 330

Silver Spring, MD 20910

RECEIPT OF APPLICATION AND ALL REQUIRED INFORMATION MUST BE

POST OFFICE MARKED APRIL 15, 2012

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What You Need to Complete Your

NBNA Scholarship Application

In order to be considered for the National Black Nurses Association Scholarships, you will need to thoroughly complete anapplication. To assist you we have compiled a list of the information you will need to complete the application. Please review the scholarship application form carefully. Remember to submit ALL requested documents with your application.

 Application submitted by email to [email protected]. Deadline: April 15, 2013

 Official Transcripts - Post marked by April 15, 2013

 Submit two page essay

 A current professional photo (headshot) place picture in a separate file

 Must be enrolled in an Accredited School of Nursing

 Must have at least 1 full year remaining in school

 Must show evidence of active participation in local chapter. If direct member, evidence of community service

 Must sign honor agreement to pay membership dues as a first year graduate and as a full member the second year as a nurse

 Describe how degree will apply to nursing

 Two lettersof recommendation (one from local NBNA chapter president if applicable).

 Community service: Participation in student nurse activities and or involvement in African American community

 If selected for a scholarship, a nursing student must submit a “Thank You” letter and a current Resume by email to [email protected] prior to receiving your check

 Limit the number of supporting documents to 10 pages, certificates, letters, articles

 Email all documents to [email protected], except official transcript which must come from the School of Nursing and post marked by April 15th.

Mailing Address: NBNA, Attn: Estella A. Lazenby/Scholarship Committee, 8630 Fenton Street, Suite

#330, Silver Spring, MD 20910

All applicants must be a current member of NBNA and a member of a

local chapter (if one exists in the area).

Thank you,

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NBNA SCHOLARSHIP PROGRAM –

Written Essay Guidelines

Each applicant is to submit with the application a two-page typed,

12 pitch font size, 1” margins, and double-spaced essay. Essay to include a

description of extracurricular activities and community involvement. These may

include (but not be limited to) local chapter activities, community based projects,

school level projects, organizational efforts, state level student nurse activities,

activities impacting on the health and social condition of African Americans and

other culturally diverse groups. Also include a presentation of your ideas of what

you can do as an individual nurse to improve the health status and/or social

condition of African Americans and a statement about your future goals in nursing.

National Black Nurses Association, Inc.

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NBNA Scholarship Recipient Honor Pledge

As a recipient of the NBNA Scholarship, I _______________________

promise to remain a member in good standing in a local chapter or as a

direct member to the NBNA over the next two years.

Signature of recipient: _______________________________________

Date: ____________________________________________________

Email: ___________________________________________________

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