Download New Nurse Educational Scholarship

2017 Career Mobility Scholarship-New Nurse Educational Scholarship
Purpose: To fund the continuing nursing education of a DNA member that will enhance his/her
ability to contribute to the dermatologic community.
Criteria: The candidate must:
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Be an active DNA associate member for 2 years.
Be employed in the specialty of dermatology and be active in community service.
Must write an article for Focus within one year of winning award
Be pursuing a degree/certificate in nursing.
Be accepted as a student in a certified nursing program.
Submit: The candidate shall submit:
1. Letters of recommendation from nursing professionals, education faculty, and/or
employers.
2. A detailed letter stating:
a) Professional goals.
b) Course of study proposed.
c) Time frame for completion of study.
d) Funds necessary to meet educational needs.
e) Statement of need.
3. A completed awards application.
4. Documentation of enrollment at a certified school of nursing.
5. Documentation of involvement with DNA in the past 2 years.
Award: The recipient will be awarded a $500 educational scholarship to assist in the pursuit of a
nursing certificate/degree.
DNA Recognition Program Application
Complete separate application for each award/grant/scholarship
Award/Grant/Scholarship:____________________________________________________
Nominee:_________________________________________________________________
Address:__________________________________________________________________
Phone: (H) __________________ (W) _________________ Email: ___________________
CRITERIA – Please check, describe, and include dates of all that apply. Attach extra pages
if necessary. Include documentation such as copy of degree, certification, and other proof of
participation.
1. Education (document all degrees)
2. Certification:
 Dermatology Nursing:
 Other Nursing:
 Other:
3. Years Active DNA Membership:
 1-2 years
 3-4 years
 5-7 years
 8-9 years
 10 years or greater
4. Dermatology Experience:
 1-2 years
 3-4 years
 5-7 years
 8-9 years
 10 years or greater
5. Professional Associations:
 DNA National Office
 Other Organization National Office
 DNA National Committee Chair
 DNA National Committee Member or Appointee
 National Convention Moderator or Guide
 DNA Local Chapter Involvement
 DNA Local Chapter Officer/Chair
 Committee Member DNA
 Membership in professional organizations other than DNA
 (State Nurses’ Association, Sigma Theta Tau, other specialty)
 Officer/Board Member, local level, other professional organization
 Committee member other professional organization
6. Professional Volunteer Activities for the last 5 years: (not limited to these examples)
 Skin cancer screenings:
 Health fair activities:
 Community health events:
 Special camps or other health camps:
 Other:
7. Community Volunteer Activities for the last 5 years:
 Civic/community service activity:
 Church/Synagogue related activities:
 Other:
8. Professional Presentations/Publications:
 National – DNA:
 National – other:
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Regional/local – DNA:
Regional/local – other:
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National Journal – Author JDNA:
National Journal – Author other:
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Published Book – Author:
Published Book - Editor:
Published Book – Contributing Editor:
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Reviewer – DNA:
Reviewer – other:
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Newsletters – DNA Focus Editor/Author:
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Other
Other
Other
Other
– Videos:
– Pamphlets:
– Internal teaching tools (staff or patient):
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9. Professional Awards/Honors/Grants/Scholarships:
 National:
 Regional/local:
 Other:
10. Specific Information: (please attach information per specific criteria)
APPLICATION MATERIALS MUST BE SUBMITTED AS SINGLE SIDED PAPER ONLY
Return application to:
DNA Recognition Program
435 N. Bennett Street
Southern Pines, NC 28387
Email: [email protected]
Fax: 910-246-2361