Request edit access
ABLE SCHOLARS APPLICATION
Sign in to Google to save your progress. Learn more
WE INVITE YOU TO APPLY!
2024-25 HRSA ABLE PROGRAM APPLICATION  

The HRSA Advancing BIPOC Learning and Engagement (ABLE) Nursing Progression Project provides professional and financial support for UW RN to BSN, MN, and DNP/PhD students of Indigenous, African, Latinx, Hispanic, Asian, Pacific Islander, or Native Hawaiian heritage, with emphasis on those pursuing careers in population health or nurse education. 

DEADLINE EXTENDED: MAY 6, 2024
Preferred first name: *
Preferred last name: *
If you are selected as an ABLE Scholar, can you commit to participating in programming to provide you with strategies to build on your academic and professional strengths? (Programming could be held in the evenings or on weekends.)
*
If you are selected as an ABLE Scholar, can you commit to participating in at least one afternoon/evening event each quarter and working to build a community of scholars?
*
If you are selected as an ABLE Scholar, can you commit to enrolling in the UW Bothell or UW Tacoma RN to BSN programs, MN programs, or the UW Seattle DNP-PHSL or PhD after you complete your current degree?
*
7-Digit UW student ID (If you have one):
Preferred email address: *
UW Email address (if already created)
Preferred mailing address: *
Preferred phone number:
Birth year (format: XXXX) *
Do you identify as Hispanic or Latinx? *
Ethnicities with which you identify (YOU MAY CHOOSE MORE THAN ONE IF YOU LIKE): *
Required
Gender identity:
Clear selection
Do you hold any of the following: *
Required
Country/countries of citizenship:
Are you the first in your immediate family to attend college? *
Would you consider yourself from a rural community?
*
Are you a U.S. military veteran?
*
For current ADN students, where are you currently enrolled? *
Nursing programs in which you are or will be enrolled: *
In what quarter/year are you enrolled in your nursing program? *
Tell us about your nursing career goals.  What are your plans for your practice and education?  (One or two paragraphs are sufficient) *
What degrees do you expect you will need to reach your career goals? *
Required
Do you currently receive financial aid for your education?
Clear selection
Please tell us about your financial aid; what is the source of the aid and what percentage of your educational expenses (approximately) does it cover?
Are you currently employed?
Clear selection
What is your place of employment?
How many hours per week do you usually work?

Below are additional experiences we'd like to hear more about. Please select which of these you'd like to discuss and you can add comments in the next question.

Tell us how these experiences have shaped your nursing career.
Have you faced any of the following barriers or challenges to your educational goals?
Tell us about the most significant barriers you have faced (feel free to discuss two or three challenges or others not listed).
Do you plan to continue your education after completing this current degree program?
Clear selection
If you are selected as an ABLE Scholar, can you commit to participating in at least one afternoon/evening event each quarter and working to build a community of scholars?
Clear selection
If you are selected as an ABLE Scholar, can you commit to participating in intensive programming to provide you with strategies to build on your academic and professional strengths? (Programming could be held in the evenings or on weekends.)
Clear selection
Thank you for completing this application!  Is there anything else you would like us to know about you?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy