Student Nurse Midwife Scholarship for 2022 ACNM Annual Meeting

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The California Nurse-Midwives Foundation provides annual scholarships to cover the registration fee to attend ACNM's Annual Meeting. If you are a current and/or aspiring student nurse-midwife based in California, we encourage you to apply!

ACNM's 2022 conference will be held in person (Chicago) and virtually from May 21st - 25th. Learn more about this year's conference here: https://annualmeeting.midwife.org/welcome/

Deadline to apply: April 18, 2022. We notify students by April 21st, 2022

Full Name *

School program you are attending or are planning to apply to: *

Anticipated graduation or application date: *

Are you currently living in and completing your degree in California? *

Yes

Other:

Email address *

Address to which you would like the check sent (street address, city, state, zip): *

Are you applying for the virtual or the in-person annual meeting? *

Virtual

In-person

Are you an ACNM student member or ACNM non-member? *

ACNM student member

ACNM non-member

Other:

Total amount requested for ACNM conference attendance: *

Note: CNMF will make every effort to provide the amount requested, though we may be limited by fund availability and number of applicants.

Please respond to the following questions:

Given the mission statement of the California Nurse Midwives Foundation (CNMF), how will attendance at this event support your growth as a certified nurse midwife/certified midwife? Student nurse midwife? *

Where do you intend to practice when you finish your training? *

Is there a specific demographic of patients and families you hope to serve? *

Anything else we should know? *

Demographics

CNMF will prioritize applicants who are underrepresented in the midwifery profession. Information below is optional.

Racial/cultural/ethnic background:

Sexual orientation:

Gender identity:

Are you a first generation college student and/or first generation graduate student?

Any other demographic information that you think is relevant:

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms