2019 Mid-Year Assembly Scholarship Form
NEASRNA will be giving away THREE $500 scholarships to attend the 2019 AANA Mid-Year Assembly. We encourage all SRNAs within our organization, in good academic standing, to apply. Applicants are judged based on quality of essays, grammar, academic performance, NEASRNA participation, and Program Director support. By participating in our scholarship opportunity, applicants agree that portions of their essays and social media content may be used for promotional purposes. Our due date for applications is March 15th, 2019. For questions, please email fundraising@neasrna.org.
Email address *
Name *
Nurse Anesthesia Program *
Graduation Year *
What NEASRNA meeting(s) have you attended in 2018? *
What are your personal goals in attending the 2019 AANA Mid-Year Assembly? *
Explain why you believe that advocating for the CRNA profession is important. *
Please submit your Program Director Signature Page. *
Never submit passwords through Google Forms.
This form was created inside of NEASRNA.org. - Terms of Service