eGRANT APPLICATION
CONTINUING EDUCATION FINANCIAL SUPPORT
An
eGrant
is financial support for participation in continuing education activities such as conferences, seminars, workshops, courses, etc. eGrants are awarded quarterly.
CRITERIA
Applicant must be an eChapter member
Maximum grant awarded is $200.00
Successful applicants must contribute a short narrative (150-200 words) highlighting the experience for the echapter website
No applicant will receive more than one grant in a two year period unless there are no other eligible applications for grant funds.
DEADLINES:
JUNE 1
- for activities occurring between JULY 1 and SEPTEMBER 30
SEPTEMBER 1
- for activities occurring between OCTOBER 1 and DECEMBER 31
DECEMBER 1
- for activities occurring between JANUARY 1 and MARCH 31
MARCH 1
- for activities occurring between APRIL 1 and JUNE 30
INSTRUCTIONS
Use your mouse or TAB to move between fields;
DO NOT HIT ENTER
until you have completed the form (both ENTER and the SUBMIT button will send your application)
Complete all sections of this form; Committee will not consider incomplete applications
PERSONAL DETAILS
First Name:
Last Name:
E-mail address:
Mailing address:
Contact Phone:
Day
Evening
Any Time
AORN ID#:
eChapter is my:
Primary Chapter
Secondary Chapter
Current Employment:
(Facility & Job Title)
STUDY/COURSE DETAILS
Course/Activity Title:
Course Content/Objectives:
Location:
Date(s):
Accredited for continuing nursing contact hours?
Yes
No
By Whom?
Number of Contact Hours:
Event Expenses:
Registration:
Travel:
Lodging:
How will attendance at this activity benefit your practice?
NOTE: This is an important component of your application