2026 Michele Gibson APN Memorial Scholarship

Scholarship Application

Michele Gibson was one of the first Advanced Practice Nurses employed by Cooperman Barnabas Medical Center and played a crucial role in the development of the Cardiothoracic Surgery program back in 1998. During her tenure, Michele was very passionate about mentoring and developing the next generation of Advanced Practice Nurses. Unfortunately, she passed away in December 2022 after a brief and sudden illness. Her kindness, compassion, and dedication to both her patients and her profession, is why the APN council is honored to sponsor this scholarship in her memory.

To be eligible for scholarship program, applicants must meet the following criteria:

An RN who is enrolled in an APN program for at least 3 credits (must provide proof of enrollment)
APN programs include: Nurse Practitioner, Clinical Nurse Specialist, Certified Nurse Anesthetist, or Certified Nurse Midwife
An APN who is enrolled in a post-master’s certificate program or a DNP program (must provide proof of enrollment)
Must be employed for a minimum of one year
RN must be in good standing with the institution
APN must also be in good standing with the medical staff office
Submit an application, including a 250 word personal statement as to why you are pursing your APN, post-masters certificate, or DNP. This should include your career goals and why you should receive the scholarship
A copy of your transcript must be included (unofficial is acceptable)

Please complete the application below:

Question Title

* 1. Last Name:

Question Title

* 2. First Name:

Question Title

* 3. Home Address:

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Cell Phone Number

Question Title

* 4. College(s) OR University Attending

School Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Attended from

Attended to

Question Title

* 5. College(s) OR University Attending

School Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Attended from

Attended to

Question Title

* 6. Date of Graduation:

Date / Time

Date

Question Title

* 7. Awards and Volunteer Activities:

Question Title

* 8. Please upload your 250 word personal statement as to why you are pursing your APN, post-masters certificate, or DNP. This should include your career goals and why you should receive the scholarship:

Question Title

* 9. Please upload a copy of your transcript:

Question Title

* 10. I affirm that all the statements I made in this application are true to the best of my knowledge:

Name of Applicant

Question Title

* 11. Date:

Date

2026 Michele Gibson APN Memorial Scholarship

Scholarship Application

Question Title

* 1. Last Name:

Question Title

* 2. First Name:

Question Title

* 3. Home Address:

Question Title

* 4. College(s) OR University Attending

Question Title

* 5. College(s) OR University Attending

Question Title

* 6. Date of Graduation:

Question Title

* 7. Awards and Volunteer Activities:

Question Title

* 8. Please upload your 250 word personal statement as to why you are pursing your APN, post-masters certificate, or DNP. This should include your career goals and why you should receive the scholarship:

Question Title

* 9. Please upload a copy of your transcript:

Question Title

* 10. I affirm that all the statements I made in this application are true to the best of my knowledge:Name of Applicant

Question Title

* 11. Date:

* 10. I affirm that all the statements I made in this application are true to the best of my knowledge:

Name of Applicant