Demographic Information

The scholarship application below is open to all ANPD members. Winners will receive complimentary registration to the 2020 Annual Convention in Chicago, IL. 

Before you begin, a letter of recommendation from a direct supervisor and a copy of your CV/resume is required to apply. 

Please note: ANPD members that already receive complimentary registration to Convention (i.e. Leadership Academy participants) are ineligible to apply for an ANPD Scholarship. 

All recipients of the ANPD Scholarship are required to submit an article to Trendlines post Convention. 

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* 1. First Name (or Preferred Name):

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* 2. Last Name:

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* 3. Credentials:

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* 4. Are you a current ANPD member? (required)

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* 5. Institution:

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* 6. Professional Title:

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* 7. Address:

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* 8. City, State, Zip Code, Country:

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* 9. Daytime Phone:

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* 10. Email Address:

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* 11. Number of years working in Nursing Professional Development:

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* 12. Number of years as an ANPD (formerly NNSDO) member:

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* 13. ANPD (NNSDO) Convention(s) you attended:

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* 14. Please note that the following three questions are for data gathering use only. Answers to these questions are not required, and you may skip them if you prefer not to answer.

Which generation were you born?

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* 15. What other nursing organizations that promote diversity are you involved with? (e.g. Hispanic Nurses Association, American Association for Men in Nursing, etc.)

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* 16. In which practice setting do you currently work?

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