WNYONS Congress Conference Scholarship Application ONS Congress Scholarship This is an application for scholarship from the WNYONS. OK Question Title * 1. Please enter your contact information. Name & Credentials Place of employment Address Address 2 City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Country Email Address Phone Number OK Question Title * 2. How long have you been a member of the Oncology Nursing Society? less than 1 year 1 years 2 years 3 years 4 years 5 or more years OK Question Title * 3. What professional nursing certifications do you hold? 1. 2. 3. OK Question Title * 4. Have you attended Congress before? Yes No OK Question Title * 5. If "YES", were you a: Poster Presenter Podium Presenter attendee without presentation n/a, did not attend Congress before OK Question Title * 6. Are you a presenter for this year's Congress? YES- Poster Presenter YES-Podium Presenter NO- strict attendee, no presentation OK Question Title * 7. Please write an essay including the following topics: (500 word limit) *You can type the essay up in Word and use the copy/paste feature to paste it into this text box.How will your attendance at Congress contribute to oncology nursing practice?What do you plan to see or experience at Congress?What are your plans for bringing information back from Congress and sharing with other nurses who were not able to attend? OK DONE