NFPE Hands-on Training Workshop
Scholarship Application

NFPE Workshop Scholarship Application

The Academy's Nutrition Focused Physical Exam (NFPE) Hands-on Training Workshop is designed to provide the RDN with the skills to perform an NFPE -- empowering the RDN to accurately identify and nutrition diagnose patients with malnutrition. Workshops are available across the country with focus on the adult or pediatric population.

Application Information

To be eligible for a NFPE Workshop Scholarship, one must be a member of the Academy of Nutrition and Dietetics.
Scholarships will be awarded in the amount of the full or partial registration fee (can specify need in the application).
One to two scholarships may be awarded per workshop.
Applications must be submitted no later than 5 weeks prior to the workshop date.
Applicants will be notified of the result of their application 3-4 weeks prior to workshop date.

Please direct questions to nfpe@eatright.org

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* 1. Name

First Name

Last Name

Credentials

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* 2. Contact information

Preferred Email

Phone Number

Home Address

City

State

Zip

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* 3. Academy member number

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* 4. Employer information

Employer/Facility

City

State

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* 5. What is your work setting? (Indicate all that apply)

Inpatient Acute Care

Outpatient

Long Term Care (Nursing Home)

Long Term Acute Care

Skilled Nursing Facility

Clinical Nutrition Manager

Dietetic Intern - Clinical

Dietetic Intern - Public Health

Education - Professor

Education - Student

Other (please specify below):

If indicated more than one work setting, please indicate below the time distribution in % for each setting.

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* 6. Indicate the NFPE Workshop to which the scholarship would apply.

Date of the workshop (i.e. 5/13/16)

Name of the Facility Host Site

City of the Workshop

State of the Workshop

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* 7. Work information

Position/Title

Number of Years as RD/RDN

Number of Years of Clinical Experience

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* 8. Please explain why are you interested in obtaining skills to perform NFPE.

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* 9. Please discuss how you will continue to use the NFPE skills after the workshop.

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* 10. Please explain what makes you the best candidate to receive this scholarship (include discussion of your financial need).

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* 11. Requested Scholarship Amount
We understand that some employers provide educational assistance and full registration coverage may not be necessary. Please indicate below the amount of scholarship you are applying for. If both full and partial scholarship is an option for you, please check both boxes.

Full Scholarship (covers the $400 registration fee)

Partial Scholarship (covers $200 of the registration fee; participant will be responsible for the remaining $200)