WNYONS Certification Reimbursement Scholarship Application Certification Reimbursement Scholarship This is an application for reimbursement for recertification of professional certification. 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 certification are you seeking reimbursement for? 1. OK Question Title * 4. Upon approval from WNYONS, you will need to submit to WNYONS@gmail.com the receipt for payment and proof of recertification, such as confirmation from Oncology Nursing Society. OK DONE