Nurses Memorial Scholarship Application

Nurses' Memorial scholarship application

The Inland Empire School Nurse Organization (IESNO) annually awards a school nurse who is obtaining the school nurse services credential or an advanced degree. This scholarship is awarded to assist our members to pursue their educational goals in school nursing.

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Current Member of IESNO (must be a member to qualify for this scholarship) *

Yes No

School District *

Your RN License Number *

Educational Background and Nursing Education (include All Educational Institutions Attended, Degree, Date and Major) *

Nursing Experience (Include Place and Dates) *

College or University Attending (Include Dates) *

Intended Educational Goal *

Please explain your need for this scholarship *

Please provide two names of references below

#1 Reference Name *

#1 Phone Number *

#2 Reference Name *

#2 Phone Number *

Please also email one letter of recommendation to
[email protected]

Submit

Nurses' Memorial scholarship application

Please also email one letter of recommendation to[email protected]

Please also email one letter of recommendation to
[email protected]