Nurses Memorial Scholarship Application

Nurses' Memorial scholarship application

The Inland Empire School Nurse Organization (IESNO) annually honors an awardee to a school nurse who is obtaining their school nurse credential or are in an advanced degree program. 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
IEschoolnurseorganization@gmail.com

Submit

Nurses' Memorial scholarship application

Please also email one letter of recommendation toIEschoolnurseorganization@gmail.com

Please also email one letter of recommendation to
IEschoolnurseorganization@gmail.com