Western New York Chapter Oncology Nursing Society

BACHELORS SCHOLARSHIP

PURPOSE:

To provide scholarships to individuals who are interested in and committed to oncology nursing and pursuing a baccalaureate degree in nursing.

AWARD:

Bachelor’s scholarships awarded biannually at $250.00 each

Scholarships are available to individuals that currently possess an RN license and to those who are not currently registered nurses (non-R’s who are pursuing education to take the RN Boards

NOTE: An individual cannot receive this award more than one time.

SUPPORTED BY:

Western New York Chapter Oncology Nursing Society.

CATEGORIES:

RN – Individuals that are currently licensed as an RN.

Non-RN – Individuals that are not currently licensed as an RN and currently possess a degree greater than High School Diploma.

Non-RNHS – Individuals that are not currently licensed as an RN and highest education level completed at time of application is High School Diploma

QUALIFICATIONS:

Applicants for each category (RN, non-RN & non-RNHS) are scored separately.

Current RN applicant (Applicant is currently licensed as a registered nurse)

  1. The candidate must be currently enrolled or have been accepted into a bachelor of nursing degree program at an NLN or CCNE accreditedSchool of Nursing.
  1. The candidate must have a current license to practice as a registered nurse and must have an interest in and commitment to oncology nursing.
  1. At the end of each year of scholarship participation, the nurse shall submit a summary describing the education activities in which he/she participated.

Non-RN and Non-RNHS applicant (Applicant is not currently licensed as a registered nurse)

  1. The candidate must be currently enrolled in a bachelor of nursing degree program at an NLN or CCNE accredited School of Nursing. Non-RN applicants must be in the nursing component of the program. Candidates that already possess a bachelor’s degree in another field and applying to an accelerated program must have applied to the program prior to the application date and acceptance verified by the Review Board.
  1. The candidate must have an interest in and commitment to oncology nursing.
  1. High school students and individuals in the liberal arts component of a BSN program are not eligible.
  1. At the end of each year of scholarship participation, the nurse shall submit a summary describing the education activities in which he/she participated.

REQUIREMENTS:

  1. All responses must be typed and confined to the space provided on Part A of the application form. You may wish to duplicate parts of the form to use as work sheets in preparing your application. You may attach a curriculum vitae or additional pages for certain sections as indicated..

APPLICATION PACKET: (SUBMIT Via email attachment

or Postal Mail to the address listed on the last page of application.)

  1. Application
  • Current RN applicants – Part A Questions 1-9 and Part B
  • Non-RN applicants currently possess a degree greater than High School Diploma – Part A Questions 1-6 and Part B
  • Non-RNHS applicants with highest education level completed at time of application is High School Diploma – Part A Questions 1-4 and Part B
  1. Submit one copy of some form of documentation for the College or Nursing Program for which you are attending.

Current RN applicants – Nursing Diploma or AND program transcript

Non-RN applicants (as applicable)

  • Previous college degree transcripts
  • LPN/LVN program transcript

.

DEADLINE DATE: June 30, 2009 for Spring 2009

Original plus 2 paper copies of completed application packet or electronic submission (preferred) must be received by the WNY Chapter ONS, regardless of postmark or other circumstances, by December 1 for Spring semester; August 1 for Fall semester. The packet must be typed. No faxed materials will be accepted. If you have any questions, please contact any current WNY Chapter ONS Board member. A list of current Board members and contact numbers can be located in the WNY ONS chapter website.

MAIL TO:

WNY Chapter ONS

C/O Darryl Somayaji

539 Mountain View Drive

Lewiston, NY14092

OR:

EMAIL TO:

Please read the attached instructions before completing this application.

One application is utilized for all bachelors of nursing scholarships candidates. Special instructions for each applicant category may appear with individual questions on the application.

I am (check status box);

Currently a licensed RN (Indicated throughout application as RN)

Complete application Part A questions 1-9 and Part B

Not currently an RN but possess a degree higher than High School diploma (Indicated throughout application as Non-RN)

Complete application Part A questions 1-6 and Part B

Not currently an RN and do not have educational preparation beyond High School (Indicated throughout application as Non-RNHS)

Complete application Part A questions 1-4 and Part B

General Information:

Full Name:Credentials:

Address:

(Street/Apt. Number/PO Box Number)

(City/State/Zip)

Home Phone: ( )Work Phone: ( )

E-Mail Address:

Current RN/LPN/LVN only:

R.N. License Number:State:Expiration Date:

LPN/LVN License Number:State:Expiration Date:

RN’s – are you OCN certified: Yes No

OTHER CERTIFICATIONS:

OPTIONAL

African American

Asian American/Pacific Islander

Hispanic/Latino

Native American

Other (Specify)

PART A

Bachelor student status:

I am currently enrolled (Required for Non-RNHS)

I have been accepted for enrollment

Name of School of Nursing;

Percentage of the program completed:

Anticipated date of graduation:

Will you attend full time or part time

What degree in nursing will you receive?

If you are awarded a scholarship, do you agree to participate in long-term evaluations?

Yes No

All applicants complete questions 1-4

  1. Cumulative Grade Point Average/Quality Point Average (G/QPA)

Current RN applicantsBasic Nursing Education cumulative QPA

Current Nursing Program cumulative QPA to date

Non-RN applicantsPrevious Degree Final cumulative QPA

Current Nursing Program cumulative QPA to date

Non-RNHS applicantsCurrent Nursing Program cumulative QPA to date

  1. Essay

Current RN applicant – In 250 words or less describe your current or previous role in caring for persons with cancer.

Non-RN/RNHS applicant – In 250 words or less describe your interest in caring for persons with cancer after graduation.

  1. Future Goals: In the space provided, list your professional goals and describe relationship to the advancement of oncology nursing.
  1. Volunteer Community Activities Related to Cancer (e.g. American Cancer Society)
  1. *May attach a CV or Resume for sections 4-7 in place of filling these sections out.*

Dates of Participation / Organization / Description of Participation

Questions 5-6 to be completed by RN and Non-RN applicants only

  1. Membership in Professional (nursing and non-nursing) Organizations:

Dates of
Membership/Participation / Organization / Office Held/Committee Membership
  1. Previous Education:

RN applicant begins with basic nursing education.

Non-RN with previous degree applicant begin with previous completed college education

Institution / Location / Degree/Diploma / Date of Completion

Non-RN does not proceed further – submit your application with Part B.

Questions 7-10 to be completed by RN applicants only

  1. Work Experience: List most recent position last.

RN applicants include only nursing related experience.

Dates / Position / Patient Population
If specifically cancer care, please indicate) / Institution / Location
  1. Honors/Awards:

RN applicant – In the space provided, list the most significant honors/awards received since completion of basic nursing program.

  1. Professional Contributions: List the most significant in the space provided. If none, please write None in the space provided.

Presentations: (Name of Presentation, date, Target Audience, Location and Number of Hours)

Publications: (Site full reference of any health related journals/texts, newsletters)

Research: (Date, Title, Specific Involvement, i.e., Principle Investigator, Data Collector)

Other (Examples: Standards, Guidelines, Teaching Tools and Booklets)