Nurse in Washington Internship (NIWI)

Nurse in Washington Internship (NIWI)

Application for Scholarship

Nurse in Washington Internship (NIWI)

March 12-14, 2017

About the NIWI Program

AWHONN’s Board of Directors will make TWOscholarships available for AWHONN members to attend the Nurse in Washington Internship (NIWI) program in the Washington, DC area. NIWI provides nurses with the opportunity to learn how to influence health care through the legislative process. This three-day conference will energize and prepare attendees to become actively involved in the health policy process at the local, state and national levels. For more information about the NIWI program, visit the Nursing Organizations Alliance’s website.

About the Scholarships

Two scholarships of up to $3,000 will be offered toassist in covering expensessuch as: travel, lodging, meals and registration for the NIWI conference. One scholarship is intended for an advocacy novice and the other is intended for someone with more advocacy experience.

Applicants will receive notification of their selection byFebruary 3, 2017.

All monies will be issued as reimbursement for expenses. We regret that advance payments will not be available, and all receipts must be itemized and submitted within 30 days following the conference for reimbursement.

To be eligible, you must meet the following requirements:

  • Be an AWHONN member in good standing;
  • Submit the attached scholarship application no later thanDecember 30, 2016;
  • Provide the attached endorsement form from your AWHONN Section/Chapter Leader; and
  • Include a current CV or resume.

Please return completed application package to:

Susan Hohenhaus DLP, RN, CAE

Vice President of Business Development

AWHONN

1800 M Street, NW, Suite 740, South

Washington, D.C. 20036

P: 202-261-2434

F: 202-728-0575

Applicant Form

Name: ______

Address: ______

______

______

Phone: ______Fax: ______

Email: ______

Please answer the following questions.

Do you have legislative advocacy experience? *YesNo

Have you attended the Nurse in Washington Internship in the past? Yes No

Each of the following answers should not exceed 200 words.

  1. Why should you receive this scholarship to attend NIWI?
  1. How will you plan to use your experience at NIWI in your local AWHONN Section or Chapter, or at the national level (e.g. participate in a Section conference session on legislative strategies, coordinate an advocacy event, volunteer to become the Section legislative coordinator, submit a post for the AWHONN Connections blog, etc.) **
  1. Describe how you became interested in legislative advocacy and any experience you may have to date.

* Experience is not required, but will be used to determine which applicants qualify for the novice scholarship and which applicants qualify for the experienced advocate scholarship.

** AWHONN staff will follow-up with scholarship recipients to ensure that the intended plan is carried out in 2017.

Section/Chapter Leader Endorsement Form

I, ______, endorse ______for consideration of a

(Section/Chapter Leader’s Name) (Name of Applicant)

2017 Nurse in Washington Internship (NIWI) Scholarship.

1.) I believe that the above mentioned applicant would make an excellent candidate to receive this scholarship for the following reasons.

2.) I anticipate that our Section/Chapter will benefit through this individual’s participation in this program in the following ways:

Top View