NAPNAP/Abbott Nutrition Student Educational Conference Grant Program Application

To be eligible for the grant, applicants must meet the following criteria:
1. Be a student member of NAPNAP
2. In good standing in their PNP program with a GPA of greater than 3.0.
3. Be enrolled in their first nurse practitioner program, in a recognized program of study leading to completion of qualifications for education and practice as a PNP. A PNP program is defined as one which primarily prepares an individual to deliver child health care services, either in primary care, specialty care or acute care settings. The program must be associated with an academic institution authorized to award a master’s degree or DNP in nursing.
4. Have a recommendation from the PNP Program Coordinator/Director, verifying they are in good standing
5. Be able to attend at least three full days of the conference, including the the student reception on Friday, March 25, 2011.
6. Agree to serve as a volunteer at the conference, to assist with moderating or monitoring sessions or collecting tickets at meal functions, if requested.
7. Agree to send a follow up report identifying how attendance influenced professional goals and development.

* First Name

* Last Name

* NAPNAP Member Number

* Street Address

Address Line 2

* City

* State

* Zip Code

* Phone Number (Home)

* Phone Number (Cell)

* Email Address

PNP Program

* Credits Completed

* Credits Needed

* Degree Seeking

* Current GPA

* Anticipated Completion Date

Letter of Recommendation

* My Letter of Recommendation was:

faxed to 856-857-1600

uploaded (Specify Date/Time of upload)

Please answer the following questions (250 words or less):

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What is your interest in attending the NAPNAP Annual conference? (Include what you think you will gain by attending the conference, as well as which session intrigues you).

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What unique attributes will you contribute to NAPNAP and the PNP profession in the future?

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Where do you see yourself (professionally) in five years?

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What do you see as the most critical issue facing PNPs in efforts around ensuring the nutrition of our nation’s children?

* Please provide a statement of financial need.

* Please indicate in which way you will assist at the conference.

Moderate 1 educational session (introduce the speaker)

Collect tickets at the Awards Breakfast and/or the General Session Lunch

Monitor 2 educational sessions (check door and assist to seat registrants)

* Please initial below indicating that if selected you will:
1) Attend at least three full days of the conference, including the Friday evening student reception,
2) Assist as assigned, and submit a summary of your experience to NAPNAP within 60 days of the conference.

Entries are due by midnight, January 28, 2011, and will be adjudicated by the NAPNAP Foundation Education & Research Committees as quickly as possible to give as much time as we can to make travel bookings.

* Indicates Response Required