Houston Area Nurse Practitioners

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HANP Scholarship

Demographics

* First and Last Name

* Current Professional Credentials: (i.e. RN, AGACNP, FNP)

* Current Population of Study: (i.e. FNP, AGACNP, Psych, etc)

* Current Degree Program: (i.e. MSN, DNP MSN-DNP)

* RN License Number:

* HANP Member Number: (must be a member as of December 2018)

Yes
No

* Telephone Number:

* E-mail Address:

Proof of Academic Enrollment

Please upload below a scanned letter from your program director (preferably utilizing your institution’s letterhead) that states:

You are a CURRENT student in an Advanced Practice Program
Your RN license number
Please send scanned letter with your completed application via email.
Printout of semester hours or registration will not be considered.

Please note: In order to keep the selection process impartial, please DO NOT include your name on the uploaded documents. Make sure to remove or cover any reference to your name in any of the submitted letters. Applications that include your name will not be accepted and must be re-submitted. Please add your RN Number on ALL uploaded documents in the upper left-hand corner for tracking purposes. We appreciate your attention to this matter. Please use the most current application. Previous versions will not be accepted.

* Program Director Letter

* Please upload an unofficial transcript.

Professional Education

* Institution

* Institution's Address

* Degree/Diploma

* Date of Completion:

Honors/Awards

If applicable, list your top three significant honors/awards received after the completion of your undergraduate nursing program:

Professional Nursing Experience

* Please list your professional nursing experience:

Professional Contributions

* If applicable, please list your top four professional presentations (lectures, poster presentation, publication, published research activities). Presentations given during routine classwork should not be included. Please DO NOT LIST informal presentations

Professional Organizations

* Please list your participation/membership in nursing organizations along with active membership years. Include your contributions and examples of leadership or committee involvement. Only include active membership/participation in the last 3 years.

Community Engagement

If applicable, please list any volunteer activities in the last three years.

Scholarship Essay

* In 250 words or less, please write an essay that pertains to the question below: How do you plan to make an impact with your local and/or state organization as a NP?

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HANP Scholarship

Demographics

Proof of Academic Enrollment

Professional Education

Honors/Awards

Professional Nursing Experience

Professional Contributions

Professional Organizations

Community Engagement

Scholarship Essay

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