Oncology Nursing Society FOUNDATION
BACHELORS SCHOLARSHIP
2010
PURPOSE:
To provide scholarships to individuals who are int...
Oncology Nursing Society FOUNDATION
BACHELORS SCHOLARSHIP
3. At the end of each year of scholarship participation, the nur...
Oncology Nursing Society FOUNDATION
BACHELORS SCHOLARSHIP
Failure to follo w these guidelines will result in disqualificat...
Oncology Nursing Society FOUNDATION
BACHELORS SCHOLARSHIP
Please read the attached instructions before comple tin g this a...
Oncology Nursing Society FOUNDATION
BACHELORS SCHOLARSHIP
PART A
Bachelor student status:
I am currently enrolled (Require...
Oncology Nursing Society FOUNDATION
BACHELORS SCHOLARSHIP
3. Future Goals: In the space provided, list your professional g...
Oncology Nursing Society FOUNDATION
BACHELORS SCHOLARSHIP
Questions 5-6 to be completed by RN and Non- RN applicants only
...
Oncology Nursing Society FOUNDATION
BACHELORS SCHOLARSHIP
Questions 7-10 to be completed by RN applicants only
7. Work Exp...
Oncology Nursing Society FOUNDATION
BACHELORS SCHOLARSHIP
9. Professional Contrib u t io ns : List the most significant in...
Oncology Nursing Society FOUNDATION
BACHELORS SCHOLARSHIP
PART B
To be complete d by the School of Nursing.
Nurse candidat...
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Complete application Part A questions 1-9 and Part B

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Complete application Part A questions 1-9 and Part B

  1. 1. Oncology Nursing Society FOUNDATION BACHELORS SCHOLARSHIP 2010 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 annually at $2,000 each Scholarships are available to individuals that currently possess an RN license and to those who are not currently registered nurses (non-RN). A minimum of one bachelor scholarship is available annually to a non-RN applicant residing in Ohio or West Virginia. One scholarship will be offered with a preference to nurses working in radiation oncology and is in memory of Julie Earle. This scholarship is made possible by the family and friends of Julie. Julie Earle, RN, BSN, OCN® , was a member of the Oncology Nursing Certification Corporation Board of Directors who worked in radiation oncology at the Mayo Clinic in Rochester, Minnesota for more than 21 years as a nurse and radiation therapist died in January 2009. NOTE: An individual cannot receive this award more than one time. SUPPORTED BY: Roberta Pierce Scofield scholarship supported by the ONS Foundation Oncology Nursing Certification Corporation Oncology Practice Alliance, Inc. 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 accredited School of Nursing and enrolled in the 2010- 2011 academic year. 2. 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 ONS Foundation BSN Scholarship 08/09
  2. 2. Oncology Nursing Society FOUNDATION BACHELORS SCHOLARSHIP 3. 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 for enrollment in the 2010- 2011 academic year. Non-RN applicants must be in the nursing component of the program. Candidates that already possess a bachelors degree in another field and applying to an accelerated program must have applied to the program prior to the application date and acceptance verified prior to June 1. 2. The candidate must have an interest in and commitment to oncology nursing. 3. High school students and individuals in the liberal arts component of a BSN program are not eligible. 4. 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. Do not attach your curriculum vitae or additional pages. The Scholarship Review Team will only have access to the application form. 2. Part B is to be completed by the School of Nursing. APPLICATION PACKET: (SUMBIT Original and 5 copies of the entire application) 1. Application o Current RN applicants – Part A Questions 1-9 and Part B o Non- RN applicants currently possess a degree greater than High School Diploma – Part A Questions 1-6 and Part B o Non- RNHS applicants with highest education level completed at time of application is High School Diploma – Part A Questions 1-4 and Part B 2. Submit one copy of the following transcripts All applicants: Include transcript, to date, of current nursing program in which you are enrolled Current RN applicants – Nursing Diploma or ADN program transcript Non-RN applicants (as applicable) • Previous college degree transcripts • LPN/LVN program transcript 3. A $5.00 application fee made payable to the ONS Foundation; 2 ONS Foundation BSN Scholarship 08/09
  3. 3. Oncology Nursing Society FOUNDATION BACHELORS SCHOLARSHIP Failure to follo w these guidelines will result in disqualification of the application. NOMINATION PACKET CHECKLIST: Packet must be typed . No faxed materials will be accepted . Remove instructions pages from the application, please do not include with the application Submit original and 5 copies of the application Assemble the original packet in the following order: • Application • Part B (School of Nursing form) - School of nursing form may be handwritten • transcripts (transcripts may be copies, original/sealed transcripts are not necessary) Assemble the copies (5) in the following order: • Application • Part B (School of Nursing form) – School of nursing form may be handwritten • Do not include transcripts in the copies Submit $5 application fee made payable to ONS Foundation DEADLINE DATE: Application packet must be received by the ONS Foundation, regardless of postmark or other circumstances , by February 1, 2010. If you have any questions, please contact the ONS Foundation 1-866-257-4667 choose option #4 from the menu for the Foundation or email foundation@ons.org MAIL TO: ONS Foundation 125 Enterprise Drive Pittsburgh, PA 15275- 1214 3 ONS Foundation BSN Scholarship 08/09
  4. 4. Oncology Nursing Society FOUNDATION BACHELORS SCHOLARSHIP Please read the attached instructions before comple tin g this application. One application is utilized for all bachelors of nursing scholarship 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 I am a resident of Ohio or West Virginia applying for a Non-RN/RNHS scholarship and wish to be considered for the Oncology Practice Alliance, Inc. scholarship. I understand that if I do not receive this scholarship I will still be considered for the other bachelor scholarships available. General Infor ma t io n: 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 OPTIONAL African American Asian American/Pacific Islander Hispanic/Latino Native American Other (Specify) 4 ONS Foundation BSN Scholarship 08/09
  5. 5. Oncology Nursing Society FOUNDATION BACHELORS SCHOLARSHIP 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:       (Must be enrolled and planning to attend class after September 1, 2010. Otherwise, you are not eligible for this award) Will you attend full time or part time in the 2010- 2011 school year? 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 applican ts comple te questions 1-4 1. Cumulative Grade Point Average /Quality Point Average (G/QPA) Curren t RN applican ts Basic Nursing Education cumulative QPA       Current Nursing Program cumulative QPA to date       Non- RN applican ts Previous Degree Final cumulative QPA       Current Nursing Program cumulative QPA to date       Non- RNHS applican ts Current Nursing Program cumulative QPA to date       2. 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.       5 ONS Foundation BSN Scholarship 08/09
  6. 6. Oncology Nursing Society FOUNDATION BACHELORS SCHOLARSHIP 3. Future Goals: In the space provided, list your professional goals and describe relationship to the advancement of oncology nursing.       4. Volun teer Communi t y Activities Related to Cancer (e.g. American Cancer Society) Dates of Participatio n Organization Descriptio n of Participatio n                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   6 ONS Foundation BSN Scholarship 08/09 Non- RNHS does not proceed fur the r – submit your application with Part B.
  7. 7. Oncology Nursing Society FOUNDATION BACHELORS SCHOLARSHIP Questions 5-6 to be completed by RN and Non- RN applicants only 5. Membership in Professiona l (nursing and non-nursing) Organizations: Dates of Membership/Participati on Organization Office Held/Committee Membership                                                                                                                                                                                                                                                                                                                                     6. Previous Education : RN applicant begin with basic nursing education. Non-RN with previous degree applicant begin with previous completed college education. Institution Location Degree/Diploma Date of Completion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 7 ONS Foundation BSN Scholarship 08/09 Non- RN does not proceed furt her – submit your application wit h Part B.
  8. 8. Oncology Nursing Society FOUNDATION BACHELORS SCHOLARSHIP Questions 7-10 to be completed by RN applicants only 7. Work Experience: List most recent position last. RN applicants include only nursing related experience Dates Position Patient Pop ulati on (If specifically cancer care, please indicate) Institution Location                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   8. Honors/Awar ds : RN applicant - In the space provided, list the most significant honors/awards received since completion of basic nursing program.       8 ONS Foundation BSN Scholarship 08/09
  9. 9. Oncology Nursing Society FOUNDATION BACHELORS SCHOLARSHIP 9. Professional Contrib u t io ns : 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 in health related journals/texts, newsletters)       Research: (Date, Title, Specific Involvement, i.e., Principal Investigator, Data Collector)       Other (Examples: Standards, Guidelines, Teaching Tools and Booklets)       9 ONS Foundation BSN Scholarship 08/09
  10. 10. Oncology Nursing Society FOUNDATION BACHELORS SCHOLARSHIP PART B To be complete d by the School of Nursing. Nurse candidate should provide the following information: Name of Student:       Address:       (Street/Apt.Number/P.O. Box Number)       (     )      (City/State/Zip) Telephone TO BE COMPLETED AT THE SCHOOL OF NURSING The above student has submitted an application to the ONS Foundation for a bachelor’s scholarship. 1. Name of School of Nursing: School Telephone Number: 2. This school is NLN or CCNE accredited? YES NO 3. Is the above student currently enrolled or accepted for enrollment for the 2010- 2011 academic year? YES NO 4. If student is not currently an RN/LPN/LVN are they currently in the nursing component of the program? YES NO 5. What percentage of the program has the student completed: Undergraduate cumulative grade point average: 5. If applicable, name of the faculty member who is responsible for the oncology component of the bachelors program. I verify the above information is correct. Name (print) Title Signature Date 10 ONS Foundation BSN Scholarship 08/09

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