Scholarship Application Form

Apply for a Cardiovascular Nursing Symposium Scholarship

To be eligible for this scholarship, one must:

Applications close March 1 at 11:59 PM CT.

Please fill out all sections of this form. If you have any questions regarding the scholarship, please contact us at info@pcna.net.

First Name*
Last Name*
Email*
Please select what you wish to receive funding for:*
- Select All
- Pharmacology Course Registration
- General Sessions Registration
- 2 NIghts at the Hotel
Please select all criteria that apply to you. I am a/an:*
- Chapter Leader
- Abstract Presenter
- PCNA Committee Member
- None of the above
Describe how you plan to use the knowledge obtained at this conference in your education, research and/or practice.*
How do you plan to give back or provide leadership in your nursing community to demonstrate the value of the scholarship given to you?*
Statement of Financial Need*
Short Bio*
Both a short bio and CV are required. One cannot take the place of the other.
Current CV*
Max. file size: 128 MB.
Both a short bio and CV are required. One cannot take the place of the other.
If given a scholarship, I agree to attend all sessions including commercial events.*
- I agree