2016 Scholarship Application

The Minnesota IAFN Chapter will award three $500 scholarships to forensic nurses from Minnesota to attend the annual

International Conference on Forensic Nursing Science and Practice

September 29 - October 2, 2016 In Denver Colorado.

Who May Apply? All Forensic Nurses in Minnesota. One scholarship will be awarded to a forensic nurse going to the annual conference for the first time. Minnesota IAFN Chapter members will be given priority for two of the scholarships.

Scholarship applications must be submitted by July 11, 2016

The three scholarship awardees will be notified by July 18, 2016 (in time for the early registration fee)

The scholarships will be awarded after a copy of the conference registration fee is submitted to mnforensicnurses@gmail.com.

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* 1. Address

Name

Place of Employment/ Educational Institution

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. IAFN Membership

	Yes	No
I am an IAFN member	I am an IAFN member Yes	I am an IAFN member No
I am a Minnesota IAFN Chapter member	I am a Minnesota IAFN Chapter member Yes	I am a Minnesota IAFN Chapter member No

My IAFN Membership number is:

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* 3. Have you ever attended the IAFN International Conference?

Yes

If so, what year(s)?

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* 4. Have you attended a Minnesota IAFN Chapter Education Event or meeting?

Yes

Other (please specify)

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* 5. Summary of current work in forensic nursing field

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* 6. What differentiates you from other candidates? Why should you be awarded a 2016 Scholarship?

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* 7. How will attendance at the conference personally enhance your forensic nursing practice?

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* 8. Describe your plan for sharing and disseminating knowledge gained at the conference with others.

Questions? email mnforensicnurses@gmail.com