ࡱ> BEA bjbj.. 4,DgDgZZZZZnnnn4$nWt$!pZZZ[[[ZZ[[[p[.'0W,!!!Z[yW!X : LACANE SCHOLARSHIP AWARD APPLICATION Purpose: The Louisiana Council of Administrators of Nursing Education (LACANE) offers this award to support registered nurses returning to school to pursue a Baccalaureate Degree in Nursing. Award: LACANE will award $500.00 each Fall to provide financial support to a registered nurse pursuing a Baccalaureate Degree in Nursing at an accredited nursing program in the state of Louisiana. Interested applicants should review requirements to determine eligibility. All qualified applicants are encouraged to apply. Award Criteria: Hold a current, unrestricted license to practice as a Registered Nurse in Louisiana. Unconditional admission in a Louisiana-based RN to BSN nursing program that is nationally accredited by the CNEA, ACEN or CCNE and is a current member of LACANE. Cumulative GPA 3.0 reflected on an official academic transcript(s). Transcript (s) may be sent electronically from the Registrars office to Dr. Donna Hood (dhood@latech.edu). Applications from students who do not have a minimum cumulative GPA of 3.0 will not be considered. Validation of Louisiana residency by attachment of copy of drivers license, voter registration or evidence of residency. Resume reflecting professional involvement, leadership, and community service. A 250-500 word personal essay highlighting professional motivation to pursue a Baccalaureate Degree in Nursing and how this will impact the nursing profession and your community. **All supporting documents and application form must be submitted electronically by October 1, 2024 to LACANE Scholarship Committee Chair: Dr. Donna Hood dhood@latech.edu. All information must be completed to be considered for the LACANE Scholarship. Incomplete applications will not be considered. Semester Applying for (e.g. Fall 2024) _____________________________________________________ Name: (last, first, middle initial)___________________________________________________________ Home Address: ________________________________________________________________________ City, State, Zip:________________________________________________________________________ Phone: ___________________________________RN License Expiration Date:_____________________ School Email: _____________________________Secondary Email:_______________________________ Current enrollment in a Louisiana based RN to BSN nursing program that is nationally accredited by the CNEA, ACEN or CCNE and is a current member of LACANE. Please indicate the Nursing Program in which you are currently enrolled:___________________________________________________ My signature certifies that all information reported on this form is truthful and accurate. I also certify that I have read and understand all information listed on this form. ________________________________________ ___________________ Applicant Signature Date Application Checklist For Committee Use Only Applicant #________________ ____ Validation of Louisiana Residency (Drivers license, voter registration or evidence of residency) ____ Professional Resume reflecting professional involvement, leadership, and community service. ____ Personal essay (250-500 words) highlighting motivation to pursue a Baccalaureate Degree in Nursing. ____ Official academic transcript Revised 11/5/14/LAB Revised 08/10/15/LAB Revised 06/12/17/LAB Reviewed 08/07/18/LAB Reviewed 08/08/19/LAB Reviewed 08/10.20/LAB Reviewed 06/29/21/DGH Reviewed 05/27/22/DGH Reviewed 08/01/23/DGH Reviewed 08/22/24/DGH %.  * :  0 1 Q T \ p w ׼ף̍̍̂̕zra h'h'5B*OJQJphh&dOJQJhDOJQJh!h#6-OJQJh'OJQJh!hG56OJQJ h!h6B*OJQJphhkOJQJhAOJQJh9SOJQJh!hGOJQJh!hOJQJh!h5OJQJ"h4h56CJ OJQJaJ $%.* : 1 E  qr dgd d^gdG d^gd' & Fgd d^gd' & Fdgd' & Fdgdgdgd$a$gd D E    9 F _  Ǽ{p{{aS{HhjZ56OJQJh'hk56OJQJh'hk56>*OJQJh9S56OJQJh'h56OJQJh'hG56OJQJh!h'6B*phh;gh6B*phh;ghOJQJh;ghOJQJh;ghGOJQJhOJQJh!hOJQJ h'h'5B*OJQJphh'5OJQJ #$%&LNmpqrBOPVs ƸƟ~ss~~kcs~s~ss~hz9OJQJhDOJQJh!h#6-OJQJh!hn%OJQJh!hOJQJh!hOJQJh'h56B*phhD56OJQJh'hG56OJQJh'h56OJQJhz956OJQJhW%56OJQJhV56OJQJh;g56OJQJ&rP`0=>TU  qr$gd$&d P a$gd$a$gdgdt gd#6-gd W_`}01=Fqt)=>TUp     "ANXYĹĹĹĹĹߖċ߃߃hOJQJh!hXOJQJh!h!OJQJh!h5OJQJh!hD\g5OJQJh!ht OJQJh!hOJQJh'OJQJhAOJQJh!hn%OJQJh!h#6-OJQJh!hOJQJ3Y^hpqrvxz{$%&'()*+,-./0123456789:;<=>?@ABCWlhIGh/CJOJQJaJhIGhCJOJQJaJhOJQJhn%OJQJh!ht OJQJhOJQJh!hXOJQJh!hD\gOJQJh!hOJQJh!hn%OJQJ9$%&'()*+,-./0123456789:;<=>?@AgdABCWlgd lʾhIGhz9CJOJQJaJhz9CJOJQJaJh9SCJOJQJaJhW%CJOJQJaJh&dCJOJQJaJhVCJOJQJaJhCJOJQJaJhIGCJOJQJaJhIGhIGCJOJQJaJhIGhACJOJQJaJ 21h:p/ =!"#$% x666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@66666 OJPJQJ_HmH nH sH tH J`J #wKNormal dCJ_HaJmH sH tH DA D Default Paragraph FontRiR 0 Table Normal4 l4a (k ( 0No List H`H  No SpacingCJ_HaJmH sH tH 6U 6 #6-0 Hyperlink >*B*phPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vj\{cp/IDg6wZ0s=Dĵw %;r,qlEآyDQ"Q,=c8B,!gxMD&铁M./SAe^QשF½|SˌDإbj|E7C<bʼNpr8fnߧFrI.{1fVԅ$21(t}kJV1/ ÚQL×07#]fVIhcMZ6/Hߏ bW`Gv Ts'BCt!LQ#JxݴyJ] C:= ċ(tRQ;^e1/-/A_Y)^6(p[_&N}njzb\->;nVb*.7p]M|MMM# ud9c47=iV7̪~㦓ødfÕ 5j z'^9J{rJЃ3Ax| FU9…i3Q/B)LʾRPx)04N O'> agYeHj*kblC=hPW!alfpX OAXl:XVZbr Zy4Sw3?WӊhPxzSq]y ,  Yl r$A L# @0(  B S  ?**:: pwD9F}&NmppBO  W_` k k }   A N X Y $   #&NmA N X Y 0 0 ? ? 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