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student scholarship letter and application by 3KsE8Ey

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									                                                                                                     11 Columbia St.
                                                                                                 Augusta, ME 04330
                                                                                                Tel.: (207) 621-0313
                                                                                                Fax: (207) 622-4437
                                                                                                     Pam@mnpa.com
                                                                                                        www.mnpa.us
     14 Years of Independent Practice as Healthcare Providers for the People of Maine




March 2009


        RE: Maine Nurse Practitioner Association 14th Annual Spring Conference
            May 21-22, 2009 – Holiday Inn by the Bay, Portland, Maine
            NP Student Scholarship Application

Dear Nurse Practitioner Student:

MNPA congratulates you o choosing to become a member of this dynamic profession. Part of the mission of MNPA
is to support students in their professional growth. To that end we are please to announce that MNPA will offer 10
student scholarships for our annual spring conference in 2009. The conference will be held at the Holiday Inn by the
Bay on May 21-22, 2009. Students have the option of attending one or both days.

In order to be eligible for the scholarship you must be a student member of MNPA (application enclosed) and
enrolled in a Nurse Practitioner Program. You must also be in good standing in your program and submit one
faculty reference (see attached form).

MNPA also asks its scholarship recipients to assist at the conference by spending an hour working at the registration
table or assisting with other conference details.

Scholarship applications must be postmarked no later April 17, 2009 and mailed to MNPA, 11 Columbia Street,
Augusta, Maine 04330. This is an excellent opportunity to become involved with MNPA and to network with other
nurse practitioners.

Please visit our website at mnpa.us for full details of the spring conference including room costs and alternative
lodging. If you have questions about the scholarships, please feel free to contact me.


Sincerely yours,




Valerie Fuller, President
Vfuller@maine.rr.com
14th Annual Spring Conference for Nurse Practitioners
Nurse Practitioner Student Scholarship Application

Name:_______________________________________________________________

Address:____________________________ State:_____ Zipcode:____________

Day time phone_____________________Home phone:_____________________

e-mail:________________________________________________________________

Nurse Practitioner Program:___________________________________________

Address:______________________________________________________________

Year of Graduation:_____________.

Name of Faculty Reference: (Please attach form)
________________________________________________________________

Please attach a brief bio sketch so that we will know a little about you!
I would like to attend: (check one)
__________Both Thursday and Friday (May 21-22)
__________Thursday, May 21st only
__________Friday, May 22nd only

I will/will not be able to attend the Thursday evening Reception & Awards Banquet
(included in scholarship). (Circle one)
__________I am already a student member of MNPA


__________Enclosed is $50 for membership 14th Annual         Spring Conference for Nurse
Practitioners
Nurse Practitioner Student Scholarship Application

Name:_______________________________________________________________

Address:____________________________ State:_____ Zipcode:____________

Day time phone_____________________Home phone:_____________________

e-mail:________________________________________________________________

Nurse Practitioner Program:___________________________________________

Address:______________________________________________________________

Year of Graduation:_____________.

Name of Faculty Reference: (Please attach form)
________________________________________________________________

Please attach a brief bio sketch so that we will know a little about you!
I would like to attend: (check one)
__________Both Thursday and Friday (May 21-22)
__________Thursday, May 21st only
__________Friday, May 22nd only
I will/will not be able to attend the Thursday evening Reception & Awards Banquet
(included in scholarship). (Circle one)

__________I am already a student member of MNPA


__________Enclosed is $50 for membership from 5/2009 thru 10/2010
Mail completed application to: (Membership to MNPA is required in order to receive a scholarship)
MNPA
11 Columbia Street
Augusta, ME 04330
Maine Nurse Practitioner Association
14th Annual Spring Conference for Nurse Practitioners
Nurse Practitioner Student Scholarship Application
Faculty Reference Form

Student Name:
Nurse Practitioner Program:
Name of Faculty Reference:

I agree that this student is in good standing and an appropriate candidate for the MNPA Annual Conference
scholarship.



_______________________                            ___________
Signature of Faculty Member                             date


Mail completed application to: (Membership to MNPA is required in order to receive a scholarship)
MNPA
11 Columbia Street
Augusta, ME 04330
Maine Nurse Practitioner Association
14th Annual Spring Conference for Nurse Practitioners
Nurse Practitioner Student Scholarship Application
Faculty Reference Form

Student Name:
Nurse Practitioner Program:
Name of Faculty Reference:

I agree that this student is in good standing and an appropriate candidate for the MNPA Annual Conference
scholarship.



_______________________                           ___________
Signature of Faculty Member                            date

								
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