Omicron Delta Dr. Sandra Wise and Dr. Pamela Fuller
Research Scholarship
Application
PURPOSE
The purpose of these scholarships is to recognize researcher(s) for his/her dedication to academic excellence, leadership potential for promoting healthier communities and efforts in demonstrating evidence based research and practice. Both scholarships will be awarded annually and announced to all members each spring. Amount not to exceed $1000.00
TIMELINE FOR APPLICATION
Applications may be submitted any time during our fiscal year (July 1 to June 30). As applications are received, they are reviewed by the Scholarship Committee. Applications may be submitted directly from the Omicron Delta Scholarship web page. Once all funds have been distributed, the scholarship process is closed until the next fiscal year ( July 1).
ELIGIBILITY CRITERIA
1. Omicron Delta member (priority).
2. University of Phoenix undergraduate, or graduate student/alumni or Omicron Delta nurse leader with a nursing degree or related field.
3. Students from other universities may be considered by the Committee.
4. Request must support project that demonstrates empirical or evidence-based research projects, Doctoral Dissertation, or action research in progress.
APPLICATION INSTRUCTIONS
Please complete all parts of the application form. All information included in the application will remain confidential. All required components must be completed in order to submit application. Only complete online applications will be accepted.
Please upload your documents of support below as PDF documents.
If for some reason you are not able to upload email chapter@omicrondelta.net for assistance.
APPLICANT INFORMATION
The applicant must be a member of Omicron Delta to be eligible.
Name
Credentials
Home Address
Email
RN License Number and State:
Home Phone
Work Phone
Are you a member of Omicron Delta?
Yes
No
Sigma membership number
PROGRAM
The applicant must be:
......A University of Phoenix current undergraduate, or graduate student/alumni in nursing or related curricula
......Or an Omicron Delta nurse leader with a nursing degree or related field
......Students from another universities may be considered by the Committee.
Program level
Student
Alumni
Nurse Leader
Name of University, including Campus name
Emphasis of study for Masters or Doctorate
Student ID number at University
Anticipated completion date for program
MM
/
DD
/
YYYY
ASSESSMENT
DOCUMENTS
Request must support project that demonstrates empirical or evidence-based research projects, Doctoral Dissertation, or action research in progress.
Please upload your documents below in PDF format.
STATEMENT OF NEED ESSAY
Please attach a statement of need essay to the application. The document must be a typed, double spaced statement of need (no more than 1000 words) that gives an overview of the project.
.....Specific need for funding
.....How funding will be used
.....Amount of funding requesting (up to $1000)
.....Estimate of when the project/research/dissertation will be completed
.....Description of how your research will interface in professional nursing practice or research; describe projected outcomes
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CURRICULUM VITAE or RESUME
Please attach your most current CV or resume to the application that includes:
.....Educational background
.....Professional experience
.....Professional development activities
.....Community service
.....Honors and awards
.....Publications, papers, and/or presentations
.....Other items that demonstrate professional accomplishments
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LETTER OF REFERENCE
Please upload a Letter of Reference: one professional or one academic
Letters should highlight your leadership potential, interpersonal skills, and/or academic skills.
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SCHOLARSHIP AGREEMENT
I agree that the all information sent with this application is accurate and has not been altered.
Signature
Clear
Date
APPLICATION SUBMISSION:
Click SUBMIT form button below.
Applicants must demonstrate eligible criteria by completing the scholarship application. If an applicant demonstrates eligibility criteria for more than one scholarship and/or wishes to be considered in more than one category, a separate completed application including a description of funding criteria specific to each scholarship must be submitted.
NOTIFICATION OF SCHOLARSHIP AWARDS
As applications are received, they are reviewed by the Scholarship Committee. Applicants will be notified by the Scholarship Committee of their decision.
Please Note:
Submission of application does not guarantee scholarship will be awarded. Applicants may only submit one Academic Scholarship application per fiscal year (July 1 - June 30). All scholarships are awarded based on the Omicron Delta Chapter Policy and Procedures.
THANK YOU FOR YOUR APPLICATION
We look forward to reviewing your information.
The Scholarship Committee, Omicron Delta Chapter of Sigma
SUBMIT FORM
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