Scholarship Application

Scholarship Application

California ENA funds two scholarships to be awarded each year at the State level:

• The Terri Sturgill Scholarship is awarded to a non-nurse candidate who is enrolled in a nursing program and pursuing their initial RN license. This scholarship is named for a previous California leader from the Inland Empire Chapter who served at the Chapter, State and National level.

• The Daniel Kelleher Scholarship is awarded to a candidate who already possesses an RN license, is enrolled in a nursing program to advance his or her nursing education, and has shown commitment to the Emergency Nurses Association. This scholarship is named in honor of Judith Kelleher's husband,
  Daniel. Judith Kelleher was the co-founder of the Emergency Nurses Association.

Application Deadline: September 30
The application form and the supporting documents must be emailed to the State Council President by the application deadline. Incomplete applications will not be considered and will not be returned for completion.

All information on this application form is subject to verification.

Step 1: Scholarship Option

Please indicate to which scholarship you are applying:

Terri Sturgill Entry-Level RN ScholarshipDaniel Kelleher RN Advancement Scholarship

Step 2: Personal Information

First Name *

Middle Name

Last Name *

Suffix

Credentials *

All credentials and honorifics following an ENA member’s name shall follow the format and ordering as follows: highest earned degree, licensure, certifications and fellowships.

Emergency Nurses Association (ENA) Membership Number – REQUIRED

A limited background check will be conducted on all candidates (e.g., RN Licensure current and unencumbered)

RN License Number
(Required only for the Daniel Kelleher Scholarship)

State of RN Licensure
(Required only for the Daniel Kelleher Scholarship)

Home Address *

Home City *

Home State *

Home Zip Code *

Home Phone *

Cell Phone *

Work Phone *

Home Email *

Work Email *

Preferred email address:
HomeWork

Step 3: College Program Information

Please list below your current school enrollment information.

Degree/Major *

College *

Campus/Division *

City *

State *

Graduation Date *

Upload PDF proof of enrollment