ANAC Diversity, Equity and Inclusion Student Fellowship | Association of Nurses in AIDS Care

PROFESSIONAL DEVELOPMENT > ANAC2024: Indianapolis

The Association of Nurses in AIDS Care (ANAC) Diversity, Equity and Inclusion Student Fellowship recognizes a student in nursing or another health-related discipline from a diverse racial or ethnic background who has a genuine interest in HIV/AIDS Nursing and is interested in attending the organization's national conference.

Applications and supporting documents must be submitted by June 10, 2024. Late or incomplete applications will not be considered.

Nominee's Name: *

Nominee's Home Address: *

City: *

State: *

Zip/Postal Code: *

Country: *

Nominee's Email Address: *

Racial/Ethnic Group (Select all that apply): *

Gender Identity:

Program Currently Enrolled in: *

College/University: *

College Address: *

City: *

State: *

Zip/Postal Code: *

Degree Pursuing: *

Major/Specialty: *

# of Years Completed: *

# of Credits Completed: *

Anticipated Graduation Date: *

Please confirm that the nominee consents to being nominated: *

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Application Support Materials

Click here to review the application requirements.

Nominees must submit an essay, no more than 500 words, describing their interest or experience in HIV care and their short and long term objectives/intentions within their field of study and complete the list of items noted below. *
(Maximum characters: 2000)
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Please use this space for the continuation of your essay.
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What do you want to learn or work on as part of your mentorship year? Please list 3 learning objectives: *

Name of ANAC member supporting this application: *

I am making this nomination on behalf of the nominee.

ANAC Member Statement of Support: Please upload the statement of support from an ANAC member *

Please upload the nominee's official transcript from current college/university:

What type of mentorship support would be most beneficial to you and your learning style? *
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Fellowship Stipulations

By accepting the DEI Fellowship, I agree to the following stipulations:

To maintain, at a minimum, a monthly follow-up schedule with your assigned mentor.
Complete a quarterly written report on your progress to be turned in to your assigned mentor via email.
To actively participate in the work of ANAC including a two-year term on the DEI committee with active participation.
To complete your learning objectives and all assigned learning activities.
To present, in person, a summary of your experience at the 2024 annual ANAC conference.

NOTE: Failure to adhere to the stipulations of this award could result in the revocation of the award.

I agree to the scholarship stipulations: *

Yes

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