PROFESSIONAL DEVELOPMENT > ANAC2026: San Diego

DEI Student Fellowship

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 nursing and is interested in attending the organization's national conference.

This form will not automatically save what you have entered, and if you close out of the form before submitting, you will lose all contents. Please be prepared to submit the entire form in one session. In order to submit your application, please complete all required fields and scroll to the very bottom of the form and click "Submit." Your application will not be filed until you click the "Submit" button.

Applications and supporting documents must be submitted by March 31, 2026. 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: *

Nominee does consent

Nominee does not consent

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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. *

Please use this space for the continuation of your essay.

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? *

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 2026 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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