MNPA Student Scholarship Application
2021 Annual Fall Conference  - October 27-29  - Samoset Resort, Rockport, Maine

Each year, the Maine Nurse Practitioner Association raises money to provide scholarships to Maine NP students who wish to attend the MNPA’s Annual Fall Conference.  In order to be eligible for a scholarship applicants must be student members of MNPA and be enrolled in a fulltime NP program.  This scholarship includes conference registration and meals provided during the conference.  (Evening meals and lodging are not included and are at the expense of the scholarship recipient).  

To apply for a scholarship, please complete the application below and return it to the address provided no later than September 1, 2021. Applications will be considered on a case-by-case basis by the conference planning committee. Applications received after the September 1, deadline will be considered only if space permits.  All applicants will be notified of the committee’s decision by email on or before September 30th.  Incomplete applications will not be considered.

***If you are applying for a scholarship you will still  need to register using this form. In the payment option section select "invoice me".***

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Name *
Address *
Email *
Best contact phone number *
What NP program are you attending? *
Year of anticipated graduation *
Name of a faculty reference *
Faculty member's email address *
**IMPORTANT:  Please send faculty reference this link to confirm your student status:  https://forms.gle/HJn1h2Rtfdhcv8M59 
Brief biography so we can know a little about you, please include your plans for after graduation *
If selected to receive a scholarship I would like to attend *
In order to be eligible for a student scholarship, you must be a MNPA member.
To join, visit mnpa.us to fill out your membership application.
Are you a student member of MNPA? *
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