Massachusetts Society of PeriAnesthesia Nurses
            Nursing Student Scholarship Criteria

The Massachusetts Society of PeriAnesthesia Nurses is pleased to be able to offer a scholarship to a nursing student
to assist them in achieving their nursing career

Eligibility:   
Nursing students who are currently enrolled in an accredited program in the State of Massachusetts

Guidelines:  
Submissions must be typed, no hand written documents will be accepted

Requirements to submit:
Completed Application (see below)                    
Copy of high school transcript or copy of current nursing school transcript must be submitted with the application   
Two letters of recommendation:  
  Letters may be original or photocopies
  Typed, dated, and signed by the author              
  Author must indicate relationship to student
Candidates will submit a short essay of 350 words or less describing their reason for choosing nursing as a career

Award:         
$500.00 toward tuition payable to the applicant
One year student membership in ASPAN
One year complimentary issue of MASPAN Newsletter Mayflower
Applicants may receive this award only once during pursuit of their RN

Selection Process:   
Selection will be made by the MASPAN Board of Directors based upon evaluation of information submitted
 

Requirements of Awardees:   
Candidate selected for scholarship awards must agree to having their submission essay published in the
MASPAN newsletter
Mayflower and on the MASPAN website, wwww.maspan.org



Complete Application below; use a separate typed sheet to show how you meet criteria


Last Name: _____________________________   First Name: __________________ MI:____
Street Address:___________________________________________________________
City/Town:  _____________________   State:  _____      Zip Code: ___________
Phone: (             )_________________________                                   
Name of School:  _________________________________________________________
BSN        AD        Diploma       (Circle One)     Expected year of graduation  ________

List Jobs you have held during the last 3 years.  Include employer, dates of employment and describe
your role in this position

List volunteer work or community service you performed during the last 3 years  

Additional activities:   Please list any scholastic, civic honors, awards you may have received within the
last 7 years  

Send Application to:

Ellen Sullivan BSN, RN, CPAN
MASPAN Scholarship Chair
137 Tiffany Road
Norwell, MA 02061                                                 
E-mail:  eesullivan@partners.org