ࡱ> _ bjbj;`;` Y 7\Y 7\b6 6 8$le%\\\$$$$$$$$') %\"@\\ %Z%\j$\$:T#,#x݁F# $5%0e%#Rc* `c*#c*#\\\\\\\ % %l\\\e%\\\\c*\\\\\\\\\6 > t:  PSNA Student Travel Award Eligibility Criteria Applicant must be enrolled in fulltime PhD Nursing Program. Applicant must have completed 9 credit hours of graduate level course work. Applicant must illustrate why attending the conference is important to them. Applicant must provide proofs of inability to receive fund from other resources (since PSNA is a small organization, priority will be given to those, who show financial need and no other support). Application forms must be submitted within a month of conference; however all decision will be made at the end of the semester for all the applications. Funds will then be divided to all the approved applicants. Maximum approved amount will not exceed $300.00. No funds may be awarded to pay for tuition, fees, fines, or memberships in professional societies. Applicant can only apply once a year. Personal Information Name:Student ID:Address: Email:Phone:Program:Expected Graduation Date:Advisors Name: Advisors Email:Reason for application (Indicate its importance to your program of study):Title of Conference:Title of Paper or Presentation if presented:Amount requested (please provide receipts for reimbursement):Student Signature /Date (I have not received same funding from other resources): Advisors Signature/Date: Required Materials: Copy of your registration and/or acceptance letter for your presentation including your abstract. Proof of your presence in the conference if you are not presenting (e.g. picture, copy of your name tag, etc.) Original receipts or scanned copy for reimbursement. Please keep your original receipts till you receive your award. Proof of absence of other financial support or letter indication why you need this support.  To be completed by PSNA Officer: ________Not Approved for reimbursement ________Approved for reimbursement The PhD Student Nurses Association has approved_______________________________ to receive a monetary reimbursement for the amount of $______________________, which will be deducted from the PhD Student Nurses Associations account. 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