NLN Award Application Form NLN Award Application For the NLN.ON annual applications for Education, Research, Seed Grant and Dorothy Wylie awards Step 1 of 6 16% The application form has been updated. Once you have started the form, you may click on "Save and Continue Later" at any time. You will be presented with a unique link that you can either save or have emailed to you. However, once you click on "Submit", your application will no longer be available to you.Applicant Details: Name(Required) First Last Email(Required) PhoneAddress(Required) Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Employer or Institution Name(Required) Job Title Enter the number of years you have been an NLN.ON member(Required)Please enter a number from 0 to 25.You must be a current member for at least 1 year as of February 2023Which member category applies to you?(Required) Member via RNAO Direct Member List your academic credentials(Required)Maximum 500 characters. eg BScN, RNAward(s) Applied for(Required) Part Time Education Award Dorothy Wylie Graduate Education Award Research Award Graduate Education Seed Grant Award Sue Matthews Exemplary Mentorship Award Select all awards for which you wish to applyAcceptance of Terms and Conditions(Required) I accept the terms and conditions Your ProfileComplete the following fields for any/all awards for which you are applying.Provide a very brief summary description/biography that may be used on the NLN.ON website. Use the 3rd person when writing (maximum 100 words)(Required)Upload your current resume or CV(Required) Drop files here or Select files Accepted file types: pdf, jpg, gif, png, doc, docx, Max. file size: 100 MB, Max. files: 2. No more than 2 pages, typed in single space, 12 point Times New Roman font. MS Word or PDF format.Which NLN.ON award(s) have you previously received?(Required) Dorothy Wylie Graduate Education Award Part-Time Education Award Research Award Seed Grant Award Select all awards you have previously wonHow did you learn about the NLN.OLN awards? NLN Communication NLN Website RNAO Social Media Friend or Colleague Family Other Enter all methodsList any other sources where you have applied for or received funding.Certification I accept I decline I certify that all the information contained in this application is true and accurate. If I receive an award, I authorize NLN.ON to include by name, city/residence, attending college/university and a summary of my professional profile. Dorothy Wylie Graduate Education and Part-Time Education AwardsThese fields are to be completed if you are applying for the Dorothy Wylie Graduate Education Award or the Part-Time Education Award.For which are(s) are you applying?(Required) Dorothy Wylie Graduate Education Award Part-Time Education Award What is your program of study?(Required)Maximum 50 wordsWhat type of program are you attending?(Required) Undergraduate Degree 4-year BScN Undergraduate Degree Post-RN BScN Undergraduate Degree RPN to BScN Undergraduate Degree 2-year entry-level baccalaureate program Graduate Degree Masters Graduate Degree PhD/DN Non-Nursing Program Undergraduate Non-Nursing Program Graduate In which year did you start your program?(Required)Please enter a number from 1990 to 2023.In which year do you anticipate completing your program?(Required)Please enter a number from 2023 to 2030.Name of the institution where you are a student(Required) Proof on Enrolment(Required) Drop files here or Select files Accepted file types: pdf, jpg, gif, png, doc, docx, Max. file size: 100 MB, Max. files: 2. What is the major focus of your clinical and/or professional nursing practice(Required)Limit of 500 wordsProfessional Goals(Required)Add a statement describing your professional goals and objectives, how your course of study will help you to achieve your goals and how this will help to advance nursing leadership and quality of care.Two references must be provided using for referee form (insert URL) and submitted directly to NLN.ON@first-stage.ca by Friday March 31st, 2023 at 11:59PM EST Research AwardComplete this page if you are applying for the Research AwardWhat is the title of your research?(Required) Upload evidence of REB approval(Required)Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 100 MB.Upload your research proposal(Required)Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 100 MB.Limit of 5 pagesList of publicationsList any relevant publications and / or completed research in the last 5 yearsTwo references must be provided using for referee form (insert URL) and submitted directly to NLN.ON@first-stage.ca by Friday March 31st, 2023 at 11:59PM EST Innovation Seed GrantComplete this page only if you are applying for the Nursing Leadership Innovation Seed Grant.Proposal(Required)Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 100 MB.Upload your proposal outline. Limit of 4 pages, single spaced.One letter of support must be provided from one or your references noted below and submitted directly to NLN.ON@first-stage.ca by Friday March 31st, 2023 at 11:59PM EST.Use the fields below to provide details of the two people supporting this application.First Supporter: Name(Required) First Last Email(Required) Phone(Required)Job Title(Required) Second Supporter: Name(Required) First Last Email(Required) Phone(Required)Job Title(Required) Please review your application to ensure it is complete. Once you have submitted, you will no longer be able to visit and make changes.My application is complete(Required) Yes my application is complete No my application is not complete
