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Scholarship Application

 

Old Dominion Society of Gastroenterology Nurses and Associates

Chapter #62

Scholarship Application 

(scholarship will cover registration)

1. Be an active member:
dues are current for the year
have attended one or more regional activities in the past year

2. A paragraph on your expectations from attending the conference


3. List any accomplishments related to gastroenterology and ednoscopy nursing. ie. published an article locally or nationally, developed standards or procedures for your department, developed competency(s) for you and your staff, etc.


Name:
Address:

Telephone#:
Fax#:
Email:
 

Submit by mail to:
Katie Snyder
384 Richardson Drive
Louisa, VA     23093

For questions, you can email: howland48@yahoo.com or phone: 434-531-7342


  Print Application or Select File and then Print from your browser's menu.

 

 



 

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