Greater NY Scholarship Application

Haitian American Nurses Association, Inc. (HANA, Inc.)

P.O. Box 311095
Jamaica, New York 11431

SCHOLARSHIP APPLICATION

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Date

Name of School/University

Demographics

First Name

Last Name

Address

Street Address

Apt or Suite

City

State

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Home Phone

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Date of Birth

Citizenship

Resident

U.S. Citizen

Academic/Professional Information

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What is your current level in nursing school?

What Professional Organization(s) do you belong to:

Community Involvement (please include of proof of community involvement):

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Transcipt and Essay

Essay Topic for 2024
Outline how, if passed nationally, the Safe Nurse Staffing for Patient Safety and Quality Care Act will ensure safe quality patient care while driving down cost to healthcare organizations.

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