Bagwell/3M Leadership Development Grant Application

Leadership Development Grant

Application for the 3M™ Littmann® & the Dr. Marilyn Bagwell Leadership Development Grants
Deadline: Friday, February 7, 2025

Faculty Advisors or Dean/Directors must complete the application below on behalf of the students at the school of nursing to apply for the Dr. Marilyn Bagwell and/or 3M Leadership Development Grants.

Note: You cannot save your work and come back to the application at a later time. Data entered will not be saved.

Purpose: A grant for official NSNA school chapters (established a minimum of one (1) year) to foster the development of leadership skills, professional identity and teamwork in nursing students.
Please indicate the grant(s) that you wish to apply for. School chapters can apply for both grants:*

Marilyn Bagwell Leadership Development Grant3M ™ Littmann Stethoscope® Leadership Development Grant
School of Nursing*
School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Faculty Advisor*

PrefixFirst NameLast Name
Faculty Advisor Title*
Faculty Advisor Phone Number*

Area CodePhone Number
Faculty Advisor Email*

Confirmation Emailexample@example.com

Chapter Assessment

This section will contain a description of the current status of the official NSNA chapter at your school.
Indicate the number of NSNA members you have at the School of Nursing:*
Does the School of Nursing have Project In Touch Recruiters?*

YesNoUnsure
In the box below, describe the current status of the NSNA chapter at your school. Describe the leadership activities that have taken place at the school in the last two (2) years.
Statement of Assessement*

Purpose of Proposed Project

This section will contain a description of how the grant funds will be used to enhance involvement of nursing students in NSNA and build leadership capacity. The project must support a resolution passed in the NSNA House of Delegates within the last five (5) years.
Title of School Project*
Year of Resolution This Project Addresses*
Ex: 2020
Title of Resolution This Project Addresses*
Describe the project/activity that will enhance involvement of nursing students in NSNA and the community. Please be as specific as possible.*
Identify at least two (2) measurable goals (including leadership development goals) that the project seeks to address. *
Describe at least three strategies that you will use to achieve the proposed goals of this project.*
Describe how you will apply leadership principles learned from this proposed project.*

Budget and Budget Description

Provide a budget and budget description of how funding will be allocated for the proposed project for the 2025-2026 academic year. The description must include a timetable and specific methods to evaluate goal accomplishment.
Propose Budget*
Description of Proposed Budget*
Should be Empty:

Leadership Development Grant