Scholars Reconnect

Beyond the Scholarship

From Student Life to Scrub Life...Where Are You Now?
As an FNSNA Scholar you are a valued part of our nursing community. We want to reconnect and highlight the incredible impact our scholarship recipients are implementing in the nursing profession. With your journey, you are inspiring fellow nursing students and have the opportunity to pay it forward. FNSNA continues to build new opportunities to secure funding for the next generation of nursing students.

The FNSNA will be featuring stories from scholars who reconnected with us in all forms of communication including but not limited to Imprint, www.fnsna.org, and social media platforms.

By completing the form below you agree to provide FNSNA with an update about your nursing journey since receiving scholarship funding.
Name*

First NameLast Name
Please list your credentials*
BSN, RN, CCRN, etc.
Permanent Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Permanent Email*
example@example.com

Name of the scholarship you received from FNSNA?
Name of Scholarship You Received
What year did you receive the scholarship from the FNSNA?
YYYY
Graduation Date?
MM/YYYY
Current Place of Employment
City
State
Nursing Speciality?

How did receiving a scholarship from the FNSNA impact you as a nursing student and in your career as a nurse?*

0/200
What is your current position in nursing?*

0/200

Photo Release Waiver

Please read the following waiver and share with us your professional photo to be used in all of our communications pieces and social media content.
I hereby give the Foundation of the National Student Nurses' Association, Inc/National Student Nurses' Association, Inc. (FNSNA/NSNA), and its successors and/or assigns, the absolute and irrevocable right and permission, with respect to the photograph attached to

(a) to copyright same in its own name or any other name that it may choose;

(b) to use, reuse, publish and republish the same in whole or in part, individually or in conjunction with other photographs or images, in any medium, and for any purpose whatsoever, inlcuding but not limited to illustration, promotion, advertising and trade, and publication in all FNSNA/NSNA publications and media of any kind or description, including but not limited to Imprint magazine and the FNSNA/NSNA website; and

(c) to use my name in conjunction therewith if it so chooses.

I hereby release and discharge FNSNA/NSNA, his or its heirs, executors, assigns and any designees (including any agency, client, broadcaster, periodical or other publication) from any and all claims and demands arising out of or in connection with the use of such photographs, film or tape, including but not limited to any claims of defamation or invasion of privacy.

I am of legal age and have read the foregoing and fully understand the contents thereof.
By typing your name in the space provided, you agree to the photo release waiver above.*
Please upload a photo of yourself to be used in FNSNA/NSNA publications and social media marketing and promotion.*

Browse Files

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May we contact you in the future for further information regarding your career as a nurse?*

YesNo
Should be Empty:

Beyond the Scholarship

Photo Release Waiver