American Nurses Association Massachusetts
American Nurses Association Massachusetts
Ruth Lang Fitzgerald Memorial Scholarship
The American Nurses Association Massachusetts Ruth Lang Fitzgerald Memorial Scholarship
was established by the Fitzgerald family in memory Ruth Lang Fitzgerald, a founding member of American Nurses Association Massachusetts (formerly MARN) and a longtime member of the American Nurses Association, who passed away in January 2005. Ruth was proud of her 62 years as an RN, her service to her country during War World II as a 1st Lt. in the Army Nurse Corps in the South Pacific and her work as an advocate for seniors.
This scholarshipof up to $1000 is to be given to a member of the American Nurses Association Massachusetts to pursue an area of interest or special project that will be beneficial to the member and/or the Association. The Scholarship may be used to attend an educational conference or some other educational activity. It may also be used for participation in a humanitarian aide project. The Ruth Lang FitzgeraldMemorial Scholarship is presented each year at the ANA Massachusetts Awards Dinner Ceremony in early spring.Scholarship recipients are asked to serve on the selection committee for the following year’s awards.
Eligibility / Selection Criteria
- Must be a member of ANA Massachusetts for at least a year (12 months).
- Preference will be given to candidates who have current or prior military service; work or hope to work with a senior population; or who have an interest in legislative issues.
- Must not have been a recipient of anANA Massachusetts Award or Scholarship in a previous year.
Instructions for application completion & submission
Application may be submitted electronically or by mail. Please complete all areas indicated with either text or check marks. For applications completed and submitted electronically, grey text boxes will auto expand to fit contents. Receipt of application submitted will be confirmed by email.
Completed applications should be sent to:
Or:
Chair, ANA Massachusetts Awards Committee
C/O ANA Massachusetts
P.O. Box 285
Milton, MA02186
Must be e-mailed or postmarked byJanuary 12th.
Ruth Lang Fitzgerald Memorial Scholarship
Application Form
Nominator Information
Name and Credentials:
Address:
City/State/Zip:
Home phone (include area code):Home Fax:
E-mail address:
Member of ANA Massachusetts since (month & year):
Activities in ANA Massachusetts:
Have you had any prior military experience? yes no
If yes, please indicate dates and branch of service:
Have you worked with a senior population? yes no
If yes, please include the agency and dates worked:
Have you been involved with legislative issues? yes no
If yes, please describe your experiences:
Ruth Lang Fitzgerald Memorial Scholarship
Funding Request
Name of Educational Activity / Conference:
Date:
Amount of Funding Requested (up to $1000): $
Please list the specific costs included in the funding request; registration, travel, books, etc.
If funding request is for conference attendance, please attach a conference brochure / flyer.
OR
Name of Humanitarian Project:
Date:
Amount of Funding Requested(up to $1000): $
Please list the specific costs included in the funding request; registration, travel, books, etc.
Attach published information about the project.
Ruth Lang Fitzgerald Memorial Scholarship
Essay
A brief essay of not more than 250 words describing the conference / special project and your rationale including the professional benefitderived from this activity.
Signature (if mailed): Phone Number:
Print Name: Title:
Position: Date:
Are you a member of ANA Massachusetts?Yes No
Ruth Lang Fitzgerald Memorial Scholarship
Application Checklist
(Incomplete or partial applications will not be considered.)
Completed application includes:
Personal Information Form
Funding Request Form
Essay
Completed application must be postmarked/submitted electronically byJanuary 12th.
American Nurses Association Massachusetts
PO Box 285 ~ Milton, MA 02186 ~ 617-990-2856
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