2022 Doctoral Scholarship Application

Application deadline is Sept. 1, 2022. 

Please make sure you meet all of the eligibility and application requirements before completing this application. Only one scholarship can be awarded to an individual per year.

This application must be completed in a single session as your progress will not be saved on this web page to be completed at a later time. Before submitting this application, review it to ensure that you have completed all necessary fields and uploaded all required documents.

All inquiries regarding application submissions should be directed to:
Gwen Medley, RN
2022 Scholarship Committee Chairperson
Email: scholarships@txena.org

    General Information

    Your First Name (required)

    Your Last Name (required)

    Your Credentials (required)

    Your Street Number and Name (required)

    Your City (required)

    Your State (required)

    Your ZIP Code (required)

    Your Email (required)

    Your Phone Number (required)(no dashes)

    Your Texas RN License Number (required)

    Your Texas RN License Expiration (required)

    Your ENA Member Number (required)

    Your ENA Member Expiration (required)

    Year of Initial ENA Membership (required)

    Your Texas Chapter Membership(s) - Past Two Years (required)


    University Information

    Name of University (required)

    Department Name (required)

    Street Number and Name (required)

    City (required)

    State (required)

    ZIP Code (required)

    Phone Number (required)(no dashes)

    Website (required)


    Doctoral Program

    Select your Program (required)
    PhDDNPDNP/PhD

    Number of Hours Enrolled for (next) semester/quarter/trimester. (required)

    Synopsis of Dissertation Proposal or DNP Capstone/Terminal Project. Synopsis must clearly relate to emergency care that includes the scope of emergency nursing. 350 word limit. (required)

    Statement of Post-doctoral Professional Goals Related to Emergency Care/Emergency Nursing. 200 word limit. (required)


    Required Attachments

    Required Attachments from University


    I agree to the following upon acceptance of Texas ENA scholarship funds:

    I have reviewed this application and to the best of my knowledge the information submitted is accurate. It is understood the decisions as to whether any application qualifies me for approved funding rests solely and exclusively on the recommendations of the Texas Scholarship Committee, and their decision is final.

    Initial: (required)

    Signature (required)

    Date (required)