2023 Special Scholarship Application

Application deadlines:

  • EN23: Nov. 15, 2023
  • Other CE: Deadline for submission is the last day of each quarter – March 31, June 30, Sept. 30 and Nov. 15 (to allow for end-of-year check processing).

Please make sure you meet all eligibility and application requirements before completing this application. Only one scholarship can be awarded to a person per calendar year.

Reimbursement will be 50% of tuition cost for either EN23 or Other CE scholarships.  

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:
Vicki Patrick
2023 Scholarship Committee Chairperson
Email: scholarships@txena.org

    Applying for: (Check one)(Required)

    EN 23Other CE Conference

    General Information - All applicants complete this section.

    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 Personal Email (required)

    Your Mobile Phone Number (required)(no dashes)

    Your ENA Member Number (required)

    Your ENA Member Expiration (required)

    Year of Initial ENA Membership (required)

    Your Texas Chapter (required)

    Years of Emergency Nursing Experience (required)

    What other financial support will you receive for this conference? (required)

    State CouncilChapterEmployerOther ScholarshipSelfOther

    Submit a short statement of financial need for a scholarship. (required)

    EN 23 Applicants Only

    Are you a General Assembly Delegate?

    DelegateAlternate DelegateNot Attending GA

    Are you EN23 Faculty?


    What is your Registration Preference?


    Have you Attended a previous ENA National Conference?


    Submit a Short Statement of Professional Goals for Attendance at EN 23. Include statements regarding: how will you use what you have learned and how it will affect your nursing practice.

    Submit a Short Statement of Educational Goals for Attendance at EN 23

    Other CE Conference Applicants Only

    CE Conference Title

    CE Conference Sponsor

    CE Conference Location

    CE Conference Date(s)

    CE Conference


    Submit a Short Statement of Professional Goals Related to this Conference. Include statements regarding: how you will use what you have learned and how it will affect your nursing practice.

    Submit a Short Statement of Educational Goals Related to this Conference

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

    Monies granted shall not exceed the amount spent on the conference. The amount awarded will be determined based on submitted registration receipt.

    Initial: (required)

    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)

    I understand that upon receipt of a synopsis (~100 words) of my education experience (e.g., favorite topic/content/speaker) to the Texas Newsrunner for publication, scholarship funds will be dispersed.

    Initial: (required)

    Signature (required)

    Date (required)