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GIVING
VA Nursing Academic Partnership (VANAP) Scholars 2021 (BSN)
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Note: This application is for Traditional BSN students ONLY. Please do not complete this form if you are in another program. Applications now being accepted for the fall 2021 cohort. Deadline for applications is June 25, 2021.
Please complete the form in its entirety.
Personal Information
First Name
Middle Name
Last Name
Mailing Address
Mailing Address
Country
Street
City
Region
Postal Code
Phone Number
Email Address
Additional Information
Please complete the following questions.
You
must
complete an official application to the Emory SON to be considered for this program, which can be completed here:
https://apply.nursing.emory.edu/apply/
Are you a natural born or naturalized American Citizen?
Are you a natural born or naturalized American Citizen?
Natural Born
Naturalized American Citizen
Do you have military experience? (For reporting purposes only, not a program requirement.)
Do you have military experience? (For reporting purposes only, not a program requirement.)
Yes
No
If yes, what is your status?
Active
Reservist
Retired
Are you a veteran?
Are you a veteran?
Yes
No
Do any of your family members (parents, siblings, or spouse) or close friends have a military background?
Do any of your family members (parents, siblings, or spouse) or close friends have a military background?
Yes
No
If yes, please indicate relationship:
If yes, please indicate relationship:
Parent
Sibling
Spouse
Other
Have you ever worked or volunteered at a veteran/military facility?
Have you ever worked or volunteered at a veteran/military facility?
Yes
No
N/A
In three sentences, please explain why you are interested in the VANAP program.
If you have any questions, please contact: gladys.n.jusino.leon@emory.edu or call 404.727.7980
Submit