WEST VIRGINIA ASSOCIATION OF SCHOOL NURSES

GRANTS CRITERIA:

1. To receive a grant you must have been a member of the WVASN for at least one year.
2. The total grant awarded will be for a maximum amount of $500 per year for all applicants.
3. A member is only eligible for one grant every 3 years.
4. The grant is to be shared with the WVASN constituency by oral, written or kinesthetic
     presentation.
5. The grant needs to be for the betterment of all school nurses in West Virginia.
6. The decision awarding a grant will be made by the Grants Committee of three members
     appointed by the president of WVASN.
7. Requests for the grant need to be submitted by April 1st to the committee for review.
8. A simple contract shall be signed by the individual receiving the grant from WVASN.   If the
     individual is unable to fulfill the contract, full repayment must be made to WVASN.

In submitting a grants application, please follow the above criteria and complete the form below.
Mail or E-mail your request to: Denise Koster 110 Waterside Circle, Winfield, WV 25213.
Or E-mail: dnurse@citynet.net

Name: ___________________________________ Date: ______________________

Address: (home) ______________________________________________________

                (work) ______________________________________________________

Phone: (home) _________________________ (work) ________________________

School/County: _______________________________________________________

Have you received a grant through WVASN in the last 3 years?   ____    ____
                                                                                              Yes           No

Grant Request:
(describe what is involved and how it will be for the betterment of all school nurses in West Virginia).