ABPANC Scholarship Application

Please review the American Board of Perianesthesia Nursing Certification, Inc.’s Scholarship Program for complete details and eligibility requirements. Complete the electronic Application form below and click “Submit” then you will receive a confirmation email with a copy of your application. Questions may be addressed to abpanc@proexam.org.

Applications will be accepted May 1 through June 30 for the Fall Cycle and December 1 through January 30 for the Spring Cycle.

Applicants will be notified about the status of their scholarship by July 15 for the Fall Cycle and by February 15 for the Spring Cycle.


Please select which scholarship you are seeking
Application for Certification Fees ($314)Application for Recertification Fees ($194)


Applicant Information

First Name

Last Name

Credentials

Home Address

Email

Phone


Work Information

Employer

Unit

Work Address


Verification of Eligibility Requirements: (Must be verified by Nurse Manager)
Refer to the Certification Candidate Handbook or Recertification Handbook for a complete description of the experience requirement for initial certification and recertification.

I verify that the individual named above has met the following eligibility requirements as of this application:

Current, unrestricted RN licensure in the US or any of its territories using the NCSBN NCLEX exam as the basis for determining RN licensure

Choose one:

If applying for Certification scholarship, 1,800 clinical hours within the two years prior to submitting an Examination Application; ORIf applying for Recertification scholarship, 1,200 hours of experience within the three year certification period; AND

Monetary Support:  is not available

Verifying Nurse Manager Information

First Name

Last Name

Credentials

Email

Phone


Type a 300-word essay in the space provided below

For a Certification scholarship, address the following: What becoming CPAN or CAPA certified would mean to you, and what you see as the benefits of being certified.

For a Recertification scholarship, address the following: How have you promoted CPAN or CAPA certification during your past 3-year period of certification.