HANA Of Florida Scholarship Application

Monday - Friday 9:00am - 5:00pmSaturday and Sunday - CLOSED +1 305.609.7498info@hanaofflorida.org1870 NE 171th streetNorth Miami Beach, fl. 33162

+305.609.7498

info@hanaofflorida.org

HANA Application

Online Scholarship Application Form

Date:(Required)

Name Of School:(Required)

First Name:(Required)

Last Name:(Required)

DOB:(Required)

Haitian Decent:(Required)

Resident:(Required)

U.S Citizen:(Required)

Address:(Required)

Street Address City: State Zip Code:

Phone: (Home)(Required)

Cell Phone:(Required)

Work:(Required)

Email(Required)

What language (s) do you Speak?(Required)

What nursing degree are you pursuing?(Required)

What term/Semester are you current in?(Required)

Current GPA (Minimum 3.0)(Required)

Professional Organization(s) to which you belong, including student associations

Attestation: I declare that the above statements are true and accurate to the best of my knowledge.

Student’s Signature:(Required)

Upload your Resume:(Required)

Drop files here or

Accepted file types: pdf, png, jpg, doc, docx, Max. file size: 10 MB.

Please complete the information above and return via email to HANA Education Committee at info@hanaofflorida.org

HANA is a non profit association that provides nurses the opportunity to unite as a group, and to become effectively involved with the issues and services relevant to the health and welfare of communities in Florida and abroad.

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HANA Application