ANA\California Foundation Scholarship Application

Membership in the American Nurses Association\California (ANA\C) is a requirement to apply for Foundation scholarships.

I am an active ANA\California Member.

ANA\California Membership #

Which scholarship(s) are you applying for? (Check all that apply)

California Conference ($1,000)

National Conference ($2,000)

Please respond to the following in 250–300 words each:

What challenge or issue in nursing are you most passionate about right now, and how could this conference help you address it?

Describe a time you shared knowledge or supported change in your workplace or community. How would this sponsorship help you build on that impact?

Whose voices or stories do you believe are missing in nursing leadership today—and how do you hope to represent or elevate them through your participation?

How would you describe your professional journey at this stage—and why is this the right moment for you to attend this conference?

Are you actively involved in any of the following? (Check all that apply)

Professional nursing associations

Community health initiatives

Policy organizations

Nursing student or mentorship programs

DEI-focused work or affinity groups

Volunteer leadership or service

Are you a member of any of the following groups?

Black, Indigenous, and other People of Color (BIPOC)

LGBTQIA+ individuals

Veterans and military-connected individuals

People with disabilities

Individuals from historically marginalized or underserved communities

Individuals from low-income or economically disadvantaged backgrounds

Scholarship Recipient Responsibilities (If Selected)

As a scholarship recipient, you agree to complete the following deliverables. These help us highlight your experience, share your story, and inspire other nurses to pursue similar opportunities:

Share key takeaways and event photos.
Participate in a brief post-event video reflection.
Post social media updates throughout the event.
Engage with speakers and presenters during the event.

I acknowledge and accept the responsibilities outlined above if selected for ANA\California Foundation scholarship.

Applicant Information

First name

Last name

Email

Phone

Mailing Address

Preferred Pronouns

Current Employer

Current Role/Title

Years of Nursing Experience

Educational Background

Is there anything else you'd like us to know about you, your goals, or your interest in this opportunity?

Apply for a Sponsorship

ANA\California Foundation Scholarship Application

Scholarship Recipient Responsibilities (If Selected)

Applicant Information

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