About You

First Name

Last Name

Your DAISY Honoree Information

Are you a DAISY Honoree?

Link to your DAISY Spotlight from DAISYFoundation.org (You'll find this by going to www.DAISYfoundation.org and typing your name into the search box. Go to your Spotlight page, and copy the URL for that page. Then paste it in this field.) :

Eligibility

Thank you for your interest in The Healing Hands Conference Scholarship, unfortunately, in order to be eligible, you must be a DAISY Honoree and be registered on our website: https://www.daisyfoundation.org. If you have any questions about your status as a DAISY Honoree, please contact FaithThomas@DAISYFoundation.org for assistance. Thank you!

Conference Details

If you are selected to be a recipient of one of the scholarships, please tell us what conference you would like to attend (if undecided, please indicate that below).

Is your intended conference being held in person or virtually?

Please answer the questions below in detail. Earning this scholarship is determined by the details you provide.

1. Please describe how you will share what you learn at this conference with colleagues.

2. How will you incorporate what you learn from this educational offering into your practice?

3. How will this conference advance your long-term career goals (beyond the attainment of continuing education hour requirements)?

Contact Information

Country

State

Provinces

State/Province

Address Line 1

Address Line 2

City

Postal Code

Phone

Name of current facility where you work:

By checking this box and submitting the online form, you agree to The DAISY Foundation and CBI, the parent company of Cherokee Uniforms, collecting and storing your personal contact information. We may contact you if we have questions about your submission, next steps, or to send you communication when the next round of Healing Hands Scholarships open. To learn more, please read our Privacy Policy.

I Agree

By checking this box, you agree that you read and accept the terms, conditions, and rules of applying for a Conference Scholarship. This includes, upon selection, submitting a photo of yourself at the conference of your choice to The DAISY Foundation. You also agree that the photo may be used by The DAISY Foundation and/or Cherokee Medical Uniforms for future promotion of the scholarship program or other similar marketing campaigns.

I Agree

Please note: It may take a few moments for the form to process. If you do not have pop ups enabled, you may not receive our confirmation message.

If you have questions about your application, please contact FaithThomas@daisyfoundation.org

Contact Information