WESTERN NEW YORK ASSOCIATION FOR SPD MANAGERS
Scholarship Program Criteria
Western New York Association for SPD Managers will offer two different scholarships. The purpose of these awards
is to provide financial assistance to those members who wish to continue their education and individual growth.
Two categories have been established for these awards:
1). Award one (1) educational funds for one member to attend the IAHCSMM Annual Conference & Expo
The scholarship covers registration fee (Application must be submitted by November 1)
2). Award one (1) individual annually an opportunity to work toward certification by providing study materials
needed to prepare for the certification exam. Applicants must be employed in the CS profession for a minimum of
6 months and should include a letter of recommendation from a Supervisor or Manager. The scholarship covers
educational materials plus exam cost for one of the following certification associations:
International Association for Healthcare Central Service Materiel Management (IAHCSMM) or
Certification Board for Sterile Processing and Distribution CBSPD)
One member / winner in each category (These awards are non-transferable, and all course requirements must be
met for successful completion.) If a suitable applicant is not found in a category, that award will not be given until the
following year.
AWARD ELIGIBILITY CRITERIA:
Applicants will be evaluated on the following criteria from the completed application, personal essay, and letter of
reference from an immediate supervisor.
1.
Central Sterile Supply Department Technicians, Managers or Supervisors
2.
Financial need
3.
Interest in pursuing educational and individual growth goals
4.
Participation in activities (Association, hospital department, community)
5.
Years of service in Central Sterile Supply.
Applicants must complete the approved application and send it, along with their personal essay and a letter of
reference to:
Ms Wilhelmina Jones
University at Buffalo Educational Opportunity Center
Office 305L
555 Ellicott Street
Buffalo, New York 14214
WESTEREN NEW YORK ASSOCIATION FOR SPD MANAGERS
Scholarship Application
Application for (check one) Correspondence Courses
IAHCSMM OFFERS FOUR CERTIFICATIONS:
o
Certified Registered Central Service Technician (CRCST): The accredited introductory certification for CS
Professionals
o
Certified Instrument Specialist (CIS): A secondary certification focusing on medical instrumentation
o
Certified Healthcare Leader (CHL): A secondary certification for CS Management
o
Certified Central Service Vendor Program (CCSVP): A certification specifically for CS Vendors
CBSPD OFFERS FIVE CERTIFICATIONS:
o
Technician (CSPDT) The accredited certification for CS professionals
o
Manager (CSPM) The accredited certification for CS Mangers
o
Ambulatory Surgical (CASSPT) The accredited certification for Ambulatory Surgical
o
GI Scope (CFER) The accredited certification for Gastroenterology
o
Surgical Instrument (CSIS) The accredited for Surgical Instruments
IAHCSMM ANNUAL CONFERENCE EXPO
o
IAHCSMM Annual Conference & Expo
Name________________________________________________________________________________________
Home Address______________________________________________________________________________________
Home Telephone_____________________________________________________________________________________
Business Address______________________________________________________________________________________
Business Telephone_____________________________________________________________________________________
Immediate Supervisor’s Name________________________________________________________________________________
IAHCSMM Status: circle one
Member
Non-Member
Years of Service in the Central Sterile Supply Department______________________________________
Activities (describe): Association, hospital department, community, volunteer, or other.
1.____________________________________________________________________________________________
2____________________________________________________________________________________________
3.____________________________________________________________________________________________
Personal Essay:
Please attach a 150-word essay describing your interest in pursuing educational goals for individual and personal improvement,
your financial need, and any other information that would be helpful in understanding why you wish to be awarded this scholarship.
Letter of Reference:
Please attach one (1) letter of reference from your immediate supervisor verifying your current employment and attesting to your
interest in receiving this scholarship.
Applicants must complete the approved application and send it, along with their personal essay and a letter of reference to:
Ms Wilhelmina Jones
University at Buffalo Educational Opportunity Center
Office 305L
555 Ellicott Street Buffalo, New York 14214