STUDENT NURSES ASSOCIATION OF ILLINOIS
AWARDS PACKET
2015
SNAI AWARD INFORMATION
Community Service Award
An award will be presented to the school with the most outstanding community health project. Other
successful projects can be awarded certificates (see application form for time frames of project). Selection
will be based on originality, as well as the goals and effect on the recipients of the project. You may attach
any publicity, pictures or other materials that may help to describe the project (materials will not be
returned). If your school would like to be considered for more than one community service project, a
separate application must be submitted for each activity conducted by your SNA chapter. Schools may not
submit the same project for the Empowering Resolutions Award. The completed application form and all
supporting documentation must be submitted on or before the deadline date.
Dr. Alma J. Labunski Leadership Award
Dr. Alma Labunski, a distinguished Professor of Nursing and active INA member, will present the award
and a one year membership in the Illinois Nurses Association. The applicant must have senior status and a
GPA of at least a 3.3 on a 4.0 scale. If the applicant’s GPA is lower than this but feels he/she is deserving
of this award, further evidence of his/her academic merit will need to be submitted. An official transcript and
two letters of recommendation from your nursing school faculty/administration, as well as a copy of the
NSNA membership card or canceled check is required. Selection is based on the applicant’s activity in
nursing and non-nursing related activities as well as scholastic honors received. The completed application
form and all supporting documentation must be submitted on or before the deadline date.
Ticket to Success Award
The Ticket to Success Award was established by SNAI in 1989 to assist nursing students in financial need,
which show interest in joining NSNA/SNAI but lack the funds to do so. This award is offered once a year at
the SNAI Annual Convention. The award is a paid membership to NSNA/SNAI (worth $40.00) to nursing
students for their first year of membership. The number of awards varies from year to year. Current
members of NSNA/SNAI are not eligible. A one page statement describing your interest joining
NSNA/SNAI and any plans you may have to become involved in the organization at the local, state or
national level. Please describe any experiences you have had that would be relevant to these plans. A
letter of recommendation from your nursing school faculty/administration is required. The completed
application form and all supporting documentation must be submitted on or before the deadline date.
Who’s Who in the Student Nurses Association of Illinois
The applicant must have a GPA of at least 3.0 on a 4.0 scale. If the applicant’s GPA is lower but feels
he/she is deserving of this award, further evidence of his/her academic merit will need to be provided. An
official transcript and one letter of recommendation from your nursing school faculty/administration, as well
as a copy of your NSNA membership card or canceled check is required. Applicants must write a brief
statement describing how involvement in SNAI/your local SNA chapter has been beneficial to you during
your nursing school career. Selection is based on the applicant’s activities in nursing and non-nursing
related activities as well as scholastic honors received. The completed application form and all supporting
documentation must be submitted on or before the deadline date.
Empowering Resolutions Award
An award will be presented to the school chapter or individual with the most outstanding initiatives that align
with the Resolutions adapted in the National Student Nurses Association House of Delegates at the 2015
Annual Convention. A detailed list of Resolutions can be found at
http://www.nsna.org/Portals/0/Skins/NSNA/pdf/2012%20NSNA%20Resolutions.pdf. The initiates can
include community projects, advocacy, change initiates on a school, state, or national level, awareness
campaigns, etc. Selection will be based on originality, as well as the goals and effect on the recipients of
the project. You may attach any publicity, pictures or other materials that may help to describe the project
(materials will not be returned). Schools may not submit the same project for the Community Service
Award. The completed application form and all supporting documentation must be submitted on or before
the deadline date.
*CURRENT SNAI BOARD MEMBERS ARE NOT ELIGIBLE FOR AWARDS
**All applicants for awards must attend the Closing Ceremonies at the 66th Annual Convention. If selected
for an award, recipients will be present to accept the award. Failure to comply with completing the
applications will render your application incomplete and thereby disqualify it.
COMMUNITY SERVICE AWARD APPLICATION
66th Annual SNAI Convention
October 17-18, 2015
School Name: ___________________________________
SNA President: ______________________________
Address:
___________________________________________________________________________________
Email: ______________________________________________________________________________
1. Project Name and Description:
_____________________________________________________________________________________
___________________________________________________________________________________
2. Date(s) of Project:
____________________________________________________________________________________
_____________________________________________________________________________________
3. When was Project Originally Started:
_____________________________________________________________________________________
_____________________________________________________________________________________
4. Site(s) of Project:
_____________________________________________________________________________________
_____________________________________________________________________________________
5. Number of Nursing Students Involved:
_____________________________________________________________________________________
_____________________________________________________________________________________
6. If Others Collaborated, Please Describe:
_____________________________________________________________________________________
_____________________________________________________________________________________
7. Approximate Number of People Affected (Recipients of Project):
_____________________________________________________________________________________
_____________________________________________________________________________________
8. Goals of Project:
_____________________________________________________________________________________
_____________________________________________________________________________________
9. To What Extent Were the Projects Goals Accomplished:
_____________________________________________________________________________________
_____________________________________________________________________________________
10. What Changes Would You Make (If Any) to Help Accomplish the Project Goals:
_____________________________________________________________________________________
_____________________________________________________________________________________
Please submit the following items with your application:
o
o
o
o
You may use additional paper, if needed to answer questions
Please attach any publicity or other materials that may help describe the project more fully (ie:
flyers, pictures, letters of appreciation from organizations/individuals that benefited from the
project, etc)
Projects for consideration must have taken place between:
September 2014 and September 2015
A separate application must be submitted for each different activity for consideration
THE DR. ALMA J. LABUNSKI LEADERSHIP AWARD APPLICATION
66th Annual SNAI Convention
October 17-18, 2015
Name: __________________________________ Email: _______________________________________
Address:
___________________________________________________________________________________
School of Nursing: _______________________________ Graduation Date: _______________________
1. List all nursing organizations to which you belong and nursing related activities in which you participate
(including dates):
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
2. List all non-nursing activities in which you have been involved with (beginning with the most current)
including the dates. Activities may include, but are not limited to the following: work, community outreach,
extracurricular involvements, church, family responsibilities, etc:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
3. List all scholastic honors which you have received, including membership in honor societies:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Please submit the following items with your application:
You may use additional paper, if needed, to answer questions
Applicant must have senior status
An official School transcript to verify a GPA of at least 3.3 on a 4.0 scale
Two letters of recommendation from nursing school faculty/administrator
A copy of your NSNA membership card or canceled check
A one page essay describing your short and long term goals, with a statement how you
have demonstrated leadership while in nursing school
o Current SNA BOD members are not eligible
o
o
o
o
o
o
TICKET TO SUCCESS AWARD APPLICATION
66th Annual SNAI Convention
October 17-18, 2015
The Ticket to Success Award was established by SNAI in 1989 to assist nursing students in financial need,
who show interest in joining NSNA/SNAI but lack the funds to do so. The Ticket to Success Award is
offered once a year at the SNAI annual convention. The award is a paid membership to NSNA/SNAI
(worth $40.00) offered to nursing students for their first year of membership in NSNA/SNAI.
Name: _______________________________ Email: __________________________________________
Address:
___________________________________________________________________________________
School of Nursing:
___________________________________________________________________________________
School Address:
_____________________________________________________________________________________
Nursing Program: AND BSN
Diploma
Year in School: ___________________________________
Please submit the following items with your application:
o A one page essay describing your interest in joining NSNA/SNAI and any plans you may have to
become involved in the organization at the local, state or national level. Please describe any
experiences you have had that would be relevant to these plans.
o A letter of recommendation from nursing school faculty/administrator
o All current members of NSNA/SNAI are ineligible
WHO’S WHO IN THE STUDENT NURSES’ ASSOCIATION OF
ILLINOIS AWARD APPLICATION
66th Annual SNAI Convention
October 17-18, 2015
Name: _______________________________ Email: ________________________________________
Address: ___________________________________________________________________________
School of Nursing: _____________________________ Graduation Date: _______________________
1. List all nursing organizations to which you belong and nursing related activities in which you participate
(including dates): _______________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
2. List all non-nursing activities in which you have been involved with (beginning with the most current)
including the dates. Activities may include, but are not limited to the following: work, community outreach,
extracurricular involvements, committees, church, family responsibilities:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
3. List all scholastic honors that you have received, including membership in honor societies:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Please submit the following items with your application:
o You may use additional paper, if needed, to answer questions
o A brief statement describing how involvement in NSNA/SNAI/your local SNA chapter has been
beneficial to you during your nursing school career
o An official transcript to verify your current GPA of at least a 3.0 on a 4.0 scale
o One letter of recommendation from your nursing school faculty/administer
o A copy of your NSNA membership card or canceled check
o Current SNAI BOD members are not eligible
EMPOWERING RESOLUTIONS AWARD APPLICATION
66th Annual SNAI Convention October 17-18, 2015
School or Individual Name: ___________________________________
SNA President: ______________________________
Address:
___________________________________________________________________________________
Email: ______________________________________________________________________________
1. Project Name and Description:
_____________________________________________________________________________________
___________________________________________________________________________________
2. NSNA Resolution:
____________________________________________________________________________________
3. Date(s) of Project:
_____________________________________________________________________________________
4. Site(s) of Project:
_____________________________________________________________________________________
_____________________________________________________________________________________
5. Number of Nursing Students Involved and collaboration (if any):
_____________________________________________________________________________________
7. Goals of Project:
_____________________________________________________________________________________
_____________________________________________________________________________________
8. To What Extent Were the Projects Goals Accomplished:
_____________________________________________________________________________________
_____________________________________________________________________________________
9. What Impact was made by school or individual in the progression of NSNA Resolution?:
_____________________________________________________________________________________
_____________________________________________________________________________________
Please submit the following items with your application:
o
o
o
o
You may use additional paper, if needed to answer questions
Please attach any publicity or other materials that may help describe the project more fully (ie:
flyers, pictures, letters of appreciation from organizations/individuals that benefited from the
project, etc)
Projects for consideration must have taken place between:
September 2014 and September 2015
A separate application must be submitted for each different activity for consideration
______________________________________
Any Questions? Please Contact
Christie Lewis - Director of Membership
membership@snaillinois.com
Awardee must be present at the Closing Ceremonies on October 18th to accept award.
This application must be complete, submitted with all supporting documentation on or
before Wednesday, September 30th, 2015
E-mail completed application and all supporting documentation to:
membership@snaillinois.com