SIGMA THETA TAU, BETA ETA-at-LARGE CHAPTER
APPLICATION FOR THE GRADUATE STUDENT
2015-2016 $1000 SCHOLARLY ACTIVITY AWARD (DNP Candidates)
Instructions for Applicants
From its inception, STTI has recognized the value of scholarship and excellence in nursing practice. In
1936, STTI became the first U.S. organization to fund nursing research.
The goal of the Beta Eta-at-Large Chapter DNP or PhD Scholarship/Research Award is to support the
research training and scholarship in nursing science of a member of Sigma Theta Tau who is currently
enrolled in a Doctoral program at either Edgewood College or the University of Wisconsin-Madison.
Two (2) awards will be given: one for a DNP student (quality / EBP project), and one for a PhD student
(research). Only members of Sigma-Theta Tau will be eligible for this award. Each category (DNP and
PhD) will be evaluated separately, as these works are distinctly different.
The application will be reviewed independently by three Sigma Theta Tau Board members. A succinct
and carefully written description of the proposed research will assist the reviewers in evaluating the
purpose, method, and feasibility of the research plan. The winner of this award will be asked to present
their proposed research at the Spring 2016 event on April 14th from 5-8PM at Edgewood College
Washburn Heritage Room.
The application may be submitted by March 1st, 2016, as a Word attachment to:
President of Sigma Theta Tau Beta-Eta Chapter, Heidi Lindroth at the following address:
hlindroth@wisc.edu
In addition, If you are from Edgewood College submit a hard copy of the application with applicant and
faculty sponsor signatures to:
Taylor Garcia, Henry Predolin School of Nursing’s Program Specialist
Edgewood College
Henry Predolin School of Nursing
DeRicci 343B
1000 Edgewood College Drive
Madison, WI, 53711-1997
TaylorGarcia@edgewood.edu
If you are from UW-Madison School of Nursing submit a hard copy of the application with applicant
and faculty sponsor signatures to:
Heidi Lindroth at the following address: Cooper Hall #4160.
hlindroth@wisc.edu
Questions about the application can be addressed to Heidi Lindroth, email: hlindroth@wisc.edu
Application for Sigma Theta Tau Beta Eta Chapter-at-Large Scholarly Activity Award
– 2015-2016
I.
GENERAL INFORMATION
Title of Scholarly Work:
Applicant:
Current Position
Contact Information:
Phone:
E-mail:
Member of Beta Eta Chapter since: _________________
(Date)
(Note: If not a current member, you may apply to join Sigma Theta Tau – Beta Eta Chapter-at-Large by
contacting Katie Selle at kselle@edgewood.edu or Jennifer Drake at jdrake2wisc.edu
Faculty Advisor : __________________________________
Co-investigators (if any): _____________________________________________________
Abstract: (limit to 250 words)
I accept responsibility for conducting this study as
described and will submit a report to the Beta Eta
Chapter office within one year of the award. I
agree to participate in periodic updates on my postaward scholarly project activities.
Faculty Advisor
Applicant Signature_____________________
Date:_____________
Signature:
Title:
School:
Date:
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II. APPLICANT INFORMATION
Submit a current Curriculum Vita with this application
III. PLAN FOR SCHOLARLY ACTVITIY
A. Introduction (maximum 2 double spaced pages)
1. Purpose and Significance: Statement of the problem, overall purpose, and potential significance.
2. Background: Brief review of relevant literature supporting the need for the proposed
activity.
3. Specific Aims and Clinical Relevance:
B. Method (maximum 2 double spaced pages)
1. Participants and Setting: Site(s) of study, participants, recruitment (if applicable) and consent
procedures (Append consent form and copy of IRB or Human Subjects Committee approvals or
indicate plan for obtaining approval.)
3. Method: Intervention components (if applicable), measures, and data collection procedures.
4. Data Analysis: Analyses planned to address specific aims.
5. Timetable: Projected dates for completion of each phase of the scholarly activity, with
specification of what component of the study the award funding will support.
C. Resources (maximum 1 page double spaced)
1. Equipment and software: Equipment and software that will be needed.
2. Budget: Estimated expenditures and amount for each item to be covered by this request
(maximum $1000).
D. References Cited: (APA format.)
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IV. BIOGRAPHICAL SKETCH
A brief 1-paragraph description of your educational and professional history and goals that can be used
for publication in the Beta Eta Newsletter should you receive the award.
BetaEtaAwardApplication-2016
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