Mid Atlantic Region of the WOCN® Educational Scholarship Application Form

The MAR of the WOCN® Scholarship Committee is proud to offer scholarship awards for those nurses wishing to attend an Accredited Educational Program. Scholarship applications are accepted once yearly and must reach the Mid Atlantic Region of the WOCN chair of the scholarship committee by midnight, August 1, 2023. Applications may be submitted before program begins.

No information, either via email or US mail, will be accepted after this time - no exceptions. It is the applicant's responsibility to assure that they have met all criteria and that all requested information has been submitted in full.

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Complete and submit this application form. (* Required Fields)

Applicant Information


Identify the WOC program which you would like to attend


Financial Impact



Explain your financial need / reason for requesting a scholarship

Employment History (begin with most recent)

Position Description:

Position Description:

Position Description:

Education Background (begin with most recent)

Upon completion of your program:





Check all that apply

Describe Anticipated Role

In lieu of my signature, by checking this box, I hereby certify that this is a true and accurate representation of my information, activities and accomplishments.





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