Georgia Association of
Nursing Student
Outstanding Community Project Award
This award is to recognize the school chapter with the most outstanding community project.  Please be complete in the description of the project, the population it served, and the number of students involved.  It must be a project that was completed between September 2003 and October 2004.
Chapter Name:   ____________________________________________________________________

School Name:   _____________________________________________________________________

School Address:  ___________________________________________________________________

City:  _______________________________    State:  ____________     ZIP:  ___________________

Phone:  _____________________________    Fax:  _______________________________________

Chapter President:    _________________________________________________

Chapter Advisor:    __________________________________________________


     Title of Project:  _________________________________________________

     Dates(s) of Project:  _____________________________________________

     Site(s) of Project:  _______________________________________________

     Goal(s) of project (explain to what extent the goals were accomplished):







     Briefly describe how the project was conducted (attach description):







     Will this project be continued next year by your association?     Yes         No

     Attach any publicity or other materials used to advertise the project.
     (i.e. photos, flyers, press releases, tapes, etc.):

          _____  Number of nursing students involved
          _____  Number of people attending (if applicable)
          _____  Community organizations that assisted with project
                     (if applicable, list below)




     Describe how the project was advertised or promoted in all forms of media:
We hereby certify that all information and statements made in this application are complete and accurate.
Chapter President's Signature:  ________________________________________

Chapter Advisor's Signature:  _________________________________________

Date:  _____________________________
All applications  must be received by
September 10, 2004
Please send the complete application & attachments to:
GANS Awards Committee
c/o Traci Steinhauser
1727 Country Park Way
Lawrenceville GA 30043
(404)432-7273
[email protected]
Hosted by www.Geocities.ws

1