Georgia Association of
Nursing Student
Political Involvement Award
The purpose of the Political Involvement Award is to educate nurses and nursing students about legislation that impacts the nursing profession.  This project should increase awareness on the local, state and national levels while promoting communication and networking on legislative issues.
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):





     Number of nursing students involved:  _____________________
     Number of people attending (if applicable):  _________________
     If non-nursing students collaborated, describe:





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

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

     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