Anna Harnan Fund for Continuing Education Application

The Anna Harnan Fund provides scholarships to active LSCLS members to support participation in continuing education activities. Scholarships are awarded once annually in March. A total of $600 is available each year, with individual awards not to exceed $300 per recipient.

ELIGIBILITY

Applicant must have been a member of LSCLS for at least one year.
The course work must be a program accredited by an organization such as ASCLS/PACE, ASCLS/CMU, LSCLS, AABB, AACC, ACS, ASM, ASCP, AMA, or CLPC.
Approval of workshops sponsored by organizations other than the above may be taken under consideration by the current committee.
An individual is eligible for the award once every three (3) calendar years. Those persons applying but not receiving funding may apply as often as they wish.

APPLICATION

Approved application form must be completed and submitted to the LSCLS Education and Scholarship Chair prior to the meeting/course.
Prior approval for funding is necessary although the awarding of funds will be made only after course completion. Proof of completion must be mailed to the LSCLS Education and Scholarship Chair. After this is received, a check for reimbursement will be mailed to the recipient.

First name

Last name

Phone

ASCLS Membership Number

How long have you been an ASCLS member?

Total number of years in Medical Laboratory Science:

Name of current employer:

Address of current employer:

Present position title:

Length of time in present position:

Name of class, seminar, or workshop you plan to attend:

Tuition and/or registration fee:

Location of workshop

Organization sponsoring workshop

What are your reasons for applying for this scholarship

How do you plan to use the information you gain from this class, seminar, or workshop?