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NURSING EXPLORATION PATCH AWARD FORM

NURSING EXPLORATION PATCH FOR THE GIRL SCOUTS OF MICHIGAN

Dear Youth Group Leader:

Thank you for investing your time in the youth of our communities and expanding their career horizons. The goal of the Nursing Exploration Patch program is to increase the knowledge of youth concerning the variety of career opportunities available in the nursing profession. Activities focus on exploring the need for nurses, the many roles of nurses, education requirements, and resources available for those pursuing careers in nursing as well as general health and wellness information.

The Nursing Exploration Patch Award requires completion of a minimum of 6 of the recommended activities. As your youth complete the requirements please write their names below.

  1. _____________________________
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  20. _____________________________

If you have more than 20 awardees in your group, photocopy and complete an additional sheet.

Total Patches to be Awarded: __________

I certify that the individuals listed on this form have completed the requirements to earn the Nursing Exploration Patch.


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Youth Leader Signature

Youth Leader Name (Print): ________________________

Youth Leader Address (Print): ________________________

City: _______________ State: ____ Zip: _________

Phone: _____________ Email: __________________

Mail this completed form to:

Tanya Becks
Image and Breakthrough Chair
Michigan Student Nurses Association
2310 Jolly Oak Road
Okemos, MI 48864
517/449-4734


Your patches will be mailed within 2- 4 weeks upon receipt of your information. This program applies to Michigan Girl Scouts only.