The Career and Education Resource for the Minority Nursing Professional
Minority Nurse 5th Annual Scholarship Program

Application Form

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Please print clearly:



_________________________________________________________________________________________
Name


_________________________________________________________________________________________
Address


_______________________________________________
City		 _________________________
State		 ______________
Zip Code


____________________________________________
Phone		 ____________________________________________
E-mail


_____________________________________________________________
Nursing school		 ___________________________
Expected date of graduation


Ethnic background:

____ African American
____ Hispanic
____ Asian/Pacific Islander
____ American Indian/Alaska Native
____ Filipino
____ Other _______________________________________


Please list any nursing associations (student, ethnic or otherwise) to which you belong:



 


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The Application Process

Who's eligible
(Please read carefully. Applications that do not meet the eligibility criteria will be disqualified).

To apply for this scholarship, students must meet all four of the following criteria:

  • Be a member of a racial or ethnic minority group
  • Be enrolled (as of January 2005) in the third or fourth year of an accredited BSN program in the U.S. OR an accelerated program leading to a BSN degree (such as RN-to-BSN or BA-to-BSN) OR an accredited master's entry program in nursing (such as RN-to-MSN, BS-to-MSN)
  • Have a 3.0 GPA or better (on a 4.0 scale)
  • Be a U.S. citizen or permanent resident

How to Apply
(Please read carefully. Applications that do not include the required documentation will be disqualified.)

Complete and return this form along with all five of the following documents:

  • Transcript or other proof of GPA
  • Letter of recommendation from a faculty member (outlining academic achievement)
  • Letter from a financial aid officer (stating estimated 2004-05 cost of attendance, financial aid received, and actual dollar amount of unmet financial need)
  • Letter of recommendation from an officer of a community service organization (outlining volunteer or other work)
  • A brief (250 word) written statement summarizing your academic and personal acomplishments, community service and goals for your future nursing career.

Note to Faculty: Nursing faculty members may nominate students and complete the form, provided that all required documentation is included with the application.

Minority Nurse will award two $1,000 scholarships and two $500 scholarships in 2004. Selections will be made by the editor of the magazine and its editorial advisory board. Scholarships will be paid in January 2005.

Deadline for application:
June 15, 2004, July 21, 2004

Return application form and all documentation to:

Minority Nurse Magazine Scholarship
Career Recruitment Media
211 W Wacker Dr.
Suite 900
Chicago, IL 60606

 

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