THE SHERRI WINEGARDNER ENDOWED
NURSING SCHOLARSHIP APPLICATION
This scholarship will be awarded to nurse students pursuing a BSN or advanced nursing degree. Special consideration will be given to applicants with an interest in practicing in the area of critical care or those with an interest in pursuing an advanced degree to be a nurse educator. Furthermore, special consideration will be given to applicants who meet the above qualifications and demonstrate financial need.
Applicant’s Name______
Permanent Street Address______
City, State, Zip Code______
Telephone Number ______Email______
Date of Employment at BVHS (if employed at BVHS) ______
Title______Department______
Previous Department (if applicable) ______
How are you furthering your education? (BSN, MSN, etc.)______
Have you been accepted into a nursing advancement program?______
Name of college ______
Address ______Phone Number ______
Estimated date of graduation______GPA______
For the following questions, please attach additional pages if more space is needed.
Do you have goals of practicing in critical care or nursing education? ______
If you answered yes, please explain what inspired you to pursue to practice in the areas of critical care or nursing education?
______
What do you see as the chief impact of receiving this degree?
______
Why do you feel you should receive this award?
______
Please include information regarding financial need, and costs related to tuition, fees, books and supplies:
______
Attach the following to your application:
· a cover letter explaining your career goals and how a scholarship would help you meet those goals,
· your resume,
· a copy of your acceptance letter from nursing school,
· letters of reference (if you wish to include), and
· a copy of your transcript.
Please include one (1) original andthree (3) copies of the application packet. Include one (1) official transcript andthree (3) photo copied transcripts.
I hereby certify that the information submitted in this application, to the best of my knowledge, true and correct. I also certify that I understand, if awarded this scholarship, the award must be used within the upcoming academic year following the award, or the award will be forfeited.
Signature______Date______
Forward Application to:
Blanchard Valley Health Foundation
Attn: Marie Swaisgood
1900 South Main Street
Findlay, OH 45840