MONTANA STATE UNIVERSITY-BOZEMAN

COLLEGE OF NURSING

STUDENT SCHOLARSHIP APPLICATION

(One application required, faculty will nominate for specific scholarships based on student applications)

Applications are due to your scholarship representative no later than DECEMBER 1, 2013

Scholarships will be awarded SPRING 2014

STUDENTS NAME: ______

(LAST) (FIRST)

MAILING ADDRESS: ______

(STREET ADDRESS) (CITY, STATE, ZIP)

COUNTY AND STATE OF CURRENT RESIDENCE: ______

COUNTY AND STATE OF WHERE YOU WERE BORN: ______

COUNTY AND STATE OF WHERE YOU GREW UP: ______

MSNA INVOLVEMENT Y N If yes what: ______Are you of Asian Descent? Y N

INCLUDING A SCHOLARSHIP SPECIFIC ESSAY Y N (general essay required in addition to scholarship specific essays) If yes which scholarship:

Lula May Clay______, Jennie Davis ______, Frances Eakman______, Mary Johnson Mattfeldt ______,

Patricia Schwarz______, Anna Pearl Sherrick ______` Are you Married? Y N

HIGH SCHOOL GRADUATED FROM ______

(NAME) (CITY, STATE)

STUDENT ID NUMBER: ______UPPER DIVISION CAMPUS LOCATION ______

CURRENT YEAR IN NURSING PROGRAM FALL 2012 (CIRCLE ONE): 1So 2So 1J 2J 1Sr 2Sr Grad.

CURRENT MSU-Bozeman CUMULATIVE GPA/CREDITS From submitted transcript: ______

______

I have attached the following information with my application:

q Updated Student Involvement Log

(Scholarship paperwork will not be processed without an updated student involvement log)

q Undergraduate students include a 1 page Scholarship Essay using 12 point font which includes the following items:

1.  What is nursing’s biggest challenge today from your viewpoint.

2.  Household status (single; married; head of household, etc). Please include one or two sentences regarding any financial hardship situations.

3.  Something unique about you

4.  List 2-3 other attributes or achievements

Limited to one page single spaced, longer essays will result in scholarships not being processed.

Graduate students include a 1 page Scholarship Essay which addresses the following items:

1.  Why you want to be an advanced practice registered nurse (APRN).

2.  Household status (single; married; head of household, etc) Please include one or two sentences regarding any financial hardship situations.

3.  Future career plans

4.  Something unique about you

Limited to one page single spaced, longer essays will result in scholarships not being processed.