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ETSU College of Nursing Scholarship Application 2015

Applications are due by May 1st, 2015

 

Note: Please fill out this form completely and affix all requested attachments when applying. Only one application is necessary to be considered for the available scholarships. When attaching your resume, please be certain that the file name includes your full name. Example: john_doe_resume.doc


(To properly view and submit the application, you must use either Google Chrome or Mozilla Firefox  as your browser. Click either link to download your preferred browser.)  

 

ETSU College of Nursing Scholarship Application 2015

Note: Please fill out this form completely and affix all requested attachments when applying. Only one application is necessary to be considered for the available scholarships. Please notify the Office of Student Services for the College of Nursing of any changes in personal information after form submission.

Applicant


Mailing Address (Notification of scholarship award will be sent to this address)

Phone Number

Email


Academic Program

I am enrolled or have been accepted into the following program:


Anticipated Graduation Date


Financial Aid

It is very important that you have filed a FAFSA for the 2012-2013 academic year. The majority of College of Nursing Scholarships require documented financial need. Contact the ETSU Financial Aid Office if you have questions about the FAFSA.


Resume File Uploader

The following must be attached to your application:

A current resume including:

 

  • Education
  • Employment History
  • Awards
  • Professional, Academic, and/or student organizational membership
  • Community Service Activity

Be certain to include your name in the saved file name i.e., john_doe_resume.doc

 

Applicant's Signature

I hereby represent, warrant,and affirm under penalty of perjury that all information in this application istrue and correct to the best of my knowledge and belief. I understand that if atany time in the future I plead guilty or no contest to or am convicted of anoffense under 18 United States Code Section 1033 or a criminal felony asdefined therein that I am required to notify by certified mail all insurancecompanies with whom I am appointed and the department of insurance in each ofthose states.

Please enter the text you see in the image above.