Neree Paprota/Northern California Organization of ...



Neree Paprota/Northern California Organization of Associate Degree Nursing Programs Directors’ Scholarship15 Scholarships: $750 each (subject to change)Deadline March 13, 2020 5:00 PMPlease return application to: COADNScholarships@ Connie Telles Nursing Program DirectorPlease type or print using black ink.Scan all documents and put in one zipped file, with your name and college on the file. Example: Ctelles-ChabotCollegeGeneral InformationName: FORMTEXT ?????Phone Number: FORMTEXT ?????Present Address FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????StreetCityState/ZipPermanent Address FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????StreetCity:State/ZipCollege: FORMTEXT ?????Email: FORMTEXT ?????Admission Date: FORMTEXT ?????Expected Date of Graduation FORMTEXT ?????Criteria: ADN student in the second to fourth semester of a nursing program, or LVN /LPN transition to RN student during spring semester 2020.Criteria 1 (Academic Excellence: GPA) Worth 5 pointsCumulative GPA of 3.0 in the following courses: Anatomy, Physiology, Microbiology, and English and completion of first nursing core course. Indicator: Complete table below and attach a copy of your college transcripts (unofficial transcripts will be accepted). Scan the transcript.CourseGrade Date completed (month/year)Anatomy FORMTEXT ????? FORMTEXT ?????Physiology FORMTEXT ????? FORMTEXT ?????Microbiology FORMTEXT ????? FORMTEXT ?????English FORMTEXT ????? FORMTEXT ?????Initial Nursing Course FORMTEXT ????? FORMTEXT ?????Criteria 2 (Letter of Recommendation) Worth 5 pointsSubmit one letter of recommendation from a nursing faculty member or the director of the nursing program describing your academic potential. Indicator: Attach letter to application; letter must be submitted on college letterhead.Criteria 3 (Financial Need) Worth 5 pointsDemonstration of financial need. Indicator: Completion of attached form and submission of previous year’s W-2 with application. Or BOG fee waiverCriteria 4 (Additional Activities/Achievements) Worth 5 pointsDemonstration of involvement in organizations, demonstrated commitment to family, school or community, volunteer work, hardships, special awards, underrepresented minority, honors and achievements. Indicator: Completion of Attached form; verification may be requestedCriteria 5 (How will career as an RN improve the lives of others (250 word Maximum) attach on a separate page) Worth 5 pointsApplication Deadline Date:Completed application must be received in the Chabot Nursing Program no later than March 13, 2020 at 5:00 p.m. INCOMPLETE OR LATE APPLICATIONS WILL NOT BE CONSIDEREDCertification of Student FORMCHECKBOX I declare that all the information in this application is true and correct to the best of my knowledge. Date FORMTEXT ?????, 20 FORMTEXT ?????Applicants Signature- Electronic OKFinancial Need How are you paying for your education? ______________________________________(Line 1) BOG wavier FORMTEXT ?????(Line 2) Financial Support from family (including room & board) FORMTEXT ?????(Line 3) Financial Aid FORMTEXT ?????(Line 4) Supports self/others FORMTEXT ?????Other: FORMTEXT ????? FORMTEXT ?????ActivitiesWhen listing organizational affiliations, please indicate office held if applicable. Make sure to list the year(s) of participation for all organizations and volunteer anizationsDescription of OrganizationYear(s) FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Commitment to family, school or community FORMTEXT ????? FORMTEXT ?????Volunteer WorkDescription of Volunteer WorkYear(s) FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Hardships FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Special Awards, Honor, or AchievementDescription of AwardYear(s) FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Underrepresented minority FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Discuss why you want to become an R.N. and how your career as a nurse will improve the lives of others.Attach additional page if necessary with a maximum word count of 250. FORMTEXT ?????ATTACH: TRANSCRIPT COPY (CAN BE AN ONLINE DOCUMENT) FOR GRADES, LETTER OF RECCOMENDATION, FINANCIAL NEED, ACHIEVEMENTS, CAREER LETTER.PUT ALL DOCUMENTS IN A FILE AND ZIP BEFORE SENDING ................
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