MERIDIAN HEALTH Leslie E. Stewart SGNA Scholarship

MERIDIAN HEALTH

Leslie E. Stewart SGNA Scholarship

Legacy Meridian Health Campus Location (Check One):

____JSUMC ____OMC ____RMC _____SOMC ____BCH____Corporate Raritan Bay Medical Center ____(Perth Amboy) _____(Old Bridge)

____ MHS Affiliate: Site and Location__________________________________________

Leslie E. Stewart SGNA Scholarship are available for all Legacy Meridian Health nurses who work in Gastroenterology and are enrolled in an advanced degree program at the BSN, Masters or Doctoral level.

DEADLINE: March 22, 2019

Program Type:

_____Bachelors (BSN) _____Masters ______Doctoral

******************************************************************************* Name _________________________________________Employee ID ____________________ Street Address__________________________________________________________________ City_______________________________State_____________Zip Code__________________ Phone: Home___________________Work ___________________Cell ____________________

Email_________________________________________Position__________________________

Unit_________________________________Nurse Manager_____________________________

Years of Service at Hackensack Meridian Health_________Peoplesoft ID_________________

_____Full Time ____ Part Time _____Per Diem (Number of shifts in the past 3 months____) Name of School_______________________________Date of Entry _______________________ Current Program of Study________________________________________________________ Cumulative GPA_________ Expected Date of Graduation (Month/Year) ________________

Number of Credits earned to date____________Credits taking this semester______________

Course Title(s) this semester_______________________________________________________

*******************************************************************************

Educational Expenses

Tuition Per Credit Cost _________Per Semester _________Fees _________Books _________

Educational Support

If previous Ann May Center Scholarship Recipient please include Dates/Amount ______________________________________________________________________________

Other educational support (grants)________________________________________________

******************************************************************************* Please attach _____ Completed, signed and dated scholarship application _____ Student copy of transcript _____ Personal Statement

Personal Statement (not to exceed two pages). Please sign and date your statement. Please address in essay format, why you merit consideration for this SGNA scholarship (Limit your essay to 2 pages). Include information on what nursing means to you and your future goals and aspirations as you advance in the profession of nursing.

I attest that the information contained in this application is correct. I agree to accept all decisions for scholarships made by the Selection Committee. If I receive and accept a scholarship, I agree to work for Hackensack Meridian Health for at least one year.

_______________________________________ Signature of Applicant

_________________ Date

All information provided in this application will be kept confidential. Please make sure that the application is complete and includes all additional documentation required. Scholarships must be used for tuition, fees or related expenses in a college or university program.

Send to:

Ann May Center for Nursing and Allied Health 1350 Campus Parkway, Suite 101 Neptune, NJ 07753

Or FAX: 732.481.8597 or EMAIL: AnnMayCenter@

For more information, call the Ann May Center at 732-481-8570/8578

PLEASE DO NOT USE STAPLES PLEASE BE SURE TO MAKE A COPY OF THIS APPLICATION FOR YOU RECORDS

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