Ruthann Papke Nursing Scholarship

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Amanda Wheeler
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1 Ruthann Papke Nursing Scholarship The primary purpose of the scholarship fund is to encourage people from all walks of life and economic backgrounds to enter into a career in the nursing field. To be eligible for the Ruthann Papke Nursing Scholarship, an applicant must: Type the application. No hand written application will be accepted. Reside in the service area of Mercy Medical Center - Clinton. Scholarship funds are to be used for education in pursuit of nursing. If you are eligible for Educational Assistance through MMC-C, you must submit all of your receipts including any tuition, fees, or books at the end of each semester, prior to receiving any reimbursement, to the Human Resource office. The Educational Assistance Program with Mercy Medical Center-Clinton may be used for tuition only. The total Scholarship/Educational Assistance Program combined is not to exceed the total cost of tuition, fees, and books. Funds must be used during the fall and spring semesters of the school year. Provide three forms of recommendation. Reference to the last page of application. Selection of scholarship recipients will not be based on sex, age, race, color, national origin, disability, marital status or religion. Preference in awarding scholarships is given to those accepted to Clinton Community College and other area colleges. Applications must be returned to Mercy Healthcare Foundation 1410 North 4 th Street Clinton, IA Applicants will be notified of the Scholarship Committee s decision in May. The recipient of the Ruthann Papke Scholarship is required to send a thank you note before receiving funding. Incomplete applications are subject to disqualification

2 RUTHANN PAPKE SCHOLARSHIP The Ruthann Papke Scholarship was established in Ruthann was the Vice President of Patient Care Services at Mercy Medical Center - Clinton from She established the scholarship because the advancement and education of nurses at Mercy is an important legacy, especially when the Institute of Medicine (IOM) and American Nurses Association (ANA) recommends 80% BSN prepared nurses at the bedside by Therefore, the scholarship recipients are chosen primarily because they are pursuing a BSN. Ruthann believes the quality of nursing care delivered at Mercy is outstanding; however, research shows that BSNs at the bedside significantly reduces patient mobidity and mortality, as the curious, research minded nurse continually seeks more refined and specialized methods of care delivery. Ruthann is married to Gary (a retired farmer). They have three children and six grandchildren. Ruthann and her husband have lived in Clinton for the past 20 years and are deeply involved in multiple community activities. They enjoy traveling together, exercise, and reading. Ruthann is an avid knitter, always working on several projects for her family. Ruthann has been a nurse since 1977, when she graduated from Clinton Community College. She earned a BSN in 1987 and an MSN in 1991, both from the University of Dubuque. Ruthann has been certified as a NEA-BC (Nurse Executive Advanced Board Certified) with the American Nurses Credentialing Center (ANCC) since Ruthann continues to work in the nursing field as a Magnet Appraiser for the American Nurses Association. Recently, Ruthann returned to the Mercy scene as the Executive Director of Mercy Healthcare Foundation

3 Ruthann Papke Nursing Scholarship Application Please answer complete Name: Social Security No.: Address: City: State: Zip: Phone: Number of Years in Clinton Area: Address: Have you worked in a health care facility? Name of institution: Applicant Information Applicant s Place of Employment Financial Disclosure Sheet Occupation Annual Income Will you be working while attending school? Yes No If yes, please check all that apply: Student employment Part-time Full-time Other Spouse s Information Spouse s Name Place of Employment Occupation Annual Income Parent s Information (answer if you are a dependent) Name of Parents Occupation(s) Place(s) of Employment Number of sisters/brothers at home/ Number of sisters/brothers in college Name of college(s) Parents Annual Income $ The above information is accurate to the best of my knowledge. Signature Date

4 Mark Appropriate Choice Level you will be entering in college: Freshman Sophomore Junior Senior Graduate Student Have you been accepted to this college: Yes No Is your application pending Yes No College/University you plan to attend Location of College/University: City State Course Hours Earned: College General GPA: Expected Date of Graduation: This College/University is a: 2 year 4 year Degree you will be pursing: Field of Study: Will you be enrolled: Full Time (12 hours or more) Part time or more (How many hours?) Less than half-time (less than 6 hours) Tuition Reimbursement from Employer? Yes No Amount $ Have you applied for other scholarships? Yes No Have you received other scholarships? Yes No If yes, please list from whom and how much: Estimated Expenses for School Year Fall Semester Spring Semester Total for Year Tuition & Fees Books & Supplies Totals

5 Ruthann Papke Nursing Please provide a brief response to each of the following questions. Please add an extra sheet if needed. Do not write on the back of the application. 1. Provide a statement of your professional goals. 2. How do you envision this program of study benefiting a health care organization? 3. What do you plan to do after completing the program of study you are embarking upon? 4. List your contributions of the activities you are involved in?

6 Student Name Reference Form Student Instructions: Have this section completed by an employer, community/religious leader or another person in a position of authority who knows you and your accomplishments. Someone other than a family member must complete this form. This is the only form that will be accepted. No letters. Academic achievement Extracurricular Accomplishment Personal qualities & character Creativity, original thought Motivation Self-Confidence Independence, Initiative Intellectual ability Kindness Toward Others Disciplined work habits Potential for growth Average Great Excellent Compared to others, how do you rate this student in terms of: Strongly Enthusiastically Your Name Organization Address City State Zip Signature Phone Fax Comments_ No attachments or writing on the back

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N.K.L. Nursing Scholarship The primary purpose of the scholarship fund is to encourage people from all walks of life and economic backgrounds to enter into a career in the nursing profession. To be eligible