RN to BSN Completion Scholarship St. Catherine University For Fairview nurses who will complete their RN to BSN at St. Catherine University

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1 RN to BSN Completion Scholarship St. Catherine University For Fairview nurses who will complete their RN to BSN at St. Catherine University Application Packet 2018 Fairview Scholarship Programs

2 Workforce Development 2344 Energy Park Drive St. Paul MN Fax Dear Nurse: Thank you for your interest in the 2018 RN to BSN Completion Scholarship. We applaud your decision to return to school and complete your BSN at St. Catherine University. This application packet includes scholarship information and requirements, an application, and recommendation forms. Please complete and submit all application materials by Friday June 22, After all applications have been received, a scholarship review committee will evaluate the applications and select a recipient for this scholarship. I look forward to receiving your application materials. If you have any questions, please contact me at hkachma1@fairview.org. Best wishes, Hanane Kachman Workforce Development Consultant P.S: If you are currently participating in the RN to BSN Grant, you are not eligible for this scholarship.

3 INFORMATION & REQUIREMENTS 2018 FAIRVIEW SCHOLARSHIP PROGRAMS RN to BSN COMPLETION SCHOLARSHIP ST. CATHERINE UNIVERSITY Fairview is proud to offer the RN to BSN Completion Scholarship to a Fairview nurse who has an associate degree or diploma in nursing and will be entering or is currently enrolled in the RN to BSN Completion Program at St. Catherine University. To be eligible for the scholarship opportunity, the applicant must: 1. Be a current Fairview or HealthEast nurse with an associate degree or diploma in nursing. 2. Be accepted and enrolled in the RN to BSN Completion Program at St. Catherine University for fall Intend to continue employment at Fairview Health Services. To apply Provide the following application materials to Hanane Kachman, Fairview Workforce Development, 2344 Energy Park Drive St. Paul MN by Friday June 22, 2018: RN to BSN Completion Scholarship St. Catherine University Application Form (included in this packet). Current résumé, including current and former employment, education and training, certifications, special skills, volunteer experiences and/or other professional experiences. Copy of your educational transcripts (an unofficial copy is fine) Two professional recommendations. One recommendation must be from your current supervisor. The other can be from your, class advisor or instructor, coworker or another professional using the attached Scholarship Applicant Recommendation Form or submitted as a formal letter of recommendation on business/school letterhead. Documentation of acceptance/enrollment in the RN to BSN Completion Program at St. Catherine University. * Note: This scholarship is considered taxable under Section 117 of the I.R.S. code. Please consult with a tax advisor if you have questions. For further information: Regarding this or other Fairview scholarships, please contact Hanane Kachman at: hkachma1@fairview.org. Fairview s Workforce Development Department will notify the scholarship winner in writing.

4 SCHOLARSHIP APPLICATION FORM 2018 FAIRVIEW SCHOLARSHIP PROGRAMS RN to BSN COMPLETION SCHOLARSHIP ST. CATHERINE UNIVERSITY Name: Person # Address: (House number and street) (City) (State) (Zip) Phone Numbers: Home: ( ) Work: ( ) Employee Information: Department Name: Facility/Location: Job Title: Authorized Hours: Hire Date: Supervisor s Name: Supervisor s Phone: ( ) The following is information about my school and program: School name: St. Catherine University 2004 Randolph Avenue St. Paul MN Degree program: RN to BSN Semester/year that I started (or will start) the program: Number of credits/classes remaining: Anticipated graduation date: On a separate sheet and in your own words, please respond to the following questions. Answers must be typed/word processed. No handwritten essays accepted. 1. Explain why you became a nurse and describe your nursing experience to date. 2. Why have you chosen to pursue the RN to BSN Completion Program at St. Catherine University? 3. Why should we select you for this scholarship? Signature: Date:

5 SCHOLARSHIP APPLICANT RECOMMENDATION FORM 2018 RN to BSN COMPLETION SCHOLARSHIP ST. CATHERINE UNIVERSITY Dear: I am submitting an application to Fairview in consideration for the RN to BSN Completion Scholarship St. Catherine University. This application requires a letter of recommendation from a current employer, class advisor or instructor and/or another professional. My application will not be considered without this recommendation. Would you please complete this recommendation form and return it to me in a sealed envelope? If you prefer, you may write a letter of recommendation instead of using this form. I must have my application materials to Fairview by Friday June 22, Thank you for your assistance. Sincerely, Signature of Applicant Name of Applicant (please print) Date Phone How do you know the applicant? How long have you known the applicant? Please describe the applicant s talents and strengths: Please describe the applicant s areas for improvement: (Continued)

6 (Recommendation Form Continued) Applicant Name: Please rate the applicant on the following attributes using a 5-point scale where 5 = excellent, 4 = very good, 3 = good/average, 2 = fair and 1 = poor: (Please select only one number for each category.) Integrity Communication Organizational ability Customer service Compassion Critical thinking Diversity awareness/appreciation Conflict management Motivation/initiative Commitment/follow-through Stress/crisis management Teamwork/collaboration Ability to adjust to new situations Leadership skills Professionalism unsure Please use the following space to add any comments about the applicant s nursing skills, including their critical thinking abilities. You may include any other additional information that you feel would be helpful in evaluating this applicant for consideration for the scholarship. If you would prefer to submit a letter on business or school letterhead, please attach it to this form. Signature: Date: Name (print): Title: Address: Phone: Thank you for taking the time to submit a recommendation for this applicant. Please return this form in a sealed envelope to the applicant. If you prefer to mail it directly, send it to: Fairview Workforce Development, Attn.: Hanane Kachman, 2344 Energy Park Drive St. Paul MN If you have any questions, please contact Hanane Kachman at: hkachma1@fairview.org.

7 SCHOLARSHIP APPLICANT RECOMMENDATION FORM 2018 RN to BSN COMPLETION SCHOLARSHIP ST. CATHERINE UNIVERSITY Dear: I am submitting an application to Fairview in consideration for the RN to BSN Completion Scholarship St. Catherine University. This application requires a letter of recommendation from a current employer, class advisor or instructor and/or another professional. My application will not be considered without this recommendation. Would you please complete this recommendation form and return it to me in a sealed envelope? If you prefer, you may write a letter of recommendation instead of using this form. I must have my application materials to Fairview by Friday June 22, Thank you for your assistance. Sincerely, Signature of Applicant Name of Applicant (please print) Date Phone How do you know the applicant? How long have you known the applicant? Please describe the applicant s talents and strengths: Please describe the applicant s areas for improvement: (Continued)

8 (Recommendation Form Continued) Applicant Name: Please rate the applicant on the following attributes using a 5-point scale where 5 = excellent, 4 = very good, 3 = good/average, 2 = fair and 1 = poor: (Please select only one number for each category.) Integrity Communication Organizational ability Customer service Compassion Critical thinking Diversity awareness/appreciation Conflict management Motivation/initiative Commitment/follow-through Stress/crisis management Teamwork/collaboration Ability to adjust to new situations Leadership skills Professionalism unsure Please use the following space to add any comments about the applicant s nursing skills, including their critical thinking abilities. You may include any other additional information that you feel would be helpful in evaluating this applicant for consideration for the scholarship. If you would prefer to submit a letter on business or school letterhead, please attach it to this form. Signature: Date: Name (print): Title: Address: Phone: Thank you for taking the time to submit a recommendation for this applicant. Please return this form in a sealed envelope to the applicant. If you prefer to mail it directly, send it to: Fairview Workforce Development, Attn.: Hanane Kachman, 2344 Energy Park Drive St. Paul MN If you have any questions, please contact Hanane Kachman at: hkachma1@fairview.org.

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