FUTURE NURSE LEADERSHIP SCHOLARSHIP

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Dear Applicant: Thank you for your interest in applying for a Future Nurse Leadership Scholarship. Following is a list of documents required for your scholarship application to be considered and all forms have been included in this packet. Completed Application Form Personal Narrative 2 Letters of Recommendation Copy of ACT and/or SAT Scores Current High School Students must provide copy of Acceptance Letter into an accredited School of Nursing BSN Program Current High School Students must provide copy of High School Transcript Current BSN Nursing Students must provide copy of unofficial College Transcript Scan completed application along with all required documents as PDF to: scholarship@vnahg.org not later than Tuesday, April 2, 2019. For additional information or any questions, please contact Debbie Clayton by email at scholarship@vnahg.org or telephone 732-219-7454. Sincerely, Gabriela Kaplan RN, MSN, AOCN Manager, Clinical Education GK/dc Attachments

Scholarship Purpose: To provide financial assistance to qualified generic BSN students pursuing a career in nursing. Award: Scholarship award is $500. Previous applicants/recipients may re-apply. Eligibility Requirements: Resident of New Jersey or Ohio Enrolling/Enrolled in 2019 Fall Semester of accredited School of Nursing BSN Program BSN student, part-time or full-time Applicant must submit the following required documents: Completed Application Form Personal Narrative 2 Letters of Recommendation Copy of ACT and/or SAT Scores Current High School students must provide copy of Acceptance Letter into an accredited School of Nursing BSN Program Current High School students must provide copy of High School Transcript Current BSN students must provide copy of unofficial College Transcript Method of Payment: A one-time scholarship check will be paid directly to the University/College School of Nursing and payment will be applied to the recipient s student account for the 2019 Fall Semester. Scan completed application along with all required documents as PDF to: scholarship@vnahg.org not later than Tuesday, April 2, 2019. For additional information: Please contact Debbie Clayton by email at scholarship@vnahg.org or by telephone 732-219-7454.

FOR OFFICE USE ONLY Received Transcript ACT/SAT Scores Letter of Acceptance into School of Nursing College/University Essay References Application FULL NAME: MAILING ADDRESS: (Last) (First) (Middle) (Street) (Apt#) (City) (State) (Zip Code) TELEPHONE: Home: Cell: EMAIL ADDRESS: HIGH SCHOOL: I am currently attending: Anticipated Graduation : (Name of High School) SCHOOL OF NURSING: (check one below) I am currently a nursing student in a BSN Program. I am enrolled in the 2019 Fall Semester at: I am just beginning the journey of becoming a nurse in a BSN Program. I am enrolling/enrolled in the 2019 Fall Semester at: (Name of College or University) (State) GROUP INVOLVEMENT / VOLUNTEER ACTIVITIES: Are you a member of any group, club, or association? Yes No If yes, please list all. Do you currently volunteer in the community? Yes No If yes, please list all. Must be received not later than Tuesday, April 2, 2019

Personal Narrative Not to exceed one page (typed) answering the following: What attributes do you feel you possess that will make you a good nurse? What do you want to do with your nursing education? Share a life changing experience you feel has impacted on who you are. Share something you have done on your own or as part of a group that you feel made a difference in someone else s life or in your community.

Letter of Recommendation (1 of 2) To: (First) (Last) From: (Applicant s Name) (Applicant s Address) (Applicant s Telephone #) I am applying for a VNA Scholarship. I authorize you to provide information regarding my academic, personal qualifications/achievements/potential. Signature of Applicant Reference Name & Title: Email Address: Relationship to Applicant: How long have you known the applicant? Comments regarding academic, personal qualifications/achievements/potential: (please use additional sheet if necessary) Signature of Reference

Letter of Recommendation (2 of 2) To: (First) (Last) From: (Applicant s Name) (Applicant s Address) (Applicant s Telephone #) I am applying for a VNA Scholarship. I authorize you to provide information regarding my academic, personal qualifications/achievements/potential. Signature of Applicant Reference Name & Title: Email Address: Relationship to Applicant: How long have you known the applicant? Comments regarding academic, personal qualifications/achievements/potential: (please use additional sheet if necessary) Signature of Reference