Baccalaureate Nursing Scholarship Program

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Baccalaureate Nursing Scholarship Program Marshfield Clinic is funding a scholarship program that will benefit multiple junior and senior BSN nursing students. The funds will be paid directly to the university in the student s name. Please note that preference may be given to: Students whose permanent address is within the Marshfield Clinic service area Family members of Marshfield Clinic employees Former Marshfield Clinic Employees Please note: Current Marshfield Clinic employees pursing advanced Nursing Degrees are encouraged to participate in the Tuition Reimbursement Program. Eligibility Requirements 1. Must be accepted as a full-time student at a Wisconsin BSN Nursing Program and be enrolled as a Junior for the next academic year. 2. Must demonstrate GPA requirements in maintaining a B average (3.0 on 4.0 grade point average system) or better during all post high school courses. 3. Scholarship will be for tuition only; excludes books and fees. 4. Scholarships are awarded annually, and are not automatically renewable. Students must reapply each year for consideration. 5. Students may receive more than one Scholarship from other funding institutions, and other sources, however, Marshfield Clinic s Scholarship funds cannot exceed the Cost of attendance of their University. For example, if a student receives scholarships amounting to more than the total amount of attendance/tuition, the Marshfield Clinic Scholarship may be reduced or adjusted accordingly to the remaining amount of the cost of attendance/tuition. This will be determined by the DOE Scholarship Committee Coordinator to ensure the award amount does not exceed the tuition amount, validated by Educational institution. 6. Although financial need is not a prime consideration it may be a contributing factor in cases where two or more applicants have equal qualifications. 7. Failure to complete and submit the Application form by the assigned date/time in its entirety (aka incomplete application) will be immediate disqualification for Scholarship consideration.

Application Process Complete the Marshfield Clinic scholarship Application Students are required to type out their application and submit electronically. All Supporting information will be accepted as a PDF or Word Document. Submitted application and supporting documents must be received no later than 5:00 p.m. of final application date (as indicated on website). In addition to the Application: Please submit your application documents as one unit to Lori Krasselt at krasselt.lori@marshfieldclinic.org. Applications will not be considered unless the following listed documents are submitted together and received by deadline date and time. Completed Marshfield Clinic Scholarship Application Copy of full academic official University transcripts (including previous academic semester) Two (2) Letters of Recommendation One letter from a Professor or Faculty One letter from a Community Leader Final selection will be made by the Scholarship Committee and all communication to participants will be sent via e-mail address by DOE Scholarship Coordinator.

2017 2018 Baccalaureate Nursing Scholarship Application Please type your answers, if possible. Name: Date: Current Address: City, State, Zip: Phone: ( ) Permanent Address: City, State, Zip: Phone: ( ) Education High School: Describe major accomplishment (500 characters or less) Post High School/College: Overall College GPA: Academic standing as of Fall 2017: Junior Senior

Volunteerism Please describe your current and past Community/Charitable Services (Volunteerism activities) (500 characters or less): Work Experience (Present or most recent first)

Professional Organizations: Please list your memberships within Professional Organizations, and identify the length of service or participation, and what roll you held (Officer, member, etc.) Member of the Student Nurses Association (please note if an officer or member) Member of other nursing organization (please list name of organization) Other Recognized Awards (please list) Other Recognized Scholarships (please list) Please check each that apply: I am a Student whose permanent address is within the Marshfield Clinic service area Former or current Marshfield Clinic Employee with less than 20 hours per week considered "causal status" Related to current Marshfield Clinic Employee (if related, please list name(s) of relatives, relationship, department and center where they are employed, and length of time employed): Describe the potential impact this scholarship would have on you (1000 characters or less): My electronic or handwritten signature signifies that the information provided in this scholarship application is accurate and truthful. Any willful omission of falsification will preclude me from receiving scholarship consideration or funds. I release academic information to the Scholarship Committee. Applicant Signature Date