Please complete this application in its entirety and submit it as a typed/word processed version. Submit applications with
an attached copy of your ECU transcript (official or unofficial) to the Office Administrator at your campus.
APPLICANT INFORMATION
Name:
Student
ID #:
Date:
Street
Address:
Apartment/Unit #:
City:
State:
Phone:
E-mail
Address:
ACADEMIC INFORMATION: Please attach an official or unofficial transcript showing your most recent GPA.
Campus: Ada Durant
Current GPA:
Expected Graduation Date:
CURRENT INVOVLEMENT: In a few words, please tell us about your involvement in campus, community or other
organizations. This is your opportunity to let us know how you contribute to the community.
Campus Involvement:
Community Involvement:
Other organizational Involvement:
ECU School of Nursing Scholarship Application
DUE Friday, February 1, 2019 by 5 pm
PERSONAL INFORMATION: In no more than 250 words, please tell us more about yourself. You can discuss your short-term
and long-term goals, a leadership experience you have had in any area of your life, or any information that you feel would be
helpful for the committee to consider.
PERSONAL INFORMATION CONT’D: In no more than 250 words, please describe any obstacles you have overcome or
continue to face. For example, you can discuss how you balance your professional and academic obligations, or how you
balance financial needs with the cost of education.
DISCLAIMER AND SIGNATURE
I certify that my answers are true and complete to the best of my knowledge.
I understand that false or misleading information in my application may result in my scholarship being revoked.
Signature:
Date: