Fillable LANDER UNIVERSITY SCHOOL OF NURSING SCHOLARSHIP APPLICATION (Lander University)

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LANDER UNIVERSITY SCHOOL OF NURSING SCHOLARSHIP APPLICATION (Lander University)

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The LANDER UNIVERSITY SCHOOL OF NURSING SCHOLARSHIP APPLICATION (Lander University) form is 2 pages long and contains:

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  • 22 check-boxes
  • 29 other fields

Country of origin: US
File type: PDF

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Due in School of Nursing Office by March 31
LANDER UNIVERSITY SCHOOL OF NURSING
SCHOLARSHIP APPLICATION
Attach a CURRENT TRANSCRIPT from BEARCAT WEB
(Applications will not be accepted unless transcript is attached.)
NAME: _____________________________________________ SS# __________________________
L # __________________________
AGE: ______ GENDER: ______ MARITAL STATUS: ______
CAMPUS ADDRESS: (if applicable) _____________________________________________________
PARENT”S NAME (if applicable) ________________________________________________________
PERMANENT ADDRESS: _____________________________________________________________
CITY: _________________________________ STATE:_______ ZIP ____________
TELEPHONE ________________________________ COUNTY _____________________
EDUCATION: (Include High School and indicate dates attended or degree obtained)
(1)_________________________________________________________________________________
(2)_________________________________________________________________________________
DATE ENTERED LANDER: _________________________________________________________
DATE ADMITTED TO NURSING MAJOR:_____________________________________________
CURRENT NURSING STATUS (check one)
Senior Junior Sophomore Prenursing RN/BSN
CURRENT LANDER (Institutional) GPA: ______ CREDIT HOURS EARNED AT LANDER ____
FINANCIAL AID
Have you completed a financial aid application form in the Financial Aid Office?
yes no
Are you receiving financial aid? Yes No
If yes, describe__________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Page 1 of 2
Due in School of Nursing Office by March 31
LIST LANDER UNIVERSITY ACTIVITIES:
LANDER UNIVERSITY STUDENT NURSES ASSOCIATION (LUSNA) ACTIVITIES
(Include related activities, membership, offices held, and committee activities.
Also include State and National activities).
CIVIC AND COMMUNITY ACTIVITIES
HONORS AND AWARDS RECEIVED
CHECK ALL THAT APPLY
Working Mother
Plan to Attend Graduate School within
the next 2 years
Been accepted to Graduate School
Interest in Critical Care
Interest in Emergency Nursing
Achieved Level III on proctored ATI
Mental Health Assessment
Returned to school after a medical leave
of absence
Interest in Community Health
Interest in pursuing doctoral education in
nursing
Interest in conducting nursing research
Single mother (unwed, divorced or
widowed)
Interest in specializing in the treatment of
brain disorders and/or mental health
nursing
First generation college student
Are there any unusual or significant circumstances of which the scholarship committee should be
aware? Please explain, describing financial and any other circumstances attaching additional page
if necessary.)
I certify that the information submitted on this application is accurate to the best of my knowledge.
DATE: ____________ SIGNATURE: ________________________________________________
Approved by NFO 9/21/94
Revised 1/30/01, 2/3/04, 04/07/2016; Reaffirmed 2016 Page 2 of 2
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LANDER UNIVERSITY SCHOOL OF NURSING SCHOLARSHIP APPLICATION (Lander University)

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Completed 16 August 2020

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