Fillable Sga Scholarship Form Southeastern Louisiana University

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Sga Scholarship Form Southeastern Louisiana University

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1
Southeastern Louisiana University
College of Nursing and Health Sciences
The SGA Endowed Scholarship in Nursing and Health Sciences
SCHOLARSHIP APPLICATION
DUE: November 18, 2008
CRITERIA
• Must have a 3.0 or higher Southeastern GPA
• Must be majoring in one of the disciplines in the College of Nursing and Health Sciences
• Must completed 45 hours of coursework at Southeastern and must have junior status
• Must have a record of active participation in registered Southeastern student
organizations.
• Must be enrolled full-time student
• Must provide evidence of involvement in community service
• May keep scholarship for 2 semesters
INSTRUCTIONS
Please complete this form, and return it to The College of Nursing and Health Sciences
Scholarship Committee at one of the address listed below:
CSD: SON:
Marlene Desroches Dr. Lorinda Sealey
Communications Sciences and Disorders School of Nursing
Southeastern Louisiana University Southeastern Louisiana University
SLU 10879 4849 Essen Lane
Hammond, LA 70402 Baton Rouge, LA 70809
KHS:
Dr. Keri Diez
Kinesiology and Health Studies
Southeastern Louisiana University
SLU 10845
Hammond, LA 70402
2
INFORMATION TO BE COMPLETED BY ALL APPLICANTS
1. Name ____________________________________________________________
W# ______________
Telephone Number _______________________
Address __________________________________________________________
2. Have you completed at least 45 hours of coursework at Southeastern?
Yes _____
No ________
3. Major ____________________________________________________________
4. Current Status: Full-time _________ Part-time __________
(A full time student is an undergraduate taking 12 or more credits or a second-
semester senior taking all required courses)
5. Southeastern GPA _____________
_
6. Clinical Nursing Courses (SCHOOL OF NURSING ONLY)
Clinical Nursing Courses This Semester _______________________________
__________________________________________________________________
Clinical Nursing Courses Next Semester_______________________________
__________________________________________________________________
7. What if any special circumstances would you like the College of Nursing and
Health Sciences Scholarship Committee to consider regarding your
scholarship application (E.g., student organizations, community service, etc.) ?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
_______________________________________________________________
3
8. Have you fully completed the above application? _______________________
(INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED)
To the best of my knowledge and belief there is no reason that would prevent my being eligible
to receive the above-named scholarship. The College of Nursing and Health Sciences
Scholarship Committee have my permission to share my academic information and documents
with the University Financial Aid Office, the Southeastern Development Foundation,
governmental and university auditors and representatives of the donor for purposes of verifying
my eligibility for this scholarship. I understand that in order to receive this scholarship, I must
enroll at Southeastern Louisiana University and continue to meet all scholarship criteria.
I HAVE READ AND ACCEPTED THE ABOVE STATEMENT AND UNDERSTAND
THAT INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.
_______________________________
______________________________
Signature Date
LJS/f’07
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Sga Scholarship Form Southeastern Louisiana University

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Completed 23 February 2020

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