THE AMERICAN INDIAN NURSE SCHOLARSHIP AWARDS
The National Society of The Colonial Dames of America has provided scholarship awards since 1928 to
assist students of American Indian, Alaska Native, or Native Hawaiian heritage pursuing degrees in
nursing or in the field of health care. Eligible students receive $1,500 per semester and the money is to
be used strictly for tuition, books or fees applicable to the student’s approved program. The grant is sent
to the school and credited to the student’s account. Once a student is accepted, they may re-apply for
continued funds each semester as long as the student remains in academic good standing. To be eligible
for a scholarship, the candidate must be:
Enrolled in a tribe or village. If not enrolled, the student may be considered if he or she can
prove direct tribal ancestry.
A high school graduate, in the last semester of high school, or have equivalent education
Enrolled in an accredited school
Enrolled in the health professional program, having achieved good scholastic standing in pre-
nursing, pre-med; or, enrolled in a health care or health education program
Expected to graduate two years after enrollment if in an Associate Degree program
Expected to graduate in four years if pursuing a B.S.
Post graduate students are also eligible
Maintaining the scholastic average required by the school
Recommended by their counselor, teacher or other school official
In need of financial assistance
Focused on a career goal directly related to the healthcare needs of the American Indian, Alaskan
Native, or Hawaiian Native community
In addition to the above, an official transcript, small photograph and biographical statement including
educational background, financial need, career goals, special achievements or other pertinent
information must accompany the application.
These scholarships are made possible through the Martha L. Walden Fund endowment and
contributions of our Corporate Societies, members, and individuals throughout the United States.
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THE AMERICAN INDIAN NURSE SCHOLARSHIP AWARDS
NAME_______________________________________________________________________________
(Last) (First) (Middle)
HOME ADDRESS_____________________________________________________________________
(Street) (City) (State) (Zip)
TELEPHONE___________________________ EMAIL_________________________________
DOB_____________________
BEST WAY TO CONTACT______________________________________________________________
TRIBAL/VILLAGE ORIGIN_________________ ARE YOU AN ENROLLED MEMBER?______
TRIBAL ENROLLMENT NUMBER OR VILLAGE AFFILIATION ______________________________
IF NOT A TRIBAL MEMBER, PLEASE SUBMIT ON A SEPARATE SHEET PROOF OF TRIBAL OR
VILLAGE ANCESTRY.
EXPECTED DEGREE FROM_____________________________________________ _____________
(Name of Institution) (Degree Expected) (Date)
ADDRESS OF INSTITUTION ___________________________________________________________
(Street) (City) (State) (Zip)
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NAME OF FINANCIAL AID OFFICER ____________________________________________________
CONTACT INFORMATION FOR FINANCIAL AID OFFICER________________________________
ADDRESS OF FINANCIAL AID OFFICE __________________________________________________
(Street) (City) (State) (Zip)
YOUR COLLEGE ADDRESS__________________________________________________________
(Street) (City) (State) (Zip)
Do you have other financial aid? _______ If yes, please list on another sheet. List estimated school expenses for
the year (tuition, books, fees, uniforms, etc.)
Please list two or three personal references with addresses, submitting a letter of recommendation from at least
one. Include a previous teacher or counselor.
________________________________ ___________________________________________
(Name) (Street) (City) (State) (Zip)
________________________________ ___________________________________________
(Name) (Street) (City) (State) (Zip)
________________________________ ___________________________________________
(Name) (Street) (City) (State) (Zip)
***Please remember to include a photograph of yourself with your application, for use in future educational,
promotional, or training purposes if accepted.***
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I give permission for The National Society of The Colonial Dames of America [National Society] to utilize any
photographs and/or statements/materials provided as part of the scholarship application process for future
National Society educational, promotional, or training purposes, which may include print, broadcast, video, and
Internet media.
SIGNATURE AND DATE:
________________________________________________________ ________________
(Name) (Date)
Application for: ______ Fall ______ Spring _____ Summer term in Year 20___.
Applications for fall term must be submitted by June 1st. Applications for the spring must be submitted by
December 1
st
. Send complete application to:
NSCDA-Dumbarton House
Attn: Indian Nurse Scholarship
2715 Q Street N.W.
Washington, D.C. 20007-3071
How did you learn of the Indian Nurse Scholarship (website, school, friend, etc)?
__________________________________________________________________________________________
__________________________________________________________________________________________
Would you be willing to attend/speak at a local NSCDA meeting/program? ______________________