I certify the provided information is accurate and true to the best of my knowledge and the material will remain the property of the Alabama Nurses Foundation. I understand that misrepresentation may result in forfeiture of the scholarship.
If I am awarded the scholarship, I agree to complete the nursing program specified and to work as a licensed registered nurse in Alabama for at least one year following graduation.
I certify that I am enrolled in the school of nursing I've listed below.
The Alabama Nurses Foundation does not discriminate on the basis of race, creed, color, national origin, religion, age, sex, handicap, disability, veteran status, marital status, sexual orientation, or any characteristic prohibited by law.