Libman Nursing Scholarship

Please complete the online application and include the required documents to be considered. All application materials must be submitted by Friday, May 17, 2024. Applicants MUST include:

Carroll Community College RN Program acceptance letter or proof of enrollment
Transcript showing completion of prerequisites for the Carroll Community College nursing program
Typed Letter of Recommendation
500-word Essay Requirement, Prompt: “Why I Want to Be a Registered Nurse and How This Scholarship Would Help Me”
Financial Statement – Mail a detailed typed explanation of your financial need or your FAFSA form. This information will be kept confidential and used only in the evaluation of scholarships from Carroll Hospital.

If you need to mail documents:

Carroll Hospital Foundation
Attn: Darlene Britton
(Libman Nursing Scholarship)
200 Memorial Ave.
Westminster, MD 21157

Your Name*

First NameLast Name

Your Email*

example@example.com

Your Phone Number*

Please enter a valid phone number.

Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Are you a Carroll County Resident?*

YesNo

Name of High School*

High School City, State, and Zip*

Dates Attended*

Weighted/Unweighted GPA*

College(s) of Certification Programs (list in chronological order)

	Institution	Campus/Location/Site	Dates of Attendance	Degree Major	Granted or Expected (w/ date) Cumulation GPA
1
2
3
4
5

Check all that apply

Achieved LPNI have completed my prerequisites for the nursing program at Carroll Community CollegeUploaded are my transcripts (CCC students may download their transcripts from Web Advisor)

If you have achieved LPN, please indicate where you have received this certification from

Recent Employer Name

Dates Employed

Overview of Recent Employment Duties

List below all activities, both in and out of school, and dates participated. Include school, community, organizations, volunteerism, awards and recognition.

School/Community/Organization/Volunteerism

Awards/Recognitions

List all other scholarships or financial aid applied for or received

	$ Amount	Date	From
1
2
3
4
5

Carroll Community Collee RN Program acceptance letter or proof of enrollment

Scholarship award is contingent upon proof of acceptance into Carroll Community College RN Program.

Transcript
Upload most recent transcript, showing completion of prerequisites for Carroll Community College RN Nursing Program.

Upload Transcript Here

Typed Letter of Recommendation

One typed letter of recommendation for the student to be uploaded.

Essay
500-word Essay – Typed essay (500 words or less) on “Why I Want to Be a Registered Nurse and How This Scholarship Would Help Me” to be uploaded.

Upload Essay Here

Agreement and Signature*

I certify that the information on this application to the best of my knowledge is true, and I understand that any material misrepresentation will disqualify me for the scholarship.

Student Signature*

Date*

Date