Eileen Brown-Smith Memorial Scholarship Application

Eileen Brown-Smith Memorial Scholarship Application

APPLICATION SUBMISSION DEADLINE: JUNE 16, 2023
This scholarship award will be made available to a student who is currently
enrolled in a full-time undergraduate degree program in the field of Health.
Preference shall be given to the student who exemplifies the characteristics
of Mrs. Eileen Brown-Smith: An individual who dedicated her life to serving
the community through her profession in nursing. Consideration shall be
given to the student who, in addition to the above, can effectively
communicate through a 250-word essay, their career goals, how they will
be attained and their future career aspirations, reflecting the spirit of this
award. Evidence of community service is also required.
Applicant's Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Educational Information
Which college will you be attending in the Fall of 2023?*
Current G.P.A.*
Upload your transcript here.

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Degree Seeking*
# of community service hours earned from January 2022 - May 2023 (Proof MUST be submitted on letterhead and signed by the organizational representative in the next block).*
Upload community service confirmation letter here.*

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Please explain what "Effective Communication" means to you through a 250 word essay in the space below.*

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Letter of Recommendation #1*

Please submit two letters of recommendation from someone that has first-hand knowledge of your character **YOU MUST USE THE FORM ON OUR WEBSITE AT CFLFOUNDATION.ORG**
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Letter of Recommendation #2*

**YOU MUST USE THE FORM ON OUR WEBSITE AT CFLFOUNDATION.ORG**
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(Signature) I declare the information reported in this application is true, correct and complete.*

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APPLICATION SUBMISSION DEADLINE: JUNE 16, 2023
I CERTIFY THAT ALL STATEMENTS OR INFORMATION I HAVE PROVIDED ABOVE
ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ANY DELIBERATE MISREPRESENTATION FOUND IN THIS APPLICATION MAY BE CAUSE FOR THE DISAPPROVAL OF THIS APPLICATION AND MAY PROHIBIT ME FROM APPLYING
AGAIN IN THE FUTURE.
Date Signed by Applicant*

MonthDayYear
Date
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Eileen Brown-Smith Memorial Scholarship Application

Educational Information

APPLICATION SUBMISSION DEADLINE: JUNE 16, 2023