MWR Ella Rose Carter Scholarship Application Form

MWR Ella Rose Carter Scholarship Application Form

The purpose of a Middlewest Region Ella Rose Carter Nursing Scholarship is to provide financial support to students pursuing a career in the field of nursing.
STOP! Have you mailed your OFFICIAL SEALED transcript of recent grades of the last completed semester reflecting nursing classes taken to Lambda Chi, Chi Eta Phi Sorority Incorporated PO BOX 32372 Detroit, MI 48232 *PLEASE REQUEST YOUR TRANSCRIPT TO BE MAILED BEFORE PROCEEDING**

YES
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Date of Birth*

MonthDayYear
Date
Birthplace (City, State)*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Martial Status*
Ages of Children *
Number of Children*
Education Information
Name of School/College of Nursing currently attending:*
Date Expected to Graduate*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Academic Standing*

FreshmanSophomoreJuniorSeniorGraduate Student
Type of Program*
Doctorate Program (if not applicable, type "N/A")

Employment Experience

(current/previous-last two years)
Resume *must include TYPE OF WORK, EMPLOYER, AND DATES OF EMPLOYMENT**

Browse Files

Cancelof

Financial Resources
Name of Awarded Scholarships / Grants /Tuition Reimbursements*
Average Monthly Income*
Official Financial certification with Financial Officer signature or seal *

Browse Files

Cancelof
Financial Cost

please enter approximate values
Tuition*
Books/Materials*
Food*
Transportation*
Medical*
Other*

Required Documents
Personal Essay describing nursing interest, career goals, and community involvement (1-2 pages maximum.11- 12 font, Times Roman font)*

Browse Files

Cancelof
Audio Essay with previous items identified*

Browse Files

Cancelof
Passport Photo*

Browse Files

Cancelof
Academic Nursing Advisor Recommendation Letter- TYPED *

Browse Files

Cancelof
Educational /Scholarship Recommendation Form Typed (non -nursing) *

Browse Files

Cancelof

I AFFIRM THAT ALL STATEMENTS I HAVE INDICATED HEREIN ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ANY MISREPRESENTATION I HAVE MADE CAN CAUSE FOR THE INVALIDATION OF MY APPLICATION AND SHALL BAR ME FROM RE-APPLYING FOR THE SAME.
Name of Applicant*

First NameLast Name
Date Signed by Applicant*

MonthDayYear
Date
Chapter (if applicable)
Chapter Location (if applicable)
Should be Empty:

Financial Cost