2026 DeBorah A. Miller Nursing Award
Application Deadline - May 1, 2026
I. Personal Data:
Tell us about yourself
Full Name
*
First Name
Last Name
Mobile No. :
*
E-mail :
*
Where the confirmation will be sent to
Age:
*
Home Address :
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you a US citizen?
*
Yes
No
Do you plan to pursue a career in the nursing or medical field?
*
Please Select
Yes
No
This scholarship is open to students who are currently enrolled or planning to enroll in a program within the nursing or medical field.
What is your Career Objective:
*
0/100
II. High School Information:
Tell us about your education
High School Attended:
Type the name of your High School
Will you be a May 2026 graduate of a Will County, Illinois high school?
*
Yes
No
Most recent cumulative GPA:
*
List any high school activities, community activities, volunteer work, honors, or offices held:
0/200
III. Financial Aid:
Is your family qualified for the National School Lunch Program for the 2025-2026 school year?
*
Yes
No
IV. Documents
Please upload a copy of the mentioned items.
Transcript or Grade Report
*
Browse Files
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Choose a file
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of
Student Resume
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Headshot
*
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Please ensure the headshot is against a white background.
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of
V. Video Essay
Students should upload a 2 minute video essay telling us about themselves and their educational/professional objectives
Please provide a link to your video essay.
*
0/200
VI. Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature:
*
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