Student Nurse Scholarship Application |
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Name: |
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Address: |
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Telephone: |
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Email: |
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| Are you an employee of Saint Mary's? Yes No | |
Which Department: |
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Is a family member a Saint Mary's employee:
Yes
No |
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Which Department: |
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High School graduated from or High/School attending? |
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College currently attending: |
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GPA: |
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School of Choice: (Where you have been accepted to an RN
program) |
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Degree: |
Bachelor of Science Associate of Science |
Volunteer/ Community Activities: |
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Personal Interests: |
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| Why are you choosing a healthcare career? (Be specific). Please write a 300 word essay and attach to application. | |
| Please attach 3 letters of reference (not family members): 1 personal, 1 faculty and 1 employer, if currently working. If not working, someone in a supervisory position or someone knowledgeable of your volunteer service, athletic or extra curricular activities. | |
| Please attach an official transcript from both high school and college (if currently attending). All paperwork must be submitted in one package. | |
| *Finalists are expected to participate in an interview process. | |
Any questions, please call Nancy
Miko at (203) 709-3031. Please return application to Nancy Miko by
March 23, 2012 at Saint Mary's Hospital, 56 Franklin Street,
Waterbury, CT 06706. |
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Saint Mary's Hospital
56 Franklin Street
Waterbury, CT 06706