IN MEMORY OF ERNESTINE THORNTON EACH ONE REACH ONE NURSING SCHOLARSHIP

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1 1 IN MEMORY OF ERNESTINE THORNTON CONTINUING NSU NURSING LEGACY! We are pleased to announce the Each One Reach One Nursing Scholarship. The scholarship was developed and is supported by Kezia A. Nixon and Angela K. Hayes a mother and daughter. Kezia Nixon is a Family Nurse Practitioner and Angela Hayes is a Nurse Educator. They are both graduates of Norfolk State University s Undergraduate Nursing Program. The purpose of the scholarship is to give back to the community by supporting a deserving student enrolled in Norfolk State University s Nursing Program by way of financial contribution.

2 2 EACH ONE REACH ONE NURSING SCHLORASHIP We appreciate your interest in the Each One Reach One Nursing Scholarship. Even more, we are pleased that you are considering a career in nursing. It is an important calling and we wish you well as you begin your journey of service to others. Eligibility: Applicant must be currently enrolled in Norfolk State University s School of Nursing (Pre- Nursing students are not eligible) Applicant must demonstrate academic excellence, as evident by a grade point average of 3.0 or greater Applicant must demonstrate a financial need to maintain their current student status. Applicant must demonstrate civic involvement Applicant must be a minority nursing student Applicant must demonstrate acceptable legal and moral character Award: The $ 1, 000 awards is to be applied toward tuition, fees, room and board or books, and will be sent to Norfolk State University. If the recipient drops out of school while the award is in effect, funds must be returned commensurate with the school year remaining. For example, for one - half of the academic year, one -half of the award must be repaid.

3 3 Type of Scholarship: The scholarship will be awarded on the basis of the applicant s motivation to accomplish his /her career goals, scholastic achievement, financial need and or other activities and skills as demonstrated by the supporting information requested. Scholarship Application Deadline: April 30, 2015 Selection Procedure: The applications received will be assessed and the winner of the scholarship determined by the Mount s Scholarship Committee. The award will be announced by mail and during service at The Mount and during NSU Pinning Ceremony. All information submitted during the application process will remain confidential. Application Directions: Complete the application (must type) Personal Data Last Name First name Permanent Address City State Zip Contact Phone # Educational Background Directions: List educational background in chronological order. Transcripts from last educational institution attended must be included if you wish your application processed.

4 4 High School: Name City Date Attended: From to Date Graduated Cumulative Grade Point Average: or a scale College or University: (list most recent first) Name City Date Attended: From to Date Graduated Cumulative Grade Point Average: or a scale Area of Study Name City Date Attended: From to Date Graduated Cumulative Grade Point Average: or a scale Area of Study

5 5 EACH ONE REACH ONE NURSING SCHLOARSHIP List extracurricular activities / volunteer Services in which you have actively participated, including offices held. Organization length of Service Brief Description of Involvement Work History Directions: List paid work experience during the last four years Position Employer Dates of Employment Description of Responsibilities Skills acquired

6 6 Financial Assistance Information Estimate of Anticipated Annual Educational Expenses Tuition and fees $ Books and Supplies: $ Room & Board: $ Residential Plans: Dormitory Home other How do you anticipate meeting your educational expenses? Personal Savings: % Family Contributions % Financial Aid % Outside Employment % Please give a brief overview of any financial challenge facing you as you approach acquiring your educational credentials.

7 7 List Additional scholarships for which you have applied and or received Scholarship Applied Only Received List awards and honors you have received:

8 8 Personal Essay Directions: Provide an essay outlining your interest in nursing, your professional goals and how you plan to impact the community as a kingdom representative, in the role of a Registered Nurse.

9 9 All above information is accurate. If I should receive this scholarship, I realize I will need to maintain the requirements as specified. I also give my permission to The Mount Scholarship committee personal, Kezia Hayes, or Angela Hayes to request and obtain any related information that would be pertinent to my application. Applicant s Signature Date Consent for Release of Information I hereby consent to the release of any information in connection with the scholarship to Kezia Nixon, Angela Hayes and the Mount s Scholarship committee personal. It is my understanding that the information obtain via the application assessment process, will be used solely for the evaluation of the application, and for no other reason. Applicant s Signature Date

10 10 Application Procedure Checklist 1. Completed Application 2. Two letters of Recommendation ( The letters must be on Letterhead with contact information) 3. Essay ( 1000 word limit ) 4. Most Recent Transcript ( transcript must be marked by the educational institution) 5. Official Proof of Acceptance from Norfolk State University Department of Nursing & Allied Health 6. Application must be postmarked by the deadline in order to Be eligible. Each part of the application must be completed with all required supporting documentation. Application Deadline April 30, The completed application package must be mailed to: Angela K. Hayes 272 Woodville Road Hertford, NC 27944

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