SCHOLARS PROGRAM APPLICATION PACKET

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1 SCHOLARS PROGRAM APPLICATION PACKET Directions: Please submit all necessary documents together with the scholarship application to the address below. Applications will not be accepted if documents are missing. Thank you for your cooperation. I. Information to be submitted: A. Completed and signed application form. Print clearly. B. Letter of acceptance into program. C. Most recent official transcript indicating a 3.0 GPA or above. D. Two recommendation forms from a teacher, guidance counselor or work supervisor/manager. (An optional letter of recommendation may be attached to the forms.) For BHSF Employees, one of the recommendations must be completed by your immediate Manager/Supervisor. E. Essay (typed and no more than one page) containing a brief personal description, educational and career goals, and reason for choosing a nursing career. F. Professional Résumé II. Application process: A. Applications will be accepted once or twice a year depending upon the program. *For the On-site MDC-Generic RN applicants, completed applications will only be accepted in September & October for the spring program. *For all other entry level programs, applications will be accepted in May for the fall program. *For Graduate level programs (MSN/DNP/PHD), to apply you must be employed as a nurse at BHSF for the past 4 years or more. Completed applications will be accepted March 1 st thru June 1 st. All applicants must be scheduled for a career counseling meeting with the Corporate Director of Scholars Program to conclude the application process. B. For the On-site Generic RN program, only candidates starting the first semester will be considered. C. Applicants meeting eligibility criteria will be contacted to schedule an appointment for a Panel Interview. D. Special consideration will be given to employees and relatives providing eligibility criteria are met. E. Completed applications and supporting data should be submitted to: Please mail completed applications to: Scholars Nursing Program Miami, FL Rev. May 23,

2 SCHOLARS PROGRAM APPLICATION PACKET Program Type: Please place a check mark in the box for the appropriate program. School: MDC BARRY NOVA Other Program: ADN BSN RN-BSN RN-MSN DNP PhD BHSF Employees Only Undergraduate Degree: On-site Off-site ADN BSN RN-BSN BHSF Employees Only Graduate Degree: On-site Off-site RN-MSN MSN DNP PhD General Information Name of Applicant: Home Address: Last First M.I. Street Address City State Zip Code Social Security #: Phone: (Home) (Cell) Address Are you eligible to work in the United States? Yes No Are you a employee? Yes No Employee relative? Yes No If yes, name of relative: Entity/Dept: Telephone: If you are an employee, please state your job title: Dept: Hospital: Date of Hire: Employee ID: Note: Special consideration will be given to employees and relatives providing eligibility criteria are met. Rev. May 23,

3 Educational Track School Applying: Program: Expected Graduation Date: MSN Track: (If applicable) Cumulative GPA (from previous school): GRE Score (if applicable): Employment History Current or most recent employer: Address: Employee Job Title: Supervisor s Name: Street Address City State Zip Code Telephone: Volunteer Experience Name of Organization: Duties and Accomplishments: Financial Assistance Receiving financial assistance? Yes No If yes, amount per semester: $ Type of assistance: Were you awarded a BHSF Scholarship in the past? Yes No If yes, what program of study? Date of Graduation: In Case of Emergency Notify Name: Address: Home Telephone: Work: How did you hear about the Baptist Scholars Program? Signature of Applicant Rev. May 23, Date

4 SCHOLARSHIP RECOMMENDATION This is a recommendation for who is applying for the Scholars Program. Please give your honest opinion of this employee in the areas listed below. If you have not observed a particular behavior, please mark N/A for not applicable. Fair Average Above Average Outstanding N/A Academic Potential Leadership Attendance Reliability Initiative Integrity Enthusiasm Respect for Others Please feel free to expand on any of these categories or make any additional observations or comments: How do you know this applicant? Your Name: Title: Signature: Work Phone: Date: Company: Mail with application to: Scholars Program Miami, FL Rev. May 23,

5 SCHOLARSHIP RECOMMENDATION This is a recommendation for who is applying for the Scholars Program. Please give your honest opinion of this employee in the areas listed below. If you have not observed a particular behavior, please mark N/A for not applicable. Fair Average Above Average Outstanding N/A Academic Potential Leadership Attendance Reliability Initiative Integrity Enthusiasm Respect for Others Please feel free to expand on any of these categories or make any additional observations or comments: How do you know this applicant? Your Name: Title: Signature: Work Phone: Date: Company: Mail with application to: Scholars Program Miami, FL Rev. May 23,

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