SCHOLARSHIP PACKET DEADLINE MARCH 15, 2015 ILLINOIS NURSES FOUNDATION

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1 SCHOLARSHIP PACKET DEADLINE MARCH 15, 2015 ILLINOIS NURSES FOUNDATION This packet contains detailed information and criteria concerning the scholarships offered by the foundation on an annual basis. DISTRICT 2 NURSES ASSOCIATION SCHOLARSHIP DISTRICT 21 NURSES ASSOCIATION SCHOLARSHIP ARTHUR L. DAVIS SCHOLARSHIP NORTH SUBURBAN NURSING SCHOLARSHIP SONNE SCHOLARSHIP SOUTH SUBURBAN NURSING SCHOLARSHIP WENDY BURGESS MEMORIAL SCHOLARSHIP CENTENNIAL SCHOLARSHIP

2 ILLINOIS NURSES FOUNDATION SCHOLARSHIP APPLICATION PROCESS Please complete the application and submit to the Illinois Nurses Foundation (INF) by March 15, Please fill out the following Scholarship Checklists as indicated below (1. General Scholarship Eligibility Checklist and 2. Scholarship-Specific Checklist). Send the completed application to: Illinois Nurses Foundation Attention: Scholarship Committee PO Box 636, Manteno, IL or to General Scholarship Eligibility Checklist Please review this list and ensure that all eligibility criteria are met prior to submission of your application. Please include proof of the following criteria within your scholarship application. Those applications without the proper documented proof of the following criteria will not be considered. Please place check marks next to the eligibility criteria to indicate that proof of these requirements are included in your scholarship application. As requested above, attach this sheet to the front of your scholarship application. Name Address City, State, Zip Code Telephone I am applying for a Undergrad scholarship Graduate scholarship My program is Full Time Part Time Current or future college/university/school of enrollment City, State, Zip Code of college/university/school Expected date of graduation: Criteria for all Scholarships Please initial your acceptance of the following criteria Indicate willingness to act as a spokesperson, as confirmed by your signature below Indicates willingness to be profiled in the media or marketing materials, as confirmed by your signature below Passing grades in all nursing courses to date (please include official copy of current transcript) Verification of enrollment or intent to enroll (please include documented proof) Written statement as detailed in scholarship-specific criteria Include a passport size head shot photo I attest that all the information I have provided is true. If I am awarded a scholarship by INF, I agree to act as a spokesperson to other student groups on the value of the scholarship to continuing his/her nursing education and willing to be profiled in any media or marketing materials developed by the INF. Signature Date

3 Scholarship-Specific Checklist: Please include proof of the following criteria within your scholarship application. Those applications without the proper documented proof of the following criteria will not be considered. Please place check marks or appropriate responses next to the eligibility criteria to indicate that proof of these requirements are included in your scholarship application Applicants can apply for multiple scholarships but only one scholarship will be awarded to each applicant. D21 SCHOLARSHIP The District 21 Scholarship is dedicated to US veteran nursing students with military service within the past 10 years and/or nursing students employed at the University of Illinois, University of Chicago, City of Chicago or Stroger Hospital of Cook County. Scholarship amount to be $1000 and can be used to pay tuition, buy books and/or supplies related to the training. Be enrolled in an accredited NLNAC, CCNE Nursing program in either the Baccalaureate or Associate of Arts Degree program. Have a minimum cumulative GPA of 3.5 (on a 4.0 GPA scale) at the time of the application. Proof of US veteran status with military service within the past 10 years and/or employment at the University of Illinois, University of Chicago, City of Chicago or Stroger Hospital of Cook County provided. D2 SCHOLARSHIP The District 2 Scholarship is dedicated to nursing students enrolled at one of the followings programs of nursing: University of St Francis Joliet Junior College College of DuPage Elgin Community College Scholarship amount to be $1000. One scholarship to be awarded to each program listed above. Be enrolled in a nursing program in either the Baccalaureate or Associate of Arts degree program at one of the following schools: University of St Francis, Joliet Junior College, College of DuPage or Elgin Community College Provide a statement detailing why the scholarship would benefit the nursing student and how he/she will involve themselves in the ANA-Illinois in the future or detail the past involvement of a relative in INA. WENDY BURGESS MEMORIAL (District 19) SCHOLARSHIP Purpose: This scholarship is dedicated to qualified students majoring in Nursing who reside in or attend nursing schools within the historical boundaries of the INA District 19 (West Cook and DuPage Counties). Background: Illinois Nurses Association District 19 was committed to the education and development of students interested in careers in the profession of Nursing. To that end, the District endowed a scholarship with

4 the Illinois Nurses Foundation to assist nursing students who reside in or attend nursing schools within the historical boundaries of INA District 19. Definitions: Nursing schools within the INA District 19 historical boundaries include: Loyola University, Triton College, College of DuPage, Elmhurst College, West Suburban College of Nursing, Benedictine University, and Lewis University. Scholarship amount to be determined. Resides in West Cook County or DuPage County or enrolled in Loyola University, Triton College, College of DuPage, Elmhurst College, West Suburban College of Nursing, Benedictine University, and Lewis University. Proof of residency, if attending a college/university not listed above (Copy of Driver s License or state id or copy of utility bill) Endorsement from a current Nursing program faculty member Provide a short narrative (500 word maximum) describing how you, as a nurse, will impact the nursing profession in general or patients under your care. UNDER Have a minimum Cumulative GPA of 2.85 (on a 4.0 GPA scale) at the time of application. Have a minimum Cumulative GPA of 3.0 (on a 4.0 GPA scale) at the time of application. Completed 12SH of graduate level courses NORTH SUBURBAN NURSING SCHOLARSHIP In honor of the historical District 18, this scholarship was developed to assist undergraduate and graduate student schools of nursing located in north suburban Chicagoland schools of nursing. The scholarship is dedicated to qualified students majoring in nursing who are currently enrolled and attending one of the accredited schools of nursing within Northern Cook and Lake County. Background: Former District 18 was committed to the education and development of students in serving within the profession of nursing. This endowed scholarship is intended to provide opportunities with the Illinois Nurses Foundation to assist undergraduate and graduate nursing students who attend one of the following accredited schools of nursing within the above region: College of Lake County, Harper Community College, Loyola University, North Park University, Northern Illinois University, Oakton Community College. Schools of nursing which have lost accreditation will be ineligible until accreditation is achieved and/or renewed. Scholarship will be awarded annually in the amount of $1000 to one undergraduate or one graduate nursing student. Enrolled in College of Lake County, Harper Community College, Loyola University, North Park University, Northern Illinois University, or Oakton Community College. Provide a short narrative (500 word maximum) describing how you, as a nurse, will impact the nursing profession in general or patients under your care. GPA Minimum 3.0 on 4.0 scale UNDER Proof of Full Time enrollment

5 Provide proof of membership in the school s nursing club, organization, or State or National Nurses Association. Proof of part time enrollment (6 credit hours/semester) in a MSN, DNP or PhD program. Provide proof of membership in ANA-Illinois SOUTH SUBURBAN NURSING SCHOLARSHIP Purpose: In honor of the historical District 20 of the IL Nurses Association, this scholarship was developed to assist students attending nursing schools located in the South Suburban Chicagoland Schools of Nursing. This scholarship is dedicated to qualified students majoring in nursing who are currently enrolled and attending one of the accredited nursing schools within the south suburbs as outlined below. Background: District 20 was committed to the education and development of students interested in careers in the profession of nursing. This endowed scholarship is intended to provide opportunities, with the Illinois Nurses Foundation, to assist undergraduate and graduate nursing students who attend one of the following accredited nursing schools: South Suburban Community College, Moraine Valley Community College, Prairie State Community College, St. Xavier University, Trinity Christian College, Governor s State University, or Chamberlain School of Nursing Tinley Park Campus (only). Schools listed which have lost accreditation would not be an eligible school until accreditation achieved. Scholarship will be awarded annually in the amount of $1000 to one undergraduate or one graduate nursing student. Enrolled in South Suburban Community College, Moraine Valley Community College, Prairie State Community College, St. Xavier University, Trinity Christian College, Governor s State University, or Chamberlain School of Nursing Tinley Park Campus (only) Provide an endorsement from a current Nursing program faculty member Provide a short narrative (500 word maximum) describing how you, as a nurse, will impact the nursing profession in general or patients under your care Have a minimum Cumulative GPA of 3.0 (on a 4.0 GPA scale) at the time of application. UNDER Proof of Full Time enrollment in the Baccalaureate or Associate Degree (Nursing) program. Provide proof of membership in the school s nursing club, organization, or State or National Nurses Association. Proof of part time enrollment (6 credit hours/semester) in a MSN, DNP or PhD program. Provide proof of membership in ANA-Illinois CENTENNIAL SCHOLARSHIP The Centennial Scholarship is dedicated to qualified students majoring in Nursing who are considered underrepresented according to the Sullivan Commission data. Background: African American, Hispanic and American Indians represent 25% of the US population. According to the 2007 Sullivan Report on Diversity, there were approximately 2.2 million nurses employed. However, only 9% of the employed nurses represented diverse populations. Additionally, in Nursing, Asians are also an

6 underrepresented group. Definitions: In Nursing, underrepresented individuals include: African Americans, Hispanics, American Indians, Asians and Males. Scholarship amount to be determined. Be enrolled in an accredited NLNAC, CCNE Nursing program in either the Baccalaureate or Associate of Arts Degree program Statement that details qualification as an under-represented population within undergrad nursing or within nursing specialty if post graduate Letter of endorsement from a current Nursing program faculty member Provide a short narrative ( words) describing how you, as a nurse, plan to affect policy at either the state or national level that impacts on Nursing or health care generally; or, how you believe you will impact the nursing profession in general. UNDER Have a minimum cumulative GPA of 2.85 (on a 4.0 GPA scale) at the time of the application Have a minimum cumulative GPA of 3.0 (on a 4.0 GPA scale) at the time of the application Completed 12SH of graduate level courses at the time of the application SONNE SCHOLARSHIP The Sonne Scholarship Program was created through a generous bequest from the estate of Maybelle Sonne, a retired nurse, who directed that the funds be used to aid those entering a career in nursing. Members in good standing of the Student Nurse Association of Illinois (SNAI) are eligible for the Illinois Nurses Foundation (INF) Sonne Scholarship. These funds may be used to cover tuition, fees, or other costs encountered by a student enrolled in a state-approved nursing program which leads to eligibility to sit for licensure examination as a registered professional nurse. A committee of the Board of Directors of the Illinois Nurses Foundation will review the scholarship applications and recommend recipients to the full INF Board of Directors who will make the final selection. Depending on the funds available at the time of recipient selection, up to four scholarships of $500 to $1,500 will be awarded in the fall of each year. The recipients will be recognized at the INF s reception at both the Illinois Nurses Association (INA) and Student Nurses Association of Illinois (SNAI) conventions. Scholarship recipients will receive a year's free membership in INA upon graduation. GPA > 2.50 Full time enrollment Part time enrollment Statement of intent to enroll in at least 12 semester hours for the next academic year (at least 6 semester hours in Fall) Proof of membership in NSNA/SNAI (Copy of membership card) A brief essay answering the question: How will membership in my state nurses association enhance my nursing career? (double-spaced, single page, 12 point font).

7 Submit a brief letter explaining your financial need for the Sonne Scholarship, outlining how you will spend the funds. Be specific in outlining your proposed budget. Note what you will spend on tuition, books, transportation, child care, uniforms for clinical experience or other expenses related to completing your nursing program (for example, $650 for tuition, $140 for books, $250 for travel to school and clinical, or $800 for 8 weeks of full time child care). Provide proof of these estimated expenses whenever possible (for example, a copy of a page from the college handbook identifying tuition costs; a copy of your receipt for last semester s books; an estimate of mileage driven each week during the semester (at current IRA allowable rates); or a copy of recent receipt for child care costs. Attach a notice from your nursing program dean/director or advisor on school letterhead that includes the following information about your course of study and progress within your nursing program: a. If full time, provide proof of registration in at least the second semester of the nursing program or, if part time student, proof of successful completion of at least 12 semester hours with at least 4 semester hours in nursing; b. Provide proof of a minimal grade point average of 2.5 on a 4.0 scale; and c. Statement attesting to student s intent to enroll in at least 12 semester hours during the academic year. Proof of such enrollment is required before any funds are awarded to a scholarship recipient. ARTHUR L. DAVIS SCHOLARSHIP The Arthur L. Davis Scholarship is provided to a nurse who intends to serve as faculty in Illinois. Amount of Scholarship Award: $ This scholarship was made possible through generous donations from Arthur L. Davis Publishing Agency, Inc. List below Be enrolled full time or half time student in a in an accredited NLNAC or CCNE accredited graduate program of study leading to a degree with an emphasis in Nursing Education. Have a minimum cumulative GPA of 3.5 (on a 4.0 GPA scale) at the time of the application Attach letter of recommendation from one nursing faculty member which addresses that the applicant: Demonstrates recognition for modeling a pattern of excellence, Evidences leadership in the profession of nursing and Reflects skills of strong communications and interactions with colleagues, students and clients. Membership in one or more professional organizations Respond below YES NO If selected as a recipient, it is my intent to serve for a minimum of one year as a faculty member in an Illinois school of nursing Provide a brief essay addressing the following points: Evidences leadership in the profession of nursing. Demonstrates recognition for modeling a pattern of excellence. Reflects skills of strong communications and interactions with colleagues, students and clients.