Blavat Family Scholarship One $500 award is being offered based on need, with preference to applicants with minor children living at home and/or who are pursuing careers in geriatric nursing. Application must include a one page essay that answers the following: Things I never knew about my parents/grandparents or for those whose parents/grandparents are no longer living, essay may be Things I d want my children to know about me. This scholarship was created in memory of Helen and Walter Blavat by their daughters. It was only following their parents deaths that they became aware of the sacrifices their parents made that enabled Helen to attend nursing school. The Blavats were longtime Shoreline residents. Walter was fully disabled and by his early 50s was unable to continue working. Helen began working as a nurse s aide in various nursing homes to help support the family. Liking the work, Helen enrolled in the SCC Nursing Program. She continued working in geriatric nursing throughout her career, well into her 60s. Elizabeth R. Thomas Alumni Nursing Scholarship Two $500 awards are being offered based on need, merit and commitment to serving diverse communities and potential in nursing. Elizabeth R. Thomas began her career as an LPN, graduated from Shoreline Community College in 1982 with an AA AS degree, and became an RN. She continued her education at Seattle University and was the first African American to complete the Pediatric Nurse Practitioner program at the University of Washington School of Nursing and the first one to work as an ARNP in Seattle. Elizabeth was a pediatric nurse practitioner at Odessa Brown clinic for over 25 years before her retirement. Due to Elizabeth many contributions she has made in her practice and throughout the district and state nurses association, she was inducted into the WSNA Nurses Hall of Fame in 2000. Ms. Thomas passed away February 9, 2011. Scholarship awards will be based on need, merit and commitment to serving diverse communities and recipient's potential in his/her nursing career. Joan Heeter Memorial Nursing Scholarship Four $1,000 awards are being offered based on need with preference for awards given to midlife women returning to school. Joan Heeter became a nurse after she attended Olympic College in her fifties. Her husband established this fund in memory of his wife after her passing. This scholarship is for nursing students and will be awarded based on need and with preference given to midlife women returning to school. Margaret Mallett Nursing Scholarship Seven $1,000 awards are offered based on need, merit, and community involvement. Margaret Mallett was born in 1912 in North Dakota. She came to the Northwest in 1923 and graduated from Ballard High School in 1930 and from the Seattle General Hospital School of Nursing in 1933. Margaret passed away in Seattle in 1989. This fund was established in memory of Margaret by her son. This nursing scholarship will be awarded based on need, merit and community involvement.
(continued) Sonia O Kemp Nursing Scholarship Two $2,375 awards are offered based on need. Established from the Sonia O. Kemp Charitable Trust fund in 2009, this nursing scholarship will be awarded to two Shoreline Community College Nursing Students who display financial need. Tammi O'Brien Shanks Memorial Nursing Scholarship One $4,000 award is offered. Preference will be given to applicants who are parents with minor children living at home. Tammi O'Brien Shanks graduated from SCC's School of Nursing in 1996 and worked at Northwest Hospital as a surgical nurse for 12 years. In 2001 she was diagnosed with idiopathic pulmonary fibrosis. The hardest thing she ever had to do was to give up her nursing career due to her disability. She was patiently awaiting a lung transplant at the time of her death. This scholarship established in memory of Tammi by her family and friends in 2009 will assist students in the Nursing Program at SCC. Joseph W Sullivan Nursing Scholarship One $2,850 award is offered. Applicant must be of Filipino descent, be an ongoing SCC student with a minimum SCC cumulative GPA of 3.0 and display financial need. The Joseph W. Sullivan Nursing Scholarship was established by his widow in December 2013 to honor her late husband s memory and his request to provide assistance to nursing students who have financial need and are of Filipino descent. Recipient is to send notification to the SCC Foundation: 1. By the end of the calendar year in which the award was given addressing how they are doing in the program; and 2. Within one year following graduation from SCC addressing how their career is progressing. Vivian Wellman Batty Memorial Nursing Scholarship One $1,000 award is offered. Applicant must be a Washington state resident (as defined by the College). Preference will be given to applicants with financial need who are parents with minor children living at home. Application must include a one page essay answering the following: How will I give back to my community with my nursing degree? Vivian Wellman Batty graduated from Edison Nursing School in the early 1960s. She entered nursing school while she was in her early 40s and her graduation fulfilled a life-long dream to become a nurse and a service to others. Most of her nursing career was spent at the VA Hospital on Beacon Hill and it is there that she served many of the veterans from the Viet Nam War. She dutifully cared for all of her patients, but on occasion would bring one of her six children to visit some of the young vets, mostly to show appreciation for their service. Vivian was truly a quiet trailblazer for independence. She was strong and courageous and was absolutely dedicated to the nursing profession For questions contact the SCC Nursing Office at (206)533-6778 or SCC Foundation Office at (206) 533-6783
This form is used for applying for the following scholarships: Blavat Family Scholarship Margaret Mallett Nursing Scholarship Joan Heeter Memorial Nursing Scholarship Elizabeth R Thomas Alumni Nursing Scholarship Sonia O. Kemp Nursing Scholarship Tammi O Brien Shanks Memorial Nursing Scholarship Joseph W Sullivan Nursing Scholarship Vivian Wellman Batty Memorial Nursing Scholarship The Shoreline Community College Foundation is making available these nursing scholarships to students who meet the eligibility criteria. These scholarships will be awarded for use beginning summer or fall quarter 2014 and may be used for tuition and/or class related fees at SCC and textbooks available through the SCC Bookstore. This award has no cash exchange value and is non-transferable. The funds must be used by June 205.. Criteria for Eligibility Applicant must be a U.S. citizen or legal U.S. resident or permanent U.S. resident with an I-551 Card or a student in F-1 nonimmigrant status. Applicant must be currently enrolled in the Shoreline Nursing Program and planning to attend summer/ fall quarter 2014. Applicant must be in good academic standing, with a minimum college cumulative GPA of 2.0; however, grades will not be the determining factor in awarding the scholarships. Awards will be given based on need, merit, and service as outlined in the description of the individual scholarships. Any other/different criteria as outlined by the individual scholarships Application Procedures To be considered, each applicant must submit 5 copies of the following in collated packets to the SCC Foundation office: (please type) 1. Completed application. 2. Completed Budget Worksheet ( attached) 3. Current class schedule 4. Unofficial college transcripts through winter 2014. 5. Copy of Permanent U.S. Resident (I-551) Card or passport, I-20 & I-94 documents (if appliciable). 6. On a separate page(s) include: a. Your school, community and professional activities, including any office or positions of leadership. b. List any honors, awards or recognition you have received. Please include dates. c. Write a short statement about your career goals in nursing. d. Write a short statement about your need/benefit of receiving the scholarship. 7. Letter of recommendation from an instructor. 8. Recommendations(s) from someone who knows you well and can speak to your commitment, purpose and character and any of the criteria for the award. 9. Any other required essays as outlined in the description of the individual scholarships. DEADLINE: 4:00 pm - Wednesday, April 9, 2014 NOTIFICATION: Applicants will be notified by May 31, 2014 Shoreline Community College provides equal opportunity in education and employment and does not discriminate on the basis of race, color, religion, national origin, sexual orientation, age, marital status or disability. 16101 Greenwood Avenue North - room 1005 Shoreline, WA 98133-5696 (206) 533-6783
Application NAME PHONE Last First Middle ADDRESS Street City State Zip STUDENT NUMBER SOCIAL SECURITY # (or copy of I-551 card or F-1 status documents, if applicable) EMAIL CUMULATIVE SCC GPA INTENDED DATE OF GRADUATION FROM SCC Scholarship Application for: Blavat Thomas Heeter Mallett (check all that apply) Kemp Shanks Sullivan Wellman Batty Submit 5 copies of the following in collated packets to the SCC Foundation office: (please type) 1. Completed application. 2. Completed Budget Worksheet ( attached) 3. Current class schedule 4. Unofficial college transcripts through winter 2014. 5. Copy of Permanent U.S. Resident (I-551) Card or passport, I-20 & I-94 documents (if appliciable). 6. On a separate page(s) include: e. Your school, community and professional activities, including any office or positions of leadership. f. List any honors, awards or recognition you have received. Please include dates. g. Write a short statement about your career goals in nursing. h. Write a short statement about your need/benefit of receiving the scholarship. 7. Letter of recommendation from an instructor. 8. Letter of recommendation from an individual who knows you well and can speak to your commitment, purpose and character and any of the criteria for the award. 9. Any other required essays as outlined in the description of the individual scholarships. I certify that the information provided in this application and all attachments are accurate and complete. By applying, I certify that I meet the qualifications and requirements. I authorize the SCC Foundation to verify any and all submitted information through appropriate means. I also authorize this information to be released to individual contributors and selection committees in addition to the SCC Foundation. I understand that submission of this application authorizes Shoreline Community College and SCC Foundation the right to use my name, application materials and images for publications, reports and press releases in any media. I understand that scholarships may possibly affect need based aid awarded by the College. Failure to meet any of the above may result in forfeiture of any scholarship awarded. signature date To be eligible for consideration, applications and all required material are due in the SCC Foundation office by the indicated deadline. Applications and materials must be submitted as complete collated packets each copy of materials stapled or clipped together. Faxed or emailed applications are not an acceptable form of submission. Incomplete/ineligible applications will not be reviewed by the selection committee. Applications and all materials submitted become the property of SCC Foundation and will not be returned to the applicant. SCC FOUNDATION 16101 Greenwood Avenue North room 1005 Shoreline, WA 98133-5696 (206) 533-6783 or (206) 546-4755 DEADLINE TO APPLY: 4:00 pm April 9, 2014
BUDGET WORKSHEET Name Student # Date INCOME AND OTHER RESOURCES MONTHLY AMOUNT ESTIMATED EXPENSES MONTHLY AMOUNT FAMILY INCOME Student s Net Income Other income Assistance from others OTHER RESOURCES (Federal Financial Aid in separate section) HOUSING AND FOOD Rent/Mortgage Utilities Telephone/Cell Phone Cable/Internet Food Public Assistance Food Stamps Veteran s benefits Social Security Unemployment Alimony Child Support DVR Other PERSONAL Clothing Entertainment Medical/Dental Child Care Personal misc Credit Card(s) TRANSPORTATION Bus Car Gas Maintenance Insurance Payment Parking Permit OTHER TOTAL MONTHLY INCOME A) $ TOTAL MONTHLY EXPENSES E) $ QUARTERLY INCOME B) $ QUARTERLY EXPENSES F) $ (3 months A x 3) (3 months E X 3) FINANCIAL AID Quarterly Amount EDUCATION EXPENSES Quarterly Amount Grants Tuition & Fees Scholarships Books Work Study Supplies Worker Retraining Testing Fees FSET Other Loans Total Financial Aid C) $ Total Education Expenses G) $ Savings TOTAL QUARTERLY INCOME (B + C + D) D) $ TOTAL QUARTERLY EXPENSES (F + G)