Nursing Scholarship

Genesis Health Services Foundation

2015 BSN Nursing Scholarship Application

Click here to read the Eligibility Requirements and Terms of Scholarship.

Please submit the following information to scholarships@genesishealth.com 
  • Two letters of recommendations, such as from a teacher, guidance counselor or clergy.
  • A 600-700 word essay explaining why you wish to pursue a career in nursing; the assets and characteristics that you possess that will help you become a successful nurse; and the vision you have for yourself as a nurse ten years from now.
  • Copy of acceptance letter for college/university or acceptance letter into BSN program.
  • Official high school and college transcripts.
    • Transcripts ONLY may be submitted via any of the following three methods:
      • Email: scholarships@genesishealth.com
      • Fax: 563-421-6869
      • Mail: Scholarships, Genesis Health Services Foundation, 1227 E. Rusholme, Davenport, IA 52803

Last Name:* 
First Name:* 
Middle Initial:* 
Address: *

City/State/Zip:* 

, ,
County: *
If you do not reside in one of these counties, you are NOT eligible to apply for this scholarship.
Home Phone:*
Cell Phone:*
Email Address:*
Birth Date:* (i.e. 08/20/1986)
High School:*
     GPA:
     Year Graduated:
College:*
    GPA: *
    Expected graduation date
    with BSN Degree:
*
 (Month/Year)
    Student ID: *
    College Address: *

    City/State/Zip:* 

, ,
Current Year in College:
Who is your primary source of financial support?
Name:
Address:
Telephone Number:
Place of Employment:
Employer's Address:
Occupation:
Who is your secondary source of financial support?
Name:
Place of Employment:
Employer's Address:
Occupation:
Are there other dependents in the household?* Yes    No
     If Yes, what are their ages?
     The number in college (excluding self)?
Have you applied for/received other financial aid?*   Yes       No
     If so, please list source(s) and amount:
How did you learn about this scholarship?*
Volunteerism is a key component of the Genesis Mission. Describe (in 100-200 words) the ways you volunteer in your community and the impact your volunteer work has had on others as well as what it has meant to you personally.*

© 2014 Genesis Health System - All rights reserved.

1227 E. Rusholme Street Davenport, IA 52803 563-421-1000