// 2015 BSN Nursing Scholarship Application - Genesis Health System
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.*

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