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Genesis Health Services Foundation

BSN Nursing Scholarship Application

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

Please submit the following information to

  • 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:
      • Fax: 563-421-6869
      • Mail: Scholarships, Genesis Health Services Foundation, 1227 E. Rusholme, Davenport, IA 52803

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


, ,
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:*
     Year Graduated:
    GPA: *
    Expected graduation date
    with BSN Degree:
    Student ID: *
    College Address: *


, ,
Current Year in College:
Who is your primary source of financial support?
Telephone Number:
Place of Employment:
Employer's Address:
Who is your secondary source of financial support?
Place of Employment:
Employer's Address:
Are there other dependents in the household?* YesNo
     If Yes, what are their ages?
     The number in college (excluding self)?
Have you applied for/received
other financial aid?
     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.*