Nursing Scholarship

Genesis Health Services Foundation

2013 BSN Nursing Scholarship Application

Please submit the following information to scholarships@genesishealth.com 
  • Three letters of recommendations, such as from a teacher, guidance counselor or clergy. One letter must be from an individual who has known you for a minimum of three years and who is not a relative.
  • One-page essay explaining why you want to pursue a nursing career.
  • Copy of acceptance letter for college/university or acceptance letter into BSN program.
  • Official high school and college transcript

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


Name:* 
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:
College:*
     GPA:
Expected date of graduation with BSN Degree (Month/Year):
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)?
What college/university are you attending to attain your baccalaureate degree in nursing?*
     College Address: *
     City/State/Zip: *
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?*
Please list extra-curricular activities, especially those related to the skills required of a health professional.*

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