2010 NURSING STUDENT SCHOLARSHIP Sponsored By

AWARD INFORMATION: $1,000.00 MLN/MCNEA scholarships awarded in 2010. In order to be considered for an award, a candidate must be currently enrolled in a Licensed Practical Nurse, Associate Degree or Bachelor’s Degree Nursing education program and must have successfully completed at least one nursing course with a clinical component. Successful completion is defined as a grade of a (“C”) or better. Recipients will be notified in March 2010.

2010 NURSING STUDENT SCHOLARSHIP Sponsored by: Michigan League for Nursing and Michigan Council of Nursing Education Administrators (MCNEA) APPLICATION FORM APPLICATIONS MUST BE RECEIVED NO LATER THAN March 1, 2010 Application form may be:  Mailed UNFOLDED in 8 ½ x 11 envelope  Submitted on disk or CD – with one paper copy enclosed (unfolded)  Or submitted electronically to [email protected] (preferred method)

1. GENERAL INFORMATION (Please type or print in ink)

NAME: ______Last First Middle

ADDRESS: ______No. & Street City State Zip+4

TELEPHONE: Home ( ) ______Work ( )______

Nursing School: ______Anticipated date of Graduation: ______

TYPE OF PROGRAM: ADN PN BSN BSN/RN Completion Program 2. ACADEMIC ACHIEVMENT

G.P.A.: ______(Please enclose copy of most current transcript with courses Completed by December 2009) AWARDS RECEIVED (Achievement, Leadership, Service); (Include year received. from 2006 to present): ______

______

______- 1 - 3. LETTERS OF ENDORSEMENT

An Endorsement is a letter supporting an individual for consideration to receive a Nursing Student Scholarship. An application must include two (2) endorsements in order to be considered for an award. Follow the criteria below for obtaining endorsements: 1. One endorsement must be from a nursing faculty member. 2. The second endorsement must be from a personal reference (excluding family members). 3. Endorsements should be submitted on the form provided.

4. CONTRIBUTIONS: A. List of community or service organizations you have provided service to:

1. ______

2. ______

3. ______

4. ______

5. ______

6. ______

B. Statement of need. Why do you need a scholarship? :

______

C. Employment from Fall 2008 to present:

1. Place of employment: ______Hrs./Week: _____ Position: ______Employed from: _____to _____ 2. Place of employment: ______Hrs./Week: _____ Position: ______Employed from: _____to _____

- 2 - 5. ESSAY

Please complete an essay based on one the following topics in 500 words or less. Essays must be word-processed, double spaced, referenced and submitted on disk/CD.

ESSAY TOPICS:

“If asked to lead a career session, what three (3) aspects of nursing would you highlight to promote nursing as a career.”

“My most memorable client or experience: Describe a situation in which your nursing care made a difference.”

Essays will be evaluated on the following criteria:  Essay addresses topic  Essay maintains reader interest  Ideas are presented in logical and concise fashion  Essay is grammatically correct, free of spelling & typographical errors  Presentation is neat and does not exceed word limitation  Documentation of reference sources both in body of essay and reference list

All essays become the property of Michigan League for Nursing and may be published in the MLN newsletter, Michigan Center for Nursing Newsletter or on the website.

6. VALIDATION MICHIGAN LEAGUE FOR NURSING relies on the integrity of the candidates and will not be liable for any falsification in this application form. Your signature is required to validate this application.

TO BE READ AND AFFIRMED BY APPLICANT: I have read the above statement and hereby certify that the information contained in this application is correct to the best of my knowledge.

______Applicant Signature Date

CANDIDATES MUST DUE BY: TO: SUBMIT: Completed Application Form March 1, 2010 Michigan League for Nursing  Two Letters of 2410 Woodlake Drive Endorsement Okemos, Michigan 48864  Essay - Printed Copy UNFOLDED in 8 ½ x 11 and a disk or CD envelope  Copy of Transcript Or [email protected]

- 3 - Michigan League for Nursing (MLN) & Michigan Council of Nursing Education Administrators (MCNEA) ENDORSEMENT FOR SCHOLARSHIP FORM

MLN & MCNEA invite your letter of endorsement supporting the following individual.

______is applying for the 2010 MLN/MCNEA Nursing Student Scholarship Award. On the basis of this student’s academic and personal achievements, I heartily endorse this individual for the award.

______Signature of Endorser Date

Name of Endorser (Please print): ______

Address: ______No. & Street City State Zip+4

Phone: ( ) ______Position/Relation to Applicant: ______

COMMENTS: ______

______

(Please return completed form to the student so that it can be submitted with the application form.)