Selection Criteria

In an ongoing commitment to provide access to nursing education opportunities and ensure the future quality of health care in Arizona, the Arizona Nurses Foundation (AzNF), is offering two half-tuition scholarships for each admission date of the Brookline College Bachelor of Science in Nursing programs. These are the Bachelor of Science in Nursing program (BSN) and the Bachelor of Science in Nursing for Baccalaureate Degree Graduates (BSN/BDG) program. A half-tuition scholarship will be offered to BDG students beginning the program in January, May, or September. BSN students starting the fifth semester of the program are also eligible for a half-tuition scholarship.

The BSN program is a 27-month program that invites applications for prospective students who have no previous college experience as well as those who have taken courses at other colleges or universities. The BSN/BDG is an intensive 16-month program for individuals who already have a bachelor’s degree and have successfully completed required prerequisite courses. Successful completion of either program leads to the award of a Bachelor of Science in Nursing.

SELECTION CRITERIA Candidates for a nursing scholarship to the BSN or BSN/BDG program at Brookline College must meet all admission requirements for the program and demonstrate the following to be considered:

1. Be a citizen of the United States or an eligible citizen as classified by the Department of Homeland Security. Arizona applicants must be at least 18 years of age or 17 years 6 months of age with parental or legal guardian signature of approval or otherwise covered under state emancipation statutes.

2. Not be an employee or a family member of an employee of Brookline College

3. For the BSN program  Earned a high school diploma, evidence of completion of a home schooling program, or a General Education Development (GED) Certificate  Achieve a minimum cumulative score of 75% on the HESI Admission Assessment Examination (A2) and a score of 74% on the vocabulary section and a score of 70% on the math section. Applicants are required to take the following four parts of the HESI Admission Examination. o Reading Comprehension o Vocabulary o Grammar o Math

4. For the BSN/BDG program  Earned a baccalaureate degree from an educational institution accredited by an agency recognized by the United States Department of Education o Provide official transcripts from all colleges or universities attended o For international students, provide an official transcript translation or an evaluation from a member of the Association of International Credentials Evaluators (AICE) or the National Association of Credential Evaluation Services (NACES)  Achieved a minimum cumulative score of 75% on the following parts of the HESI Admission Assessment Examination (A2) and a score of 74% on the vocabulary section and a score of 70% on the math section. o Reading comprehension o Vocabulary and general knowledge o Grammar o Math o Biology

of 11 BSN or BSN/BDG Program Scholarship Application July 2014 application Cycle o Anatomy and physiology

 Completed fifteen semester credit hours in required prerequisites with a grade of C or better, including successful completion of a minimum of three semester credit hours in each of the following: o Anatomy and Physiology I o Anatomy and Physiology II o Microbiology o Statistics o Developmental Psychology/Human Growth and Development

5. Submit one professional reference (Form attached)

6. Submit a confirmation form signed and dated by Brookline College verifying all requirements have been met or prerequisites to be completed meet admission criteria (Form attached)

7. Submit a written response to four essay questions

8. Submit a copy of a current resume with updated educational and work experiences

9. Submit a letter of good standing from the Brookline College Department of Nursing Dean

10. Submit a typewritten completed, signed application, together with all supporting documentation, by the deadline date listed below. The completion of the application form does not create an obligation to award a scholarship to applicant.

GUIDELINES FOR ESSAY SUBMISSION 1. Format your own title page to include your full name, mailing address, e-mail address, daytime and evening telephone numbers, name of Bachelor’s Degree earned, if applicable, and name of school attended.

2. Each essay question must have a separate heading (you do not have to use a separate piece of paper for each question). Each of the four essay questions should be answered in paragraph format with complete sentences; approximately 350-500 words (per question).

3. Use 8.5 x 11” paper, 12 point font, double spaced

4. Pages must be paper-clipped together (no staples)

ESSAY QUESTIONS 1. What are your major accomplishments? How have they impacted your life? Do not limit yourself to recognized/celebrated accomplishments. Include those accomplishments which may have seemed small at the time they occurred but became crucial when placed in the context of your life.

2. Describe your reasons for pursuing a nursing degree?

3. Identify the top three challenges facing the health care and nursing field today. Describe how you could impact one of these by becoming a nurse.

4. Describe your need for financial assistance. Describe any life circumstances that may interfere with your being able to attend your program.

SELECTION PROCESS 1. The recipient of this scholarship will be selected by the Arizona Nurses Foundation Scholarship Committee.

2. It is the student’s responsibility to submit a typewritten, completed application and all supporting documentation in one package which must be received on or before the deadline date stated below. The decision of the Scholarship

of 11 BSN or BSN/BDG Program Scholarship Application July 2014 application Cycle Committee is final and not subject to a review process.

3. Scholarship selection shall be made without regard to race, color, religion, national origin, sex, or disability.

4. The scholarship will be based on the overall quality of the application, and the committee’s scores for the scholarship essays.

Deadline Date: February 1- Summer/May Program, July 1 –Fall/September Program and Nov 1, Spring/January Program A completed application and supporting documentation must be received on or before February 1, July 1 or November 1. Applications received after the designated deadline date will not be considered. There are no exceptions.

Award Dates: The Scholarship Committee will award two half-tuition scholarships for the January (Spring), May (Summer) and September (Fall) semesters. You will be notified via email on the award date regarding the status of your scholarship.

SUBMISSION INSTRUCTIONS: All materials must be submitted by mail to the following address and received on or before the deadline date.

Arizona Nurses Foundation 1850 E Southern Ave, Suite 1 Tempe, Arizona 85282-5832

For questions contact [email protected] or 480-831-0404 x100

Deadline extensions are not granted. The Scholarship Committee accepts no responsibility for incomplete applications, applications not in proper form, lost applications, or any other submission in exception to the above instructions.

TERMS, CONDITIONS AND DISTRIBUTION OF FUNDS

1. By applying for an Arizona Nurses Foundation scholarship and/or accepting the scholarship award, the applicant/recipient agrees to the following terms, conditions and the distribution of scholarship funds. All application submissions shall become the property of the Arizona Nurses Foundation regardless if applicant is awarded the scholarship.

2. Scholarship award is a non-cash credit to your Brookline College account in the amount stated. No check or other cash monies will be given and/or refunded to student at any time. There are no exceptions.

3. This scholarship includes tuition fees, books, uniforms, equipment, and lab supplies. Living expenses are not included.

4. Applicant/recipient must meet all Brookline College admission requirements for the selected program. For more information about the program, graduation rates, the median debt of students who completed the program, and other important consumer information, please visit www.brooklinecollege.edu .

5. Applicant/recipient must start the program the semester following the scholarship award date, unless otherwise determined by the Scholarship Committee and/or Brookline College officials at their sole discretion.

6. Scholarship recipients must stay in attendance as a full time student and remain in good standing academically or risk losing scholarship funds, as determined by the Dean of Nursing. ,

7. Failure to comply with the terms and conditions of the scholarship will result in termination of the scholarship.

ARIZONA NURSES FOUNDATION CHECK LIST FOR SCHOLARSHIP SUBMISSION

of 11 BSN or BSN/BDG Program Scholarship Application July 2014 application Cycle □ Type written Scholarship Form completed □ Completed title page and four essay questions □ Copy of a current resume with updated educational and work experiences □ Completed reference form in a sealed envelope □ Applicable BSN or BSN/BDG Confirmation Form of having met admission criteria signed and dated by Brookline College □ Letter of good standing from the Brookline College Department of Nursing Dean □ Signed acknowledgement □ Keep a copy of entire packet for your records

of 11 BSN or BSN/BDG Program Scholarship Application July 2014 application Cycle ACKNOWLEDGEMENT

1. I have read and agreed to the stated Terms and Conditions of the scholarship and I understand the nature of the Scholarship and the extent of my obligations.

2. I certify to the best of my knowledge and ability that the above statements are true and correct. I understand that any misrepresentation or omission of fact is cause for disqualification and my application will not be considered.

3. This application is subject to the policies and procedures set forth in the applicable University catalog in the event of a conflict between the terms of the scholarship and the catalog, the terms of the scholarship will control.

Signature: ______Date: ______

Daytime Phone Number: ______Evening: ______

of 11 BSN or BSN/BDG Program Scholarship Application July 2014 application Cycle Arizona Nurses Foundation

BROOKLINE COLLEGE BSN or BSN/BDG PROGRAM SCHOLARSHIP APPLICATION

Directions: Please type (). (Attach a resume in addition to completing this application form) Applicants are to answer all questions with as much detail as possible in the space provided. The text boxes will expand as they are completed.

Name of Applicant:

Current Mailing Address: (type below) Street Address:

City: State: Zip Code:

Telephone (Daytime): Telephone (Evening):

Email address:

Anticipated Enrollment for: □ BSN

□ BSN/BDG

Feb 1-Summer/May July 1-Fall/September Nov 1-Spring/January

Previous degrees or diplomas (post-high school):

Name of School Location – City, State Degree, Diploma or Date of Certificate Completion

LEADERSHIP: EMPLOYMENT HISTORY

Briefly describe past employment, beginning with your most recent or current employment. (Years, position, employer, location)

Dates of Position – briefly describe the duties of each job Employer Location – city, state employment

If you need additional space, use the back of this form.

of 11 BSN or BSN/BDG Program Scholarship Application July 2014 application Cycle LIST AND BRIEFLY DESCRIBE ANY PROFESSIONAL ACTIVITIES, COMMUNITY SERVICE, AND/OR OTHER ACTIVITIES THAT YOU HAVE BEEN ACTIVELY INVOLVED IN DURING THE LAST THREE YEARS THAT DEMONSTRATE YOUR POTENTIAL FOR LEADERSHIP

LIST PAST AWARDS, HONORS AND SPECIAL RECOGNITION THAT INDICATE YOUR POTENTIAL FOR ACADEMIC SUCCESS AND/OR LEADERSHIP List any awards, honors or special recognition that you have received and the year in which the award was given. Indicate any offices that you have held if applicable.

of 11 BSN or BSN/BDG Program Scholarship Application July 2014 application Cycle Arizona Nurses Foundation

BROOKLINE COLLEGE BSN or BSN/BDG PROGRAM SCHOLARSHIP APPLICATION SCHOLARSHIP APPLICATION REFERENCE FORM Applicants are required to include with the application one (1) signed confidential professional reference form from an immediate supervisor in the employment setting or the student’s academic advisor or other faculty member who can attest to the applicant’s potential for leadership and the applicant’s commitment to professionalism. Applicants are to deliver the reference form to the appropriate person and inform the writer regarding the content of the reference needed and to have the writer place it in a sealed envelope following the directions on the form. The sealed envelope is to be attached to the application form. Applications lacking the reference form will automatically be rejected.

ARIZONA NURSES FOUNDATION - 1850 E SOUTHERN AVENUE, STE. 1 TEMPE, AZ 85282 - (480) 831-0404

I, _ (applicant name)______, give permission to the following individual to submit a reference on my behalf to the Arizona Nurses Foundation.

Applicant’s Signature______Date:______

REFERENCE RESPONSE

Name:______Job Title:______

Organization:______

Capacity in which you have known applicant: ______

Length of time you have known applicant: ______

Based on your knowledge of the applicant, please tell us your perception of the applicant’s potential for leadership. Give examples. (If you do not have such knowledge, please so state.)

Based on your knowledge of the applicant, please tell us your perception of the applicant’s commitment to professionalism. Give examples. (If you do not have such knowledge, please so state.)

Signature:______Date:______Please place this reference form in an official envelope from your organization, sign your name over the sealed flap and return to the student to be submitted with the application packet. Thank you. Arizona Nurses Foundation Page 8 of 11 BSN or BSN/BDG Program Scholarship Application July 2014 application Cycle BROOKLINE COLLEGE BSN PROGRAM SCHOLARSHIP APPLICATION

BSN BROOKLINE COLLEGE ADMISSIONS CONFIRMATION FORM

Please confirm by signing and dating the student/applicant has met or is in the process of completing all required prerequisites and is in good academic standing to be accepted for enrollment in Brookline College’s Bachelor of Science in Nursing program.

STUDENT NAME: ______

Anticipated Enrollment for: Feb 1- Summer/May July 1- Fall/September Nov 1- Spring/January

SELECTION CRITERIA

□ Student/Applicant must be a citizen of the United States or an eligible citizen as classified by the Department of Homeland Security. Arizona applicants must be at least 18 years of age or 17 years 6 months of age with parental or legal guardian signature of approval or otherwise covered under state emancipation statutes.

□ Student/Applicant or a family member is not an employee of Brookline College

□ Earned a high school diploma, evidence of completion of a home schooling program, or a General Education Development (GED) Certificate

□ Official transcripts from all colleges or universities attended required

□ For international students, official transcript translation and evaluation from a member of the Association of International Credentials Evaluators (AICE) or the National Association of Credential Evaluation Services (NACES)

□ Achieved a minimum cumulative score of 75% on the following parts of the HESI Admission Assessment Examination (A2) and a score of 74% on the vocabulary section and a score of 70% on the math section.

□ Reading comprehension □ Vocabulary and general knowledge □ Grammar □ Math

*If student is in the process of completing required prerequisites, what is the anticipated completion date:

______.

Signature below verifies that this applicant meets all above selection criteria.

Signature: ______Print Name: ______(Brookline College of Nursing or Admissions Department Official)

of 11 BSN or BSN/BDG Program Scholarship Application July 2014 application Cycle Title: ______Phone: ______Date: ______

Arizona Nurses Foundation

BROOKLINE COLLEGE BSN/BDG PROGRAM SCHOLARSHIP APPLICATION

BSN/BDG BROOKLINE COLLEGE ADMISSIONS CONFIRMATION FORM

Please confirm by signing and dating the student/applicant has met or is in the process of completing all required prerequisites and is in good academic standing to be accepted for enrollment in Brookline College’s Bachelor of Science in Nursing program.

STUDENT NAME: ______

Anticipated Enrollment for: Feb 1-Summer/May July 1-Fall/September Nov 1-Spring/January

SELECTION CRITERIA

□ Student/Applicant must be a citizen of the United States or an eligible citizen as classified by the Department of Homeland Security. Arizona applicants must be at least 18 years of age or 17 years 6 months of age with parental or legal guardian signature of approval or otherwise covered under state emancipation statutes.

□ Student/Applicant or a family member is not an employee of Brookline College

□ Earned a baccalaureate degree from an educational institution accredited by an agency recognized by the United States Department of Education

□ Official transcripts from all colleges or universities attended required

□ For international students, official transcript translation and evaluation from a member of the Association of International Credentials Evaluators (AICE) or the National Association of Credential Evaluation Services (NACES)

□ Achieved a minimum cumulative score of 75% on the following parts of the HESI Admission Assessment Examination (A2) and a score of 74% on the vocabulary section and a score of 70% on the math section. o Reading comprehension o Vocabulary and general knowledge o Grammar o Math o Biology o Anatomy and physiology

□ *Completed fifteen semester credit hours in required prerequisites with a grade of C or better; including successful completion of a minimum of three semester credit hours in each of the following: o Anatomy and Physiology I o Anatomy and Physiology II o Microbiology o Statistics o Developmental Psychology/Human Growth and Development Page 10 of 11 BSN or BSN/BDG Program Scholarship Application July 2014 application Cycle *If student is in the process of completing required prerequisites, what is the anticipated completion date: ______. Signature below verifies that this applicant meets all above selection criteria.

Signature: ______Print Name: ______(Brookline College of Nursing or Admissions Department Official)

Title: ______Phone: ______Date: ______

of 11 BSN or BSN/BDG Program Scholarship Application July 2014 application Cycle