Kappa Phi Chapter-at-Large Scholarship application

In recognition of outstanding scholars among qualified nursing students, the Kappa Phi Chapter-at-Large Scholarship Committee wishes to announce a call for applicants. Scholarships in the amount of $200 each will be awarded to two St Cloud State University and two College of St Benedict/St John's University undergraduate nursing students. One scholarship will also be awared to one graduate nursing student in the amount of $200. The scholarship winners will be announced at the Kappa Phi Chapter-at-Large Fall Induction and Award Ceremony on October 28, 2015 at CentraCare Winfeldt Room.

Criteria for selection of the recipients include invitation and acceptance of membership to Kappa Phi chapter-at-large, academic achievement of 3.0 or above, professional achievement, and financial need. These criteria should be supported by the following submissions:
1) The completed application form (below)
2) Letters of recommendation from two faculty and one professional associate
3) Copies of official transcripts of undergraduate or graduate work

Question Title

* 1. Contact Information:

Name:

Address:

Address 2:

City/Town:

State:

ZIP:

Email Address:

Phone Number:

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* 2. Undergraduate Education

Institution

Dates Attended

Degree

Cumulative GPA

Honors/Awards

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* 3. Graduate Education

Institution

Dates Attended

Degree

Cumulative GPA

Honors/Awards

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* 4. Student or Professional Associations/Memberships:

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* 5. Sigma Theta Tau

	Yes	No
Are you a Sigma Theta Tau Kappa Phi Chapter-st-Large Member or invited for membership and accepted:	Are you a Sigma Theta Tau Kappa Phi Chapter-st-Large Member or invited for membership and accepted: Yes	Are you a Sigma Theta Tau Kappa Phi Chapter-st-Large Member or invited for membership and accepted: No
Involvement as member of Sigma Theta Tau:	Involvement as member of Sigma Theta Tau: Yes	Involvement as member of Sigma Theta Tau: No

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* 6. Describe your accomplishments and contributions to nursing

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* 7. Nursing Career Goals:

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* 8. Scholarships received and Amount(s)

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* 9. Statement of Financial Need:

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* 10. Letters of Recommendation

Faculty (1):

Faculty (2):

Professional Associate:

Question Title

* 11. Additional Documents included:

	Yes	No
Copies of transcripts of undergraduate work are being mailed	Copies of transcripts of undergraduate work are being mailed Yes	Copies of transcripts of undergraduate work are being mailed No

Please complete and send required documentation to be received by October 14, 2014
Please contact one of us with questions
Kay Greenlee at greenleek@centracare.com or 320-255-6692, leave a message
Denise Meijer at dmeijer@bimidjistate.edu or 320-248-0588, leave a message