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 one half-tuition scholarship to the Master of Science in Nursing Education or Nursing Health Systems Administration graduate program at Brookline College. With the support of Brookline College, one half-tuition scholarship is offered for each new cohort start in January, May, and September.
The Master of Science in Nursing Education or Health Systems Administration is fully online, 33 credits, and can be completed in 12 months.
SELECTION CRITERIA
Candidates for a nursing scholarship to the Master of Science in Nursing Education or Health Systems Administration 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. Must be a registered nurse who possesses a Bachelor of Science Degree in nursing (BSN), holds a current unencumbered RN license, and wishes to move into nursing education.
4. Submit a confirmation form signed and dated by Brookline College verifying all admission requirements for the Master of Science in Nursing Education or Health Systems Administration have been met or completed (Form attached)
5. Submit one professional reference (Form attached)
6. Submit a written response to four essay questions
7. Submit a copy of a current resume with updated educational and work experiences
8. Submit a letter of good standing from the Brookline College Department of Nursing Dean
9. Submit a typewritten completed, signed application, together with all supporting documentation, by the published deadline date. 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, Bachelor’s Degree earned 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)
Arizona Nurses Foundation
ESSAY QUESTIONS
1. What have been your major accomplishments as a bachelor’s prepared nurse? What impact have you made to the practice of nursing? 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 current reason and guiding factors for your pursuit of a Master’s Degree in Nursing Education or Health Systems Administration. Identify your goals for pursuing a Master’s Degree in Nursing Education or Health Systems Administration.
3. Identify the top three challenges facing nursing education or health systems administration today. Describe how you plan to influence one of the challenges that you have identified.
4. Describe your need for financial assistance. List current and previous scholarships and financial aid that you have received (include years).Describe any life circumstances that may interfere with your being able to complete the 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 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
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, July 1 and Nov 1
A completed application and supporting documentation must be received on or before February 1, July 1or November 1. Applications received after the designated deadline date will not be considered. There are no exceptions.
Award Dates:
The Scholarship Committee will award one half-tuition scholarship for January, May, and September, respectively. You will be notified via email on the award date regarding the status of your scholarship.
Arizona Nurses Foundation
BROOKLINE COLLEGE MASTER OF SCIENCE IN NURSING EDUCATION or HEALTH SYSTEMS ADMINISTRATION PROGRAM SCHOLARSHIP APPLICATION
SUBMISSION INSTRUCTIONS:
All materials in its entirety 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
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, equipment, and technology fees. 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 the “Consumer Info & Resources” tab for Brookline College at www.brooklinecollege.edu .
5. Applicant/recipient must start the program within two semesters of the scholarship award date, unless otherwise determined by the Scholarship Committee and/or Brookline College officials at their sole discretion.
6. Applicant/recipient must stay in attendance as a full time student and maintain the grade point average identified by the Brookline College nursing program.
7. Failure to comply with the terms and conditions of the scholarship will result in termination of the scholarship.
Arizona Nurses Foundation
ARIZONA NURSES FOUNDATION CHECK LIST FOR SCHOLARSHIP SUBMISSION
□ 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 Masters of Nursing Education or Health Systems Administration Confirmation Form of having met admission criteria signed and dated by Brookline College
□ Signed acknowledgement
□ Letter of good standing from Brookline College Department of Nursing Dean
□ Keep a copy of entire packet for your records
ACKNOWLEDGEMENT
1. I have read and agree 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: ______
Page 1 of 9
Master of Science in Nursing Education /Health Systems Administration Program Scholarship Application Revised Sept 2014
Arizona Nurses Foundation
BROOKLINE COLLEGE MASTER OF SCIENCE IN NURSING EDUCATION OR HEALTH SYSTEMS ADMINISTRATION PROGRAM SCHOLARSHIP APPLICATION
Directions: Please type (Handwritten applications will not be accepted. Do not attach a resume or curriculum vita).
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.
Date:Name of Applicant:
Current Mailing Address: (type below)
Street Address:
City: / State: / Zip Code:
Telephone (Daytime): / Telephone (Evening):
Email address:
Anticipated Enrollment for:
□ MASTER OF SCIENCE IN NURSING EDUCATION
□ MASTER OF SCIENCE IN NURSING HEALTH SYSTEMS ADMINISTRATION
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 Certificate / Date of CompletionLEADERSHIP:
EMPLOYMENT HISTORY
Briefly describe past employment, beginning with your most recent or current employment. (Years, position, employer, location)
Dates of employment / Position – briefly describe the duties of each job / Employer / Location – city, stateIf you need additional space, use the back of this form.
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.
Arizona Nurses Foundation
BROOKLINE COLLEGE MASTER OF SCIENCE IN NURSING EDUCATION OR HEALTH SYSTEMS ADMINISTRATION PROGRAM 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
BROOKLINE COLLEGE MASTER OF SCIENCE IN NURSING EDUCATION OR HEALTH SYSTEMS ADMINISTRATION PROGRAM SCHOLARSHIP APPLICATION
MASTER OF SCIENCE IN NURSING EDUCATION OR HEALTH SYSTEMS ADMINISTRATION BROOKLINE COLLEGE ADMISSIONS CONFIRMATION FORM
Please confirm by signing and dating the student/applicant has met or is in the process of completing all admission requirements and criteria to be accepted for enrollment in Brookline College’s Master of Science in Nursing Education or Health Systems Administration program.
STUDENT NAME: ______
Anticipated Enrollment for: Feb 1-Summer/May July 1-Fall/September Nov 1-Spring/January
Student is enrolled for:
□ MASTER OF SCIENCE IN NURSING EDUCATION
□ MASTER OF SCIENCE IN NURSING HEALTH SYSTEMS ADMINISTRATION
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
□ Student is a registered nurse who possesses a Bachelor of Science in Nursing (BSN), holds a current unencumbered RN license from any state, territory, or district in the United States, and wishes to earn a Master of Science in Nursing Education or Health Systems Administration degree.
□ Student has completed and met all admission requirements for the Master of Science in Nursing Education or Health Systems Administration
□ Student provides in the form of official transcripts of a conferral of Bachelor’s Degree or 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)
Signature below verifies that this applicant meets all above selection criteria.
Signature: ______Print Name: ______
(Brookline College Nursing or Admissions Department Official)
Title: ______Phone: ______Date: ______
Page 1 of 9
Master of Science in Nursing Education /Health Systems Administration Program Scholarship Application Revised Sept 2014