1

FresnoState Alumni

Nursing Chapter

Scholarship Application

Spring 2010 for Fall 2010 Disbursement

Instructions: Fill in this application completely, fulfill the stated criteria and return this application to the CSU, Fresno Nursing Dept. office secretary or to Carol Rayner. Application Deadline is March 15th, 2010 and the recipients will receive their Scholarship awards notification by or around May30th, 2010. If the scholarship application is illegible, it will be disqualified.

Student Name: ______Date:______

Print Last, First, Middle

Current Semester in CSU, Fresno Nursing Program -Spring 2010 (circle one) 2nd 3rd 4th 5th 6th

Student Campus ID number (required) ______-______-______

Permanent Address:

______Email address:

______Cell Phone: ______

______Home Phone:______

Education –List all undergrad work at all institutions (do not include high-school); attach additional paper if needed. Undergraduate (current):

Institution: ______Cumulative GPA: ______

Degree & Date: ______or Dates Attended: ______

Honors/Awards:______

Institution: ______Cumulative GPA: ______

Degree & Date: ______or Dates Attended: ______

Honors/Awards:______

Institution: ______Cumulative GPA: ______

Degree & Date: ______or Dates Attended: ______

Honors/Awards:______

FresnoState Alumni

Nursing Chapter

Spring/Fall 2010

Scholarship criteria:

In determining which student(s)shall receive the award provided for herein at least the following criteria shall be considered:

  1. The student must be a Nursing undergraduate student who has been admitted to the Nursing Program and completed at least one semester in the Nursing Program at FRESNOSTATE;
  1. The student must have a cumulative minimum GPA of 3.40 (on a four point scale) or equivalent thereof, earned over all of the student’s cumulative years of college level academic instruction at any and all colleges and universities;

C. The student must provide a personal statement, one to two pages in length, double-spaced with one inch margins and font to be no larger than 12 point. Statement will address student financial need and career goals.

D. Student must also provide two letters of recommendation, one from a FresnoState nursing faculty member and one from a person of their choosing, but not a family member.

Upon affixing my signature on this scholarship application I am hereby affirming that all information provided is true and correct to the best of my knowledge. I hereby give permission for the Nursing Chapter Board of the Fresno State Alumni Associate [Board] to view my academic records and inquire into all statements set forth in this application. I agree and acknowledge that if the information provided is not legible or is not verifiable through reasonable means, the application will not meet the criteria set forth; the applicant shall forfeit any opportunity for the scholarship to be awarded. I, the undersigned student, also agree that if this application does not meet the criteria set forth as mentioned above, then the application shall not be able to be processed. Any monies awarded will be reported to the CSU, Fresno Financial Aid office; but the student need not be a financial aid recipient to be qualified for this scholarship. All scholarship recipients will be chosen by a vote of the Fresno State Alumni Nursing Chapter Board, and all decisions by the Board are final. Scholarship award amounts will range from a minimum of $250.00 to a maximum of $500.00, the Board will decide these amounts and those decisions will be at the sole discretion of the Board.

X

Applicant’s Signature /Printed Name Date

1