GFWC Dedham Junior Women’s Club
Erin K. Gorman Nursing Award
Dear Nursing Award Applicant:
Enclosed is the Erin K. Gorman Award Application for a man or woman pursuing an education in nursing at any level (undergraduate or graduate). This $1,000 award is designed to support the educational pursuits of a Dedham resident who is also an active volunteer. When completing the application, please try to make your answers as complete and accurate as possible using additional sheets if necessary.
The following criteria will be weighed heavily when evaluating your application:
❖ Volunteer service
❖ Work experience that supports your educational goals
❖ Membership in organizations and committees
The following will also be considered:
❖ Academic performance
❖ Need
We wish you good luck when applying for these awards. If you have any questions, please do not hesitate to contact Peggy Dellea at .
Sincerely,
Peggy Dellea and Betty Nazaire
The Education Committee of the DJWC
GFWC Dedham Junior Women’s Club
Instructions for Applying for the
Erin K. Gorman Nursing Award
Requirements:
1. Applicant must be a Dedham resident.
2. Applicant must provide at least one letter of recommendation from the teacher, professor or supervisor of an organization in which you have participated or from a current or previous employer.
3. Applicant must provide a letter indicating reasons for applying as well as educational goals. (Tell us a little bit about yourself in this letter.)
4. Applicant must provide a high school/college transcript, if applicable.
The application together with the above information must be received on or before April 10, 2017. Applicant may be disqualified if supporting materials are incomplete.
Send to: Peggy Dellea
40 Cedar St.
Dedham, MA 02026
Email:
Please enclose a sufficiently stamped self-addressed envelope if you would like to have your letters and transcript returned to you after the Award Committee has finalized its decision.
Signature of Applicant:
______
How did you hear about this Award? ______
GFWC Dedham Junior Women’s Club
Application for the Erin K. Gorman Nursing Award
(Application for nursing student)
Name of applicant:______Phone: ______
Home Address:______
E-mail address:______
Nursing Degree/Program you are pursuing:______
Name of college(s) or program(s) to which you have applied/are attending:
______
______
Are you currently enrolled? ______If yes, expected graduation date?______
If not, have you been accepted yet?______If yes, where? ______
Have you made a decision about where to attend? ______If yes, where? ______
List all volunteer activities in which you have been involved:
______
______
______
List all clubs, organizations, etc. in which you have taken part over the past four years:
Name of Organization, Club etc. Description of Activity Approx. time Year(s) of
and your role Involved Involvement
______
______
______
______
If you have been employed during the past four years, please provide the following information:
Name of Employer Dates of Employment Nature of Work
______
______
______
Please indicate your family’s household income before taxes:
______under $25,000
______$25,000 – 50,000
______$51,000 – 75,000
______$75,000 - $100,000
______over $100,000