UNIVERSITY OF WEST GEORGIA

SCHOOL OF NURSING

NURSING SCHOLARSHIP APPLICATION

 

Scholarship applications are due in the School of Nursing by

May 1st to be considered for the following Fall semester.

 

Please be sure to read the criteria for each scholarship to be sure you are eligible.

scholarship criteria

 

Which scholarships are you applying for?

 

____ Ayers Hudson Memorial Nursing Scholarship

 

____ Donna Ayers Memorial  Nursing Scholarship

 

____ Dr. Jeanette C. Bernhardt Merit Scholarship

 

____ Pansy Tisinger Brown Memorial Nursing Scholarship

 

____ DeVillier Family Trust Scholarship

 

____ Betty Irvine Griffith Memorial Scholarship

 

____ Dr. Claudette Hayes Scholarship Award

 

____ Jean Aycock McCauley Scholarship

 

____ Ernest M. Sewell Scholarship

 

____ Arta Mae Whatley Scholarship

 

____ Lettie Pate Whitehead Foundation Scholarship

 

____ Bowdon Area Hospital Authority  (Applications are in

               Biology Dept. and are due by March 1st.)       

   

 

                                Carrollton Student         Dalton Student

(please circle one)

                                Newnan Student            Rome Student

 

PROJECTED GRADUATION DATE:________________________

 

NAME________________________________________________SS#_________________

 

ADDRESS_________________________________________________________________

                 (number & street)                  (city)                   (county)              (state)           (zip)

 

TELEPHONE (______)_____________________       (_____)________________________

                                          (home)                                             (work)

 

Male______  Female______         Age______   Single______           Married______

 

Race/Ethnic Background

 

______American Indian   ______Asian      ______Black (non-Hispanic)      ______Hispanic

 

______White (non-Hispanic)       ______Other (Specify)

 

Religious preference (optional):_________________________________________

(must state religious preference to be eligible for some scholarships listed)

 

Number of Children_________________                     Ages_____________________

 

Place of Employment__________________________________________________

 

Work Role________________________Total hours worked per week___________

 

Community / Campus Activiites__________________________________________

 

_____________________________________________________________________

 

In general, students must be enrolled full-time (12 hours) to receive a scholarship. 
List the number of hours in which you plan to enroll during the following quarters.

 

FALL__________   SPRING__________          SUMMER__________

In the space provided below, describe your family, work, and financial situations that
create the need for scholarship money.  Please be specific.  You may attach separate
pages if necessary.

 

______________________________________________________________________

______________________________________________________________________

 

______________________________________________________________________

 

______________________________________________________________________

 

______________________________________________________________________

 

----------------------------------------------DO NOT WRITE BELOW THIS LINE-------------------------------------------

 

Verbal SAT/ACT_______________                                                       Transfer GPA_________________

 

Math SAT/ACT________________                                                        Transfer Hours________________

 

Total SAT/ACT_________________                                                       SUWG GPA__________________

 

Other Scholarships and or Financial Aid including Hope Grant:

 

______________________________________________________________________

 

______________________________________________________________________

 

Financial Need_________________________________________________________

 

Estimated Financial Contribution:________________________________________________

 

**Scholarship applications are due in the School of Nursing by May 1st

    to be considered for the following Fall semester.

 

Mail To:  University of West Georgia

                School of Nursing

                1601 Maple Street

                Carrollton, GA 30118

 

Rev. 7/24/2008