FLORIDA NURSES FOUNDATION 2012 SCHOLARSHIP APPLICATION Professional Reference Form FNF Section 1 (Completed by applicant) Please enter the last four digits of your SS#: _______________________________________________ These educational funds are sought to assist in completing a program of study towards a __________________ degree in nursing at _____________________ College/University. Section 2 (Completed by Reference) Please provide a reference addressing academic aptitude, scholarship and seriousness of purpose, clinical expertise and potential for success in the field of nursing. FNF scholarships are competitive and are awarded on the basis of scholarship, financial need and the potential for contribution to the profession and society. Please write your comments below or attach a letter that includes the requested information. Return the reference to the applicant who will submit it with the application. This is a blind review process. Please do not include the applicant’s name on this form or any additional letter. st The applicant is responsible for submitting two reference forms to complete the application packet by June 1 . It is also the applicant’s responsibility to include his/her last four digits of his/her SS# at the top of this page for identification purposes. How long have you known the candidate?________ years. In what capacity?__________________ Name (please print)_______________________________________________________________ Position/Organization______________________________________________________________ Address________________________________________________________________________ ________________________________________________________________________ Signature________________________________________________ Date________________ ATTENTION APPLICANT: Please save this document with the last four digits of your SS# and Ref1 for your first reference form and Ref2 for your second reference form, i.e.2345Ref1.doc and 2345Ref2.doc. Email both references to firstname.lastname@example.org by June 1. If both reference forms and/or reference letters are not received by June 1, your application will be deemed incomplete and ineligible.
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