Nursing Certificate of Employment by upp16792

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									     HELEN AND CHARLES CAMPBELL PRACTICAL NURSING SCHOLARSHIP
DESCRIPTION:

      The HELEN AND CHARLES CAMPBELL PRACTICAL NURSING SCHOLARSHIP FUND has been
      established to assist those non-traditional students pursuing a Practical Nursing Certificate at Wabash
      Valley College. The scholarship has been made possible through the generosity of the family of the late
      Helen and Charles Campbell, parents of Claire Locke of Mt. Carmel and Joyce Beals of Portland,
      Oregon. This is a one-year award that may be applied toward tuition, books, or uniform costs. Award
      amount will be based on annual interest earned on the principle and may vary from year to year.

REQUIREMENTS/CRITERIA:

1.    Applicants must complete and file an official application and any required materials by the deadline date
      as predetermined by the Foundation Scholarship Committee.

2.    The Foundation Scholarship Committee for the selection of this award shall include a WVC nursing staff
      member, who serves in an advisory role.

3.    The recipient shall be determined prior to the beginning of Fall Semester of the award year.

4.    Character, disposition, and interest in successfully completing the practical nursing certificate and in
      pursuing employment in the practical nursing field shall be factors in determining selection.

5.    Need shall be a factor in the case of equally qualified applicants.

6.    If the student should withdraw from the course at the end of the first semester, the grant may be given to
      another applicant for the second semester tuition, if additional funds are available.

7.    Upon verification of enrollment, the award is to be paid directly to the College toward tuition or books, or
      to the uniform supplier toward uniform costs, unless the recipient has already paid these expenses and
      has supplied receipts for reimbursement of these costs.

THE RECIPIENT:

a.    Must have graduated from a Wabash County high school at least 8 years prior to the award year.

b.    May also qualify if residency in Wabash County has been established for the past two years. (High
      school graduation still must be at least 8 years prior to the award year.)

c.    Must meet the requirements to enter the first level of the ADN program.

d.    Must be currently in good standing academically at WVC with no less than a 2.5 overall grade point
      average or if no prior college credits have been earned, then the applicant must obtain a recommendation
      of predicted performance from a former high school administrator.

e.    Must not have been convicted of a felony or charge of substance abuse.
                                  APPLICATION FOR
             HELEN AND CHARLES CAMPBELL PRACTICAL NURSING SCHOLARSHIP

This Application Must Be Typewritten by going online to our website — www.wabashvalley.cc click on WVC
Scholarships



PERSONAL INFORMATION:

Last Name                                       First                        MI __________

Permanent Address:                                        Telephone #: _______________________

                                                           Birthdate: __________________________


HIGH SCHOOL/RESIDENCY REQUIREMENTS:

High School Graduated From:                                    Year Graduated: _________________

Have you resided in Wabash County for at least two years? (since August 2006)
      Yes             No

COLLEGE INFORMATION:

Have you been officially accepted into the first level of the ADN Program at Wabash Valley College?
Yes     No. If so, please provide a copy of your notification letter with this application.

Indicate College and/or Non-College Activities, Awards While Attending WVC: ____________________

____________________________________________________________________________________

____________________________________________________________________________________

EMPLOYMENT:

Present Employment (if any): ____________________________________________________________

HOUSEHOLD INFORMATION:

Marital Status:      Married         Single             Divorced

Number of Dependent Children:                    Their Ages: _____________________________________

Husband's                                                                                    Occupation:
_______________________________________________________________________

FINANCIAL DATA:

Did you applied for Federal & State Aid Programs for the 2007-2008 academic year?
     Yes         No

Did you received other scholarships or financial assistance during your first year of study at WVC?
Yes        No

If yes, please indicate sources of assistance

Do you expect to receive similar assistance this coming academic year 2008-2009?
     Yes         No
FUTURE GOALS/EMPLOYMENT GOALS:

1.     Please provide a statement regarding your future goals and objectives relating to the practical
       nursing program on a separate sheet of paper. Include how you wish to benefit from the LPN
       program with regard to employment in areas relating to Home Health Care, Nursing Homes, etc.

       State why you feel you should be considered for this scholarship.

       Include what your plans are following graduation from Wabash Valley College.

2.     Place and type of employment desired after graduation(if known).



ADDITIONAL REQUIREMENTS:

1.     A letter of character reference from a person unrelated to you must be attached.

2.     A transcript of your work at WVC or credits transferred in should be attached.*

               If you have no prior record of college credits, please obtain statement of recommendation
               from a former high school administrator as well as information regarding your rank in
               class and grade point average at the time of your graduation.

3.     Have you ever been convicted of a felony or charge of substance abuse?
           Yes         No


Applicant's Signature: ___________________________________________ Date: __________________


NOTE: All materials must be typewritten and received by July 25, 2008.


       Please send all materials to:

                              WVC Foundation Scholarship Committee
                                 c/o Jane Owen, Office Assistant
                                      Wabash Valley College
                                        2200 College Drive
                                       Mt. Carmel, IL 62863


Materials to Include:

1.     Completed Application
2.     Copy of Acceptance Notification
3.     Future Goals Statement
4.     Letter of Character Reference
5.     College Academic Transcript(s) or High School Recommendation/GPA Information

								
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