Nursing Alumni Association
College of Nursing Scholarship Application
COVER SHEET
This page is set up as a fillable form. Simply type your answers into the shaded areas.
Name
Address
Day Phone
Evening Phone
E-mail
The following questions will help us determine your eligibility for the various scholarships.
Are you a matriculated student in the SUNY Upstate Medical University College of Nursing?
Have you completed one semester at Upstate Medical University College of Nursing?
What degree are you pursuing?
What is your current GPA?
What is your specialty (pediatrics, family nursing, care of elderly, psych/mental health, etc.)
What NYS county are you from?
Are you raising a family while pursuing your education?
Yes
No
Application Deadline: Friday, January 29, 2016 – 4:00 pm
1
Yes
Yes
No
No