Scholarship App – BQLIAHEC

The Hazel Sanderson, EdD., R.N. Health Career Scholarship

"*" indicates required fields

Step 1 of 3

Please refer to the Application Instructions for eligibility criteria and submission instructions.

Three letters of reference must accompany the application for the candidate to be considered.

Please forward this form to your recommenders for completion as part of the scholarship application process: https://forms.gle/PZKRmgB4Ae6j8oUz7

Please request that your school sends BQLI-AHEC an official transcript of your grades to date.

This application must be typed or neatly written. Only complete applications (including all attachments) will be considered

Selection Criteria: Academic Achievement, Community Engagement, Career Plan, Character, Summary Statement.

I hereby attest that I have read and understand the application instructions and meet all criteria for eligibility for the Hazel Sanderson, EdD., R.N. Health Career Scholarship, to the best of my knowledge.*

I agree

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date of Birth*

Phone (Home)

Phone (Cell)

Email*

College/Training Program Attending*

Expected Graduation Date*

Field of Study*

Degree*

How did you learn about the Hazel Sanderson, EdD., R.N. Health Career Scholarship*

I. Academic Achievement

Please ensure that your official transcripts have been sent directly to BQLIAHEC.

Date Transcript Requested:*

List all school activities in which you have participated in the past four years (e.g. student government, music, sports).*

Activity

# of Years

Special Awards, Honors, Offices Held

II. Community Engagement

List all community activities in which you have participated without pay during the past four years (e.g. volunteer work, youth club, church work, volunteer work). Note special awards, honors, and offices held.*

Activity

# of Years

Special Awards, Honors, Offices Held

III. Career Plan

1. Describe any paid work experience or activities with which you have participated in the past four years that would serve to support your future career.*

Experience

Date Begun

Date Ended

Hrs/Week

Type of Work (Experiences)

2. Describe your specific career plan, beginning with the training you are about to enter.*

School/Work

Beginning Year

End Year

Planned Outcome (e.g. B.S., R.N., Prep for next position, etc.)

3. Identify if you would like to practice (work) in the area, and if so, for how long. If you are planning on working in the area, please explain why you wish to do so. If not, please explain why you wish to leave the area.*

IV. Character

Make sure to have a personal and/or professional letter of reference submitted with this application.

Describe your personal characteristics. Explain how and why those characteristics fit well with, and support, your career objectives.*

Upload Reference Letters:*

Drop files here or

Max. file size: 50 MB.

V. Summary Statement

Please provide any other information about yourself, your intentions, or your life circumstances that you think are important in the consideration of your candidacy for the Hazel Sanderson, EdD., R.N. Health Career Scholarship.*

The Hazel Sanderson, EdD., R.N. Health Career Scholarship

I. Academic Achievement

II. Community Engagement

III. Career Plan

IV. Character

V. Summary Statement

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