Scholarship Application

This form is for nursing and allied health students dedicated to providing care to the aging population across the state of Arkansas.

Fields annotated by (*) are required fields.

Applicant Information

First Name

Last Name

Email Address

Phone Number

Name of Institution/University

Major/Field of Study

Expected Graduation/Completion Date

Current GPA

Financial Need Summary

TIP: Be direct. Use this section to explain why this scholarship is the "missing piece" of your financial puzzle.

Employment Status

Working full-time

Working part-time

Full-time Student

Budget Breakdown

Tuition & Fees

Books, Uniforms and/or Clinical Equipment

Room & Board

Transportation

Total Expenses

Current Funds Available

Current Financial Gap

Brief Statement of Need

EXAMPLE "Due to [specific circumstances, e.g., loss of household income, rising cost of clinical supplies], my current financial aid package does not cover my essential living and academic expenses. This scholarship would allow me to reduce my work hours and focus entirely on my clinical rotations and board preparation."

Personal Statement

The "Why Healthcare" Essay

Suggested Structure:

The Hook: Start with a specific moment of realization. Did you care for a family member? Did you witness a gap in healthcare in your community?
The Connection: Relate your financial or personal hurdles to the empathy you will provide to patients.
The Vision: Mention a specific healthcare problem you want to help solve (e.g., rural health access, geriatric care, mental health stigmas).

Professional Experience & Community Service

Clinical/Volunteer Experience

Briefly describe your impact (e.g., "Assisted in the triage of 20+ patients daily in an underserved urban clinic.")

Academic Honors / Civic Mentions

By signing below, I attest that the above information is true and accurate.

Signature

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This form is for nursing and allied health students dedicated to providing care to the aging population across the state of Arkansas.

Thank You for Applying

Your submission is confirmed. Our review committee will contact you within 1-2 weeks regarding next steps.