ollege level sholarship appliation · has a permanent address or is enrolled in a school in pierce,...

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PCNA | 223 Tacoma Ave South | Tacoma, WA 98402 | [email protected] | 253-572-7337 COLLEGE LEVEL SCHOLARSHIP APPLICATION Purpose Statement: This scholarship is to support the educaonal and professional goal of becoming a Registered Nurse. It is awarded to an individual who is currently enrolled in or accepted to a registered nurse program; and who has a permanent address or is aending school in Pierce, Thurston, Mason, Kitsap, Grays Harbor, Jefferson or Clallam Counes. Students are eligible to receive a PCNA scholarship award once every other year. Applicaon Deadline & Scholarship Award: Applicaon must be postmarked by June 1, 2020. We do not accept electronic submissions. Mail applicaons to: Pierce County Nurses Associaon Scholarship Commiee 223 Tacoma Avenue South Tacoma, WA 98402 Required Materials: Completed PCNA scholarship applicaon form. Two recommendaons. Must use the form available at www.piercecountynurses.com One should be from someone who knows you at school, i.e. a school counselor or a teacher. The other should be a personal recommendaon, from someone who knows your character, i.e. a pastor, co-worker, or a work supervisor. Documentaon of your grade point average (an unofficial transcript is acceptable.) Essay, not more than two pages long, covering the following areas: A) Personal Statement —Describe special or unusual life experiences or acvies that have made an impact on your decision to pursue a career in nursing. Describe hardships youve encountered. Tell us how your personal story will help you serve our community as a nurse. Share with us the story of why you want to be a Nurse. B) Work/Volunteer Experience —Describe your volunteer/work experience in school, work, or community acvies, include any healthcare related cerficaons such as CNA, EMT, etc and parcipaon in healthcare related acvies and/or student nurse clubs. Include any leadership roles. Tell us how you give back to your community. For work and volunteering not healthcare related, please describe how those experiences may relate to your work as a nurse. Include any leadership roles. C) Goals for Nursing. Please outline your educaon and career goals and projected me to complete those goals. Also include any projected barriers to meeng your goals and how you plan to overcome those barriers. 1) Educaon goals 2) Long term & Short term goals for your nursing career 3) Nurses serve diverse populaons in a broad spectrum of environments. Please include what areas and/or populaons you hope to work with. If awarded a scholarship, aendance at the PCNA Banquet on TBD in Tacoma, WA is requested. Dinner for yourself and two guests will be pro- vided by PCNA. Tickets for addional guests are available to purchase. If awarded a scholarship, please be prepared to provide a photo of yourself for publicaon online and in our Fall newsleer. We also encourage scholarship recipients to volunteer with PCNA.

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Page 1: OLLEGE LEVEL SHOLARSHIP APPLIATION · Has a permanent address or is enrolled in a school in Pierce, Thurston, Mason, Grays Harbor, Kitsap, Jefferson or lallam ounties. Minimum of

PCNA | 223 Tacoma Ave South | Tacoma, WA 98402 | [email protected] | 253-572-7337

COLLEGE LEVEL SCHOLARSHIP APPLICATION

Purpose Statement:

This scholarship is to support the educational and professional goal of becoming a Registered Nurse. It is awarded to an individual

who is currently enrolled in or accepted to a registered nurse program; and who has a permanent address or is attending school in

Pierce, Thurston, Mason, Kitsap, Grays Harbor, Jefferson or Clallam Counties. Students are eligible to receive a PCNA scholarship

award once every other year.

Application Deadline & Scholarship Award:

Application must be postmarked by June 1, 2020. We do not accept electronic submissions.

Mail applications to: Pierce County Nurses Association

Scholarship Committee

223 Tacoma Avenue South

Tacoma, WA 98402

Required Materials:

□ Completed PCNA scholarship application form.

□ Two recommendations. Must use the form available at www.piercecountynurses.com One should be from

someone who knows you at school, i.e. a school counselor or a teacher. The other should be a personal

recommendation, from someone who knows your character, i.e. a pastor, co-worker, or a work supervisor.

□ Documentation of your grade point average (an unofficial transcript is acceptable.)

□ Essay, not more than two pages long, covering the following areas:

A) Personal Statement —Describe special or unusual life experiences or activities that have made an impact on

your decision to pursue a career in nursing. Describe hardships you’ve encountered. Tell us how your

personal story will help you serve our community as a nurse. Share with us the story of why you want to

be a Nurse.

B) Work/Volunteer Experience —Describe your volunteer/work experience in school, work, or community

activities, include any healthcare related certifications such as CNA, EMT, etc and participation in

healthcare related activities and/or student nurse clubs. Include any leadership roles. Tell us how you

give back to your community. For work and volunteering not healthcare related, please describe how

those experiences may relate to your work as a nurse. Include any leadership roles.

C) Goals for Nursing. Please outline your education and career goals and projected time to complete those goals.

Also include any projected barriers to meeting your goals and how you plan to overcome those barriers.

1) Education goals

2) Long term & Short term goals for your nursing career

3) Nurses serve diverse populations in a broad spectrum of environments. Please include what areas

and/or populations you hope to work with.

If awarded a scholarship, attendance at the PCNA Banquet on TBD in Tacoma, WA is requested. Dinner for yourself and two guests will be pro-

vided by PCNA. Tickets for additional guests are available to purchase. If awarded a scholarship, please be prepared to provide a photo of

yourself for publication online and in our Fall newsletter. We also encourage scholarship recipients to volunteer with PCNA.

Page 2: OLLEGE LEVEL SHOLARSHIP APPLIATION · Has a permanent address or is enrolled in a school in Pierce, Thurston, Mason, Grays Harbor, Kitsap, Jefferson or lallam ounties. Minimum of

PCNA | 223 Tacoma Ave South | Tacoma, WA 98402 | [email protected] | 253-572-7337

COLLEGE LEVEL SCHOLARSHIP APPLICATION Applicant Information:

Name:

_____________________________________________________________________________

Address: Phone:

_____________________________________________________________ _______________________________________

_____________________________________________________________ Email: __________________________________

In the event of a scholarship award, I agree to allow PCNA to reprint in print & online my name, biographic information and photo-

graphic image: Yes No (circle one)

Eligibility Check List (Check all that apply):

□ Currently enrolled in or accepted into a nursing school.

□ Has a permanent address or is enrolled in a school in Pierce, Thurston, Mason, Grays Harbor, Kitsap, Jefferson or

Clallam Counties.

□ Minimum of a 2.5 cumulative GPA (include an unofficial transcript)

□ Did not receive a PCNA scholarship in 2019

Scholarships will be awarded on the basis of academic performance, experience within healthcare environments, passion for a ca-

reer in nursing, community involvement and career goals. It is the responsibility of the applicant to make certain a complete appli-

cation, including completed letters of recommendation on PCNA forms, is postmarked by June 1, 2020. Incomplete applications or

applications postmarked after June 1, 2020 will not be considered. If awarded a scholarship, funds will be mailed directly to the

program. Please verify your program’s mailing address and the contact person.

Academic Standing:

School you are currently attending: ____________________________________________________________________________

GPA: _______________ College or University that you plan to attend:_______________________________________________

Have you been accepted? ___________________________________ Anticipated start date: _____________________________

Do you have a current or past PCNA member in your family? Yes No (circle one) Name of Family Member _______________

*To receive the award, applicant must be accepted to or enrolled in a 2 year or 4 year accredited college or university.

If awarded, I designate this scholarship to be sent to the following college or university:

Name and Address of College/University (to which scholarship funds will be mailed): Contact Person & Phone Number:

______________________________________________________________ _______________________________________

______________________________________________________________ _______________________________________

______________________________________________________________ Student ID # _____________________________

(For office use only)

Date received at PCNA Office: