Molony Foundation Nursing Scholarship Application

Birth date: _______________________

Full Name: ________________________________________________Phone: _________________________

Address: _______________________________City: ___________________State: _____Zip: _____________

High School: _______________________________________ Graduation Date: ________________________

College you are attending: ___________________________________________________________________

1) Why did you decide to major in nursing?

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2) Are you currently an employee or volunteer at a medical institution?
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3) Why should you be selected to receive this scholarship?
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4) What personal strengths will assist you in being successful in the nursing program?
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5) What challenges, obstacles, or weaknesses might affect your performance in the nursing program? What
plan do you have to overcome these?
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6) Who has been the biggest influence in your life and why.
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7) What clubs, groups, and organizations have you or are you involved in.
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8) List awards, certificates, and honors you have received in high school, 4-H or extra-curricular activities:
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9) Write a brief essay (250 words maximum) on your goals and aspirations as they relate to your education,
career, and future plans. Explain why you are a qualified candidate and should be considered for the
scholarship. Please include as a separate attachment.
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I attest to the authenticity and truthfulness of the information submitted for consideration of the Molony Nursing Scholarship.

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Applicant Signature Date