UNDERGRADUATE Student Scholarship Application Form
Sigma Theta Tau International Honor Society of Nursing Beta Delta Chapter-at-Large Due Oct. 1, 2016 UNDERGRADUATE Student Scholarship Application Form (Please type or print information on the form)
Full Name____________________________________________________________________ Home Address________________________________________________________________ Street City State Zip code Address while in school_________________________________________________________ Street City State Zip code Preferred Telephone Number: _______________________ Alternate ___________________ E-mail Address ____________________________________________________________ Current Registered Nurse? (enrolled in RN completion/career mobility program) __yes __no School where admitted for Baccalaureate degree: ________________________________________________________ Current Student Status: Full time___________ Part time ___________ Number of Nursing Specific hours completed: ______________ (match with enclosed transcript) Estimated graduation date______________________ Summarize your involvement in Department, School, or College of Nursing activities:
Summarize your involvement in University activities:
Page 1 of 3
Sigma Theta Tau International Honor Society of Nursing Beta Delta Chapter-at-Large Due Oct. 1, 2016 UNDERGRADUATE Student Scholarship Application Form Summarize your contributions to and participation in community organizations or service on a voluntary basis:
List special awards, recognitions, and other scholarships received:
Describe your career goals for the future:
List the names of your two references: (Include reference letters) 1. 2.
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Sigma Theta Tau International Honor Society of Nursing Beta Delta Chapter-at-Large Due Oct. 1, 2016 UNDERGRADUATE Student Scholarship Application Form I certify that I have read the selection process guidelines for scholarship recipients and that all the information in this application is accurate. I agree to respond to any requests for further information from the Scholarship Committee.
Signature____________________________________________ Date______________________
Instructions: Please submit the following items in one packet to complete the application. _____ The Application form. Submit one copy. _____ Two (2) letters of reference, sealed with reference's signature on envelope. At least one reference must be from a current Sigma Theta Tau member. Undergraduate applicants are encouraged to seek a reference from the applicant's Beta Delta Chapter-At-Large school representative. Reference letters must be included with completed packet. _____ An official transcript showing all academic and nursing coursework to date, including verification of current enrollment and cumulative GPA minimum 3.25. Submit one copy. _____ Mail the application, letters of reference, and official academic transcript in one packet to: Chairperson, NURSING Scholarship Committee Sigma Theta Tau, Beta Delta Chapter-at-Large Oklahoma Baptist University 500 W. University St. Box 61805 Shawnee, OK 74804
Applications are accepted twice a year: Due on or before October 1st (Fall scholarships) and March 1st (Spring scholarships).
Scholarship recipients are usually announced at Sigma Theta Tau Spring and Fall Induction Ceremonies in November and April. For questions, contact Wanda Robinson, Scholarship Task Force Chairperson [email protected] or by phone (405) 623-2840 (Updated Oct. 7, 2016) Page 3 of 3
Full Name____________________________________________________________________ Home Address________________________________________________________________ Street City State Zip code Address while in school_________________________________________________________ Street City State Zip code Preferred Telephone Number: _______________________ Alternate ___________________ E-mail Address ____________________________________________________________ Current Registered Nurse? (enrolled in RN completion/career mobility program) __yes __no School where admitted for Baccalaureate degree: ________________________________________________________ Current Student Status: Full time___________ Part time ___________ Number of Nursing Specific hours completed: ______________ (match with enclosed transcript) Estimated graduation date______________________ Summarize your involvement in Department, School, or College of Nursing activities:
Summarize your involvement in University activities:
Page 1 of 3
Sigma Theta Tau International Honor Society of Nursing Beta Delta Chapter-at-Large Due Oct. 1, 2016 UNDERGRADUATE Student Scholarship Application Form Summarize your contributions to and participation in community organizations or service on a voluntary basis:
List special awards, recognitions, and other scholarships received:
Describe your career goals for the future:
List the names of your two references: (Include reference letters) 1. 2.
Page 2 of 3
Sigma Theta Tau International Honor Society of Nursing Beta Delta Chapter-at-Large Due Oct. 1, 2016 UNDERGRADUATE Student Scholarship Application Form I certify that I have read the selection process guidelines for scholarship recipients and that all the information in this application is accurate. I agree to respond to any requests for further information from the Scholarship Committee.
Signature____________________________________________ Date______________________
Instructions: Please submit the following items in one packet to complete the application. _____ The Application form. Submit one copy. _____ Two (2) letters of reference, sealed with reference's signature on envelope. At least one reference must be from a current Sigma Theta Tau member. Undergraduate applicants are encouraged to seek a reference from the applicant's Beta Delta Chapter-At-Large school representative. Reference letters must be included with completed packet. _____ An official transcript showing all academic and nursing coursework to date, including verification of current enrollment and cumulative GPA minimum 3.25. Submit one copy. _____ Mail the application, letters of reference, and official academic transcript in one packet to: Chairperson, NURSING Scholarship Committee Sigma Theta Tau, Beta Delta Chapter-at-Large Oklahoma Baptist University 500 W. University St. Box 61805 Shawnee, OK 74804
Applications are accepted twice a year: Due on or before October 1st (Fall scholarships) and March 1st (Spring scholarships).
Scholarship recipients are usually announced at Sigma Theta Tau Spring and Fall Induction Ceremonies in November and April. For questions, contact Wanda Robinson, Scholarship Task Force Chairperson [email protected] or by phone (405) 623-2840 (Updated Oct. 7, 2016) Page 3 of 3
