2023 Scholarship Application Scholarship Application https://marymahoney.org/wp-content/uploads/2023/10/MMahoney-intro-Revision.mp4 WATCH A VIDEO EXPLAINING THESE IMPORTANT INSTRUCTIONS Scholarship Application Statement Completed applications must be received by Midnight Pacific December 17, 2023 This scholarship application is available only to students of African heritage who are residents of the State of Washington and enrolled in a school of nursing. Please take the time to carefully read these instructions to ensure that you fully complete this application. Registered nurse applicants must be a member of MMPNO. A completed application must include the following items: The completed application Two current letters of reference from a supervisor or faculty One unofficial transcript One essay that conveys your reason(s) for pursuing a career in professional nursing and future goals. (Not more than 700 words). Also please print your name on each page of your essay either as a top right header or bottom left footer. Note: If a required field does not apply enter N/A for Not Applicable IMPORTANT!: Incomplete applications will disqualify the applicant. I have read and understand the above statement * Yes I understand Applicant Information Prefix First Name * Middle Name Last Name * Suffix Current Residence Information Street Address * Apt or Unit # City * State / Province * ZIP / Postal Code * Country * Primary Residence Information Primary Street Address * Primary Apt or Unit # Primary City * Primary State / Province * Primary ZIP / Postal Code * Primary Country * Personal Information Phone * Email * Email me more Information on Mary Mahoney Membership, Activities, Trainings etc Yes send me more information via email No I am not Interested Birth Date * Gender * Education Current College * Expected Completion Date * Student Number * Cumulative G.P.A. * High School Attended or GED * College or Trade School Professional School Other Upload School Transcript * Drop a file here or click to upload Choose File Maximum file size: 268.44MB doc, docx, pdf and jpg are the accepted formats (Multiple files uploads are allowed) References Reference 1 Name * Reference 1 Position * Reference 1 Organization * Reference 1 Phone * Reference 2 Name * Reference 2 Position * Reference 2 Organization * Reference 2 Phone Letters of References * Drop a file here or click to upload Choose File Maximum file size: 268.44MB doc, docx, pdf and jpg are the accepted formats (Multiple files uploads are allowed) Employment Employer 1 Name * Employer 1 Phone Employer 1 Street Address * Employer 1 Address Line 2 Employer 1 City * Employer 1 State / Province * Employer 1 ZIP / Postal Code * Employer 1 Country * Employer 1 Job Title * Term of Employment * Employer 2 Name * Employer 2 Phone * Employer 2 Street Address * Employer 2 Address Line 2 Employer 2 City * Employer 2 State / Province * Employer 2 ZIP / Postal Code * Employer 2 Country * Employer 2 Job Title * Term of Employment * Additional Information Community Activities Awards or Honors Received Personal Essay * Drop a file here or click to upload Choose File Maximum file size: 268.44MB doc, docx, pdf and jpg are the accepted formats IMPORTANT NOTE: PLEASE PRINT YOUR NAME ON EACH PAGE OF THE ESSAY Disclaimer and Signature I certify that my answers are true and complete to the best of my knowledge * Yes I certify my answers are true No I do not I understand that false or misleading information on my application or in my interview may result in forfeiture of the scholarship * Yes I certify I understand No I do not Type Your Name * Signature Clear Todays Date * If you are human, leave this field blank. Next Start Over
