Scholarship Application

Academic Information
Student Status*
- Full time
- 3/4 Time
- Part time
Nursing School attending or accepted into:
School Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Date of acceptance to the School of Nursing
Degree Program (Choose One)
- Associates of Science (RN)
- RN to BSN
- BSN
- MSN
What specific degree are you seeking?
How many credits do you currently have?
Expected Graduation date
Cumulative GPA:
Expected credit load for the year:
Do you currently hold a Nursing License?*
- Yes
- No

Financial Information
Adjusted gross household Income:
Total number of members in the family:
Total number of family members attending college this year:
Work History
Please list your work history for the past 5 years (or attach your resume with the application).
Attach Resume
Volunteer/Community Service Activities
Please list your volunteer/community service activities (or attach your resume with the application).
Scholarship Essay
Briefly describe how a scholarship would help you to reach your educational and professional goals. Identify your goals and needs clearly. This essay is given strong consideration in the decision-making process. Maximum of 500 words. Please upload resume below or email once complete to scholarships@ccfoundation.us
Essay Upload
Signature
By typing my name below, I certify that the above information is accurate to the best of my knowledge. I authorize Cuidado Casero Foundation to verify my GPA and other information contained in this application to members of the Scholarship Committee. If selected to receive a scholarship, I agree to participate in promotional activities to publicize my awards, such as attendance at awards presentations and the use of my photos and other information in print and online publications produced by Cuidado Casero Foundation, Inc. and its affiliates.
Name Signature*
First Last

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