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SectionI:DemographicInformation

Name(FirstLast):

BGSUIDnumber:

Campus:

LocalAddress:

PermanentAddress:

BGSUEmail:

Phone:
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AcademicStatusinFall2016:

CurrentGPA(e.g.3.76):

AcademicDegreeProgram(Major):

HaveyoubeenadmittedintotheNursingprogramthroughBGSUandtheUniversityof
Toledo?
Yes
No

IfOtherpleaseexplain:

Selectmastersdegreeprogram:
InterdisciplinaryGerontology
Other

DoyouintendtobeaninternataWoodCountyfacility?

DoyouliveinWoodCounty?
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AreyouaNontraditionalStudent?(includes:startedundergraduatestudiesolderthan24yearsstudentparent
veteranetc)

SectionII:ScholarshipSelection

Thispagepresentsallscholarshipsyouarequalifiedforbasedonyourpreviouslygiven
information.Therearesomescholarshipsthatarenotpartofthecommonapplication.
PleaseseetheCHHSScholarshippageformoreinformation.
https://www.bgsu.edu/healthandhumanservices/students/scholarships.html
Ifnoscholarshipspresentonthispageandyoufeelthereisamistake,pleasecontact
chhsadvising@bgsu.edu.

Pleaseselectallscholarshipsforwhichyouwouldliketoapply.
BenzFamilyAlliedHealthExcellenceScholarship:
Requirements:
Risingjuniororsenior
DeclaredmajorintheCollegeofHealthandHumanServices
GPA:3.0orhigher
FacultyRecommendationLetter:Demonstratesleadershipoutsidetheclassroomthrough
participationinastudentorganizationorparttimejob
EssayRequired:Promptgivenattheendoftheapplication
CHHSAdvocatesBoardScholarship:
Requirements:
Risingjuniororsenior
ResumeRequired:GPA,courseworkcompleted,academichonors,leadership,community
service,andworkexperienceconsidered
EssayRequired:Promptgivenatendofapplication
JosephK.andVirginiaL.BaloghScholarship:
Requirements:
Risingjuniororsenior
GPA:3.2orhigher
Financialneedisconsidered
AlbertE.DyckesHealthScholarship:
Requirements:
Risingsenior
Majoringinahealthrelatedprofession
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GPA:3.0orhigher
ResumeRequired:GPA,academichonors,leadershippositions,communityservice,and
workexperienceduringcollegeconsidered
EssayRequired:Promptgivenatendofapplication
MarjorieE.Conrad,M.D.AlliedHealthProfessionScholarship:
Requirements:
Risingjuniororsenior
MajoringinanAlliedHealthprofession(AHS,prePT/OT/PA,MedicalTechnology,CDIS,
Gerontology,SocialWork,etc)
GPA:3.4orhigher
Financialneedisconsidered
EssayRequired:Promptgivenatendofapplication
CynthiaWallingPembertonScholarship:
Requirements:
Risingjuniororsenior
MajoringinAHS:PrePT
GPA:3.0orhigher
Financialneedisconsidered
Dr.AlbertG.SchlinkAppliedHealthScienceScholarship:
Requirements:
Juniororsenior
MajoringinAHS
EnrolledatBGSUFirelandsortransferredfromFirelands
WoodCountyHospitalFoundationScholarship:
Requirements:
Risingjuniorsandseniors
MajoringinAHS
WoodCounty,Ohioresident
GPA:3.0orhigher
IntendtobeaninternataWoodCountyfacility
JoanneandLeoNavinScholarship:
Requirements:
Risingjuniororsenior
AdmittedintotheNursingprogram
Nontraditionalstudent
GPA:3.5orhigher
ResumeRequired:communityservice,volunteer,andcivicactivitiesoutsideoftheclassroom
considered
PreferencegiventostudentswhodemonstrateadesiretobecomeaCertifiedNurse
Practitioner
NURSINGScholarships:
Requirements:
Risingjuniororsenior
Admittedtonursingprogram
Applicantswillbeconsideredforallfour(4)nursingscholarships,includingtheJoanneand
LeoNavinScholarship.
JoanHonkalaGordonGerontologyScholarship:
Requirements:
AcceptedintotheMastersofScienceinInterdisciplinaryGerontologyprogram
GPA:maintain3.25orhigher
Financialneedisconsidered
TomStofacGerontologyScholarship:
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Requirements:
MastersofScienceinInterdisciplinaryGerontology
GPA:3.0orhigher
Financialneedisconsidered
BarbTysonScholarship:
Requirements:
Majoringinahealthandhumanservicesprogram
Awardedduringtheyearofthestudent'spracticum(internship)experience
PreferencegiventostudentscompletingtheirpracticumwithinWoodCounty,Ohio
ResumeRequired:Studentorganizationactivity,communityservice,andworkduringcollege
considered
GPA:3.0orhigher

SectionIII:Accomplishments

ExpectedGraduationDate(e.g.Spring2016)

Desiredcareeraftergraduation:

Listextracurricularinvolvement,includinganyawardsorhonorsreceived.Besureto
denoteleadershippositions,ifapplicable:

Listanyotheractivitiesoremploymentduringtheacademicyear.Foremployment,please
designateyearand/ordatesofemployment(e.g.summerjob,duringbreaksfromschool,
yearround,etc.)

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SectionIV:FinancialInformationforDeterminationofFinancialNeed

Manyofthescholarshipsconsiderfinancial"need."Pleaseexplainhowyouare
fundingyoureducation.

Pleaselistallscholarshipsandgrantsyouexpecttoreceivefortheupcomingschoolyear:

Pleaselisttheamountofstudentloansyouhavealreadyborrowed:

Pleaselisttheamountofstudentloansyouexpecttoborrowfortheupcomingschoolyear:

Pleaselistyourhouseholdincome:
Parents:
Student:
Spouse,ifapplicable:
NotApplicable

Pleaseexplainanyadditionalcircumstancesthecommitteeshouldtakeintoconsideration
whenreviewingyourapplication.

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SectionV:Verification

Theinformationgivenduringthisapplicationistruthfulwithnointenttodeceiveforpersonal
gain.
IAgree(EnterName)

ThankyouforsubmittingaCollegeofHealthandHumanServicesscholarshipapplication!

Pleasenote:certainscholarshipsrequireyoutosubmitanessay,resume,orletterofrecommendation.

Essayprompt:Whathasinfluencedyoutopursueyourchosenfieldofstudy?Includeinyouressayhowthecollege
experiencehasaffectedyourcareeraspirations,youroutlookonlife,andhowyouforeseegivingbacktothecommunity.

Eachletterofrecommendationincludesadifferentprompt.Besuretoprovidethecorrectprompt.

Pleasesubmitanyrequiredmaterialsforthescholarshipsyouselected.Yourresume,recommendationletter,and/oressay
mustbesubmittedinPDFformattochhsadvising@bgsu.edubyFebruary15,2016(2/15/16).Youmayinsteadturnina
paperhardcopyofyourmaterialstotheCollegeofHealth&HumanServicesAcademicAdvisingoffice(HHS104).

Informationabouteachscholarship,includingrequirements,canbefoundhere:https://www.bgsu.edu/healthandhuman
services/students/scholarships.html

Pleasesubmitanyquestionstochhsadvising@bgsu.edu.

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