Alice Manahan Nursing Scholarship

Eligibility

• Have not previously received an Alice Manahan Nursing Scholarship
• Graduate of Chatfield Public School and/or currently reside in the Chatfield School District.
• Be a full-time student in college or university with an accredited nursing program.
• Been accepted into an accredited nursing program. Proof of acceptance, such as a letter of admission, must be included with the application.

Funds will be awarded to scholarship recipients after evidence of completion of one academic semester in the nursing program.
Award checks will be made out jointly to the school and the applicant.

Click here for the Alice Manahan Nursing Scholarship Application

Fill out the application completely and check for accuracy.
Completed applications must be post-marked by October 15 and mailed to:
Chosen Valley Community Foundation
P O Box 552, Chatfield, MN 55923

Or complete and submit the online application for the Alice Manahan Nursing Scholarship here.

Alice Manahan Nursing Scholarship Application

* Name

First

Last

* Permanent Address

Street Address

Address Line 2

City

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State

ZIP Code

Local Address

Street Address

Address Line 2

City

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State

ZIP Code

Daytime Phone

Evening Phone

* Email Address

* Birth Date

* Place of Birth

* High School Attended

Year Graduated

Or Years Residing in Chatfield School District

* What type of RN program are you enrolled in?

Associates of Arts

Baccalaureate

* What area institution and school of nursing do you attend?

* Why are you choosing to pursue an RN degree?

* What personal characteristics and assets do you think you will bring to the nursing field?

* Briefly explain why you deserve a Chosen Valley Community Foundation Nursing Scholarship.

I hereby certify that all information provided on this form is true and accurate to the best of my knowledge. Furthermore, I give permission for members of the Chosen Valley Community Foundation (CVCF) or its Designee to interview any person and obtain all information listed on this form, including access to my files.

I understand that receipt of a scholarship is provisional upon my successful completion of one semester of college in an accredited nursing program. I authorize CVCF members or Designee to notify newspaper(s) of my award, and I agree to participate in any appropriate scholarship awards program.

* Signature (Type Name)

* Date

* Confirm this submission