The Rogers Heart Foundation's Higher Education Scholarship ...

The Rogers Heart Foundation’sHigher Education Scholarship Program for NursesApplication Deadline: June 1, 2005Purpose: To provide motivated nurses financial support (up to actual tuition and abook allowance) to pursue higher education in the cardiovascular field.Criteria:• Earned Associate and R.N degree• Working towards BSN, Masters or higher degree• Work experience as a professional cardiovascular nurse in a Pinellas, Manatee orHillsborough County facility• Acceptance in an accredited program, either as a full-time or part-time studentRequirements:The applicant must:• Fully complete application• Enclose a personal letter requesting financial support• Enclose a separate statement of anticipated expenses for advanced studiesincluding credit hours with tuition and book fees for Fall 2005, Spring 2006, andSummer 2006 if applicable, along with sources of income• Enclose a one page, double-spaced, typed essay stating professional goals andplans for work after completion of study• Enclose a copy of acceptance letter from the accredited program of higher education• Provide a school catalog with curriculum and fees listed (copy is acceptable)Mail to: Send above information and completed applicationvia regular mail, postmarked by June 1, 2005 to:Rogers Heart Foundation, Inc.1950 First Avenue North, #219St. Petersburg, FL 33713All applications will be judged based on their own merit without regard to sex, race, creed, or religion.Scholarship awards may vary depending on many factors, but could include up to actual tuition and abook allowance.

The Rogers Heart Foundation’sHigher Education Scholarship Program for NursesPlease type or print2005 - 2006 ApplicationName_______________________________________________________________________________Last First Middle I.Social Security # _______________________________________E-mail _________________________________Address _____________________________________________________________________________Number Street City, State ZipPhone (_______)____________________________(________)_________________________________DaytimeEveningPresent school or last school attended _____________________________________________________School Address _______________________________________________________________________Number Street City, State ZipCurrent or last employer ________________________________________________________________Employer Address ____________________________________________________________________Number Street City, State ZipEmployer Phone (_______)_________________Contact person ________________________________Intended Institution of higher learning ______________________________________________________SchoolAddress________________________________________________________________________Number Street City, State ZipSchool Phone (_______)________________________________________________________________Intended course of study________________________________________________________________Estimated time of completion ________________ Full-time student ______ Part-time student________Estimated credit hours: Fall ’05 _____________ Spring ’06 ___________ Summer ’06 ___________Will you be receiving any other scholarships or employer reimbursements? ____yesIf yes, amount per semester: $______________________noPlease attach:• Personal letter requesting financial support• Statement of expenses for advanced studies, including anticipated tuition & book fees for Fall 2005Spring 2006, and Summer 2006 if applicable, along with sources of income• One page, double-spaced, typed essay stating your professional goals and plans for work aftercompletion of study• Copy of acceptance letter from the accredited program of higher education• Copy of school curriculum and feesMail completed application to:Rogers Heart Foundation, Inc.1950 First Avenue North, #219, St. Petersburg, FL 33713DEADLINE FOR APPLICATION IS JUNE 1, 2005