2017–2018 NUNM Scholarship Application

Fill out this application in full. Include your answers to any scholarship–specific questions for the scholarship(s) you are applying for, along with all appropriate documents in your submission. DO NOT put your name on any of your application materials.

Submit the application form, your scholarship–specific essays and all other documents to NUNM by the application deadline: Friday, June 30, 2017, 11:59 p.m.

Selected students will be notified by letter. Late or incomplete submissions will be rejected.


Applicant Information

Name

Address

City

State

Zipcode

Phone

Email

Class Status example: ND3 or CCM2

References

List three individuals who can comment on your academic, leadership and service achievements.

Reference One

Name

Title

Phone

Email

Reference Two

Name

Title

Phone

Email

Reference Three

Name

Title

Phone

Email

Scholarships For Which You Are Applying

You may select a maximum of three.

Resume

Upload a 1-2 page professional resume including the following information. Please review resume information here when creating your resume. Save your resume file using this naming convention: yourinitials_scholarship_resume.doc

General Questions

With the exception of the Dr. Joshua Berry Memorial Scholarship, all scholarship applicants are expected to answer the following questions. Your responses should be no longer than one page for each question (approximately 500 words). Include your scholarship title and the essay question at the top of each answer. Save the general question answers in one document titled yourinitials_general.doc”

Note: If you are applying for a scholarship that requires a response to additional questions, save that in a separate document titled “yourinitials_scholarshipname.doc”

Question 1
Create a personal statement that includes:
• Why should your application for scholarship be considered?
• What skills have you gained; what are your expectations from your education?
• What are your future plans after graduation?

Question 2
• How do you plan to use your career to address equity?
• What ethics or conflicts do you anticipate arising out of this goal; how will you address them?

Academic Information

Have you ever been placed on academic probation or has there been any disciplinary action taken against you or which is pending?

YesNo

Is yes, please describe:

Supplemental Questions for Individual Scholarships

Supplemental questions are required for the following scholarships:

• Brant Ashton Memorial Scholarship
• Dr. Joshua Berry Memorial Scholarship
• Bragg Health Institute Scholarship
• 1000 Friends of NUNM Scholarship
• Diipali Barrett Scholarship
• Wise Woman Herbals Botanical Medicine Scholarship

Please complete and save these in separate files.
Naming convention: yourinitials_scholarshipname.doc

Scholarship 1 Supplemental Questions

Scholarship 2 Supplemental Questions

Scholarship 3 Supplemental Questions

Submit the application form, your scholarship–specific essays and all other documents to NUNM by the application deadline:Friday, June 30, 2017 at 11:59 p.m. Selected students will be notified by email. Late or incomplete submissions will be rejected.