Please Note: Only Supplemental Scholarship Applications submitted between October 1st and February 1st will be accepted! Submissions between February 2nd and September 30th will be automatically discarded.

Full Name:
Email:
Student ID #:
Overall College GPA:
Total College Credits:
Did you Graduate from a Nevada high school? If yes, please name:
Are you a Nevada Resident? If yes, which County?

Briefly state what drew you to nursing and your nursing career goals: