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North Colorado Medical Center Foundation is now Weld Legacy Foundation!
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Scholarship Application
Applications must be submitted by March 31, 2023
Please complete PARTS I, II, III and IV of the application.
Applications with missing or incomplete information will not be considered.
Check all that apply
(Required)
Mildred S. Hansen Nursing Program Scholarship
Applicant must be a student who has a Bachelor of Science Degree
and has met the prerequisite requirements and been accepted in the nursing program
to pursue a Master of Science in Nursing Degree, Nurse Practitioner Degree, or other related advanced nursing degrees at the University of Northern Colorado. This two-year scholarship covers the cost of in-state tuition, books, fees, and a stipend for living expenses. Applicant must be a U.S. citizen.
*Scholarship does not pay for prerequisite classes.
Nurse Education Tuition Assistance Scholarship (NETA)
Applicant
has met the prerequisite requirements and been accepted into an accredited nursing program operating in Colorado
with plans to complete a BSN. This scholarship provides payment of tuition up to $1,500 per semester up to five semesters. Recipient is encouraged to apply for a nursing position at North Colorado Medical Center upon completion of degree. *Scholarship does not pay for prerequisite classes.
Belle Marquand Loustalet Memorial Nursing Scholarship
Applicant has
met the prerequisite requirements and been accepted into an accredited Colorado nursing program
with plans to complete an Associate Degree in Nursing, Bachelor of Science, or Master of Science in Nursing Degree, Nurse Practitioner Degree, or other related advanced nursing degrees.
*Scholarship does not pay for prerequisite classes.
Gerald Rennels Nursing Tuition Assistance Scholarship
Applicant must be a North Colorado Medical Center employee and is pursuing either a Bachelor of Science Degree
who has met the prerequisite requirements and been accepted into an accredited nursing program
, or Master of Science in Nursing Degree, Nurse Practitioner Degree, or other related advanced nursing degrees. This scholarship provides a one-time payment of tuition up to $2,500. Recipient is encouraged to continue working for North Colorado Medical Center upon completion of degree.
*Scholarship does not pay for prerequisite classes.
George A. Coleman and Beverly A. Peratino Nursing Scholarship
Applicant has
met the prerequisite requirements and been accepted into the Aims Community College Dual Enrollment Nursing Program in conjunction with the University of Northern Colorado
and is seeking a Bachelor of Science in Nursing Degree. Recipient is encouraged to work for North Colorado Medical Center upon completion of degree.
*Scholarship does not pay for prerequisite classes.
Lily E. Widney Memorial Nursing Scholarship
Applicant must be working at North Colorado Medical Center for at least 90 days and
has met the prerequisite requirements and been accepted into an accredited nursing school program
with plans to complete an Associate Degree in Nursing or Bachelor of Science in Nursing Degree.
*Scholarship does not pay for prerequisite classes.
NCMC Volunteers Scholarship
Applicant must a resident of Weld County looking to obtain certification as a Certified Nurse Assistant through the Nurse Aide Certificate program offered at Aims Community College. This scholarship includes course tuition, certification testing fee, books and medical equipment required for course work. Applicant must be a U.S. citizen.
USA Scholarship
The
USA Scholarship
was established to offer a North Colorado Medical Center (NCMC) employee (or their spouse or dependent) who is a current employee at NCMC for a period of at least 30 days working in Environmental Services, Food and Nutritional Services, or Plant Services departments for continuing education or certification through courses at a community college, technical school, accredited university, or nationally recognized certification coursework.
Allied Health Professional and Emergency Medical Services Scholarship
Applicant has
met the prerequisite requirements and have been accepted into an Allied Health Professional or Emergency Medical Services Degree program or are completing an Allied Health Professional or Emergency Medical Services Certificate
through courses offered at Aims Community College. This scholarship provides payment of tuition up to $1,000 per semester for up to two semesters. Recipient is encouraged to work for North Colorado Medical Center upon completion of degree.
*Scholarship does not pay for prerequisite classes.
Surgical Tech Scholarship
Applicant has
met the prerequisite requirements and have been accepted into the Surgical Technology program
at Aims Community College. This scholarship provides payment of tuition up to $1,000 per semester and reimbursement of books for two semesters. Recipients of this scholarship are encouraged to work for the North Colorado Medical Center upon completion of their degree.
*Scholarship does not pay for prerequisite classes.
Part I
Please answer all questions completely. If a question does not apply to you, answer with either N/A or 0.
Name
(Required)
First
Last
Mailing Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
(Required)
Email
(Required)
Date of Birth
(Required)
MM slash DD slash YYYY
Name of college you anticipate attending?
(Required)
Have you been accepted by the college?
(Required)
Yes
No
Dependent on which scholarship(s) you are applying for, have you been accepted into the accredited program of said college and completed all prerequisite courses (i.e. nursing, surgical tech, etc.)?
(Required)
Yes
No
Date you anticipate starting classes?
MM slash DD slash YYYY
Degree/Certificate you are seeking to complete?
Date of anticipated graduation?
MM slash DD slash YYYY
Degree/Certificate you have already completed?
Are you currently employed at NCMC?
(Required)
Yes
No
If yes, in what department?
(Required)
Is any member of your family employed at NCMC?
(Required)
Yes
No
Please provide department:
If yes, please provide his/her name:
Please provide the relationship to you:
Are you a citizen of the United States of America?
(Required)
Yes
No
Are you single, married, divorced, widowed?
(Required)
Single
Married
Divorced
Widowed
If married, please indicate your spouse’s name:
First
Last
What is your spouse's occupation?
What is your spouse's monthly gross income?
If single, do you reside with a parent(s) or legal guardian?
Yes
No
Are you a legal dependent?
(Required)
Yes
No
Do you have dependents (not including yourself)?
(Required)
Yes
No
If so, how many?
Do you currently have any outstanding student loans?
(Required)
Yes
No
If yes, please indicate amount: $
Who is the lender/source?
If you are employed, what is your occupation?
Where are you employed?
What is your monthly gross income? $
If you are employed, how many hours do you work per week?
If you are employed, does your employer provide tuition reimbursement?
Yes
No
If yes, how much? $
What are your total monthly personal expenses? (Consider rent/mortgage, car payment, groceries, utilities, gas, childcare, etc.) $
(Required)
How much is your tuition each semester?
(Required)
Does this include on-campus room and board?
(Required)
Yes
No
How much do you expect to spend on books/supplies/and related expenses each semester?
(Required)
List all high schools and/or colleges you are requesting transcripts from.
(Required)
How did you hear about this scholarship?
(Required)
Part II
Essay
(Required)
(Please attach a Word document that includes answers to both questions)
What life experiences persuaded you to pursue a career in healthcare?
What qualities do you possess that will make you successful in this career?
Accepted file types: docx, pdf, Max. file size: 25 MB.
Part III
Resume
(Required)
(Please attach a Word document or pdf here)
A current resume indicating your academic history, employment history, achievements, and awards.
Accepted file types: docx, pdf, Max. file size: 25 MB.
References
(Required)
(Please attach Word documents or pdfs here)
Please upload two letters of reference.
Drop files here or
Select files
Accepted file types: docx, pdf, Max. file size: 25 MB, Max. files: 3.
Part IV
Transcripts
Transcript(s) from high school or college you have attended.
High school transcripts must include SAT and/or ACT scores.
Non‐traditional students do not need to submit high school transcripts.
You may submit official copies of your transcripts by mail or drop them off at the address listed below:
Weld Legacy Foundation
Attention: Scholarship Program Director
815 8th Avenue
Greeley, CO 80631
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