Scholarship Application

First Name

Last Name

Mobile Phone Number

Date of Birth

Gender

Female Male

Address

City

State

Zip Code

County

Degree Type

Undergraduate Graduate

College/University Name

Expected Graduation Date

Dean of Program

Current GPA

Address of College/University

City of College/University

State of College/University

Zip Code of College/University

List any honors and/or awards received.

List any community service work performed

PLEASE UPLOAD THE FOLLOWING DOCUMENTS TO COMPLETE YOUR APPLICATION

Admission letter, if recently admitted to the nursing program
Two letters of recommendation (one professional and one personal)
Official Transcript (Must be mailed directly from school or in a sealed envelope from registrar)
Written essay describing your goals in nursing and how the scholarship will help you meet these goals (500 words)
Participation Pledge

Official Transcript (Must be mailed directly from school or in a sealed envelope from registrar)

Please mail additional documents to: Central Florida Black Nurses Association – CFBNA
c/o Scholarship Committee
P.O. Box 585142
Orlando, FL 32858

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Learn About Scholarship Requirements