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Minority Nursing Scholarship Program

Please fill out the information below as completely as possible and we'll get back to you as soon as we can.

* Required fields

Name: *
Email address: *
Phone: *
Address: *
City: *
State: *
Zip code: *
Race/ethnic group:*
To qualify for our program you must be enrolled in an RN undergraduate School of Nursing program. Please verify that you qualify. *
Yes  No
Which school are you attending? *
When do you graduate? *
Have you completed your Medical Surgical clinical rotation? *
Yes  No
To qualify, your GPA must be 3.0 or above. Please verify that you qualify. *
Yes  No
To qualify, you must be willing to make at least a 1-year work commitment to Aurora Health Care post-graduation. Please verify that you are willing. *
Yes  No
Are you an Aurora employee? *
Yes  No