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Minority Nursing Scholarship Program

Questionnaire is for Aurora employees only, non-Aurora employees are not eligible to apply.

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

* Required fields

Your contact information:

Name: *  
Email address: *    
Phone:
Address: *  
City: *  
State: *  
Zip code: * 
Race/ethnic group: *  
To qualify for our program you must be an Aurora Health Care employee, and enrolled in an RN undergraduate School of Nursing program. Please verify that you qualify: *  
Which school are you attending?: *  
When do you graduate?: *  
Have you completed your Medical Surgical clinical rotation?: *  
To qualify, your GPA must be 3.0 or above. Please verify that you qualify.: *  
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: *  
Are you an Aurora employee?: *