Kentucky State University Foundation CHI Saint Joseph Health Scholarship

Thank you for your interest in applying for the Kentucky State University Foundation CHI Saint Joseph Health Scholarship. The CHI Saint Joseph Health Scholarship Program is created to support students attending the KSU School of Nursing's Associate of Applied Science in Nursing or Bachelor of Science in Nursing degree programs. Recipients must meet the criteria set by the scholarship committee and progress towards the successful completion of the KSU Nursing's AAS program or BSN program. Upon graduation, recipients will begin a thirty (30) month employment period with CHI Saint Joseph Health. To ensure that we have all of the information needed to review your eligibility, please complete this application in full.

Once completed, please submit all of the required documents by email to MaryEllen.Broaddus@kysu.edu or by mail to: Nursing Scholarship Committee Attention: Mary Ellen Broaddus, Program Administrator 400 E. Main St., Exum Building, Office #227 Frankfort, KY 40601

1. Applicant's Full Name: ___
2. KSU ID:___ Gender:___ Race:___
3. Last Name First Name
4. Middle Initial
5. Applicant's Complete Address: Street Address Street Address (Second Line) City State/Province Zip Code Phone Email
4. Date to graduate (or graduated) from high school:_____
5. Date to enter (or entered) college:_____
6. Number of years of college completed (if any):_____
7. Current GPA: ___