STATEMENT OF ACCURACY

I hereby affirm that all of the stated information provided by me is true and correct to the best of my knowledge. I also understand any willful dishonesty may render for refusal of this application or immediate recension of the scholarship if awarded.

Signature of scholarship applicant: ___

Date: ___

I, ___, certify that I have reviewed the application

(Nursing Program Administrator)

packet and all items are complete to the best of my knowledge.

Date: ___

Reminders:

• The deadline for the application is Friday, August 1, 2025.
• This statement of accuracy must be submitted with the application or your application will not be considered for review.
• Two letters of recommendation should be sent via email to MaryEllen.Broaddus@kysu.edu.