Darcy Lynn Dengel Foundation, Inc.
Nursing Scholarship Online Application
Application Deadline - June 15, 2017
Have you ever been convicted of a felony?
If yes, if explain
From what accredited High School did you graduate?
Have you applied for a scholarship with us previously?
If yes, was it under another name(s), and if so what name(s) was it?
What is the name of the educational facility you have been accepted to attend?
Name of program/degree
Date program begins:
Will you be a full-time or part-time student?
How many credits will you be taking?
Anticipated date of graduation
Anticipated cost of tuition and book fees per semester?
Have you been notified of any assistance or other scholarships that you will receive for you education program?:
If yes, describe source, amount and duration:
Are you currently employed?
Hours per week
If you have volunteer experience, please list below, giving the name of your supervisor and explain where and for how long you were involved
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