Margaret C. Lassey Nursing Scholarship

This scholarship application is for IVC students enrolled in the RN program.

IVC Student ID#

For incoming freshmen, enter 0000 if you do not have a G#
Name Name First Last
Preferred Mailing Address Preferred Mailing Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Preferred Phone Preferred Phone - ### - ### ####
Email
Spouse's Name (if married) Spouse's Name (if married) First Last
Father's Name Father's Name First Last
Father's Occupation
Father's Address Father's Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Mother's Name Mother's Name First Last
Mother's Occupation
Mother's Address Mother's Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Academic Section
Permission to include Academic Records

Permission to include Academic Records I authorize my academic records to be included with this scholarship application. (Required)

This is required in order to apply for any scholarship with the IVC Foundation
Name of High School Attended:
Academic Major and/or Certificate
Total Units Completed

Including credits from all colleges/universities.
Current Cumulative College G.P.A.
Must be a number greater than or equal to 3.
Indicate which semester you will be (next semester) for IVC's RN program:

Indicate which semester you will be (next semester) for IVC's RN program: First Semester Second Semester Third Semester Fourth Semester

For next semester
Financial Aid Verification
Permission to access Financial Aid information

Permission to access Financial Aid information I authorize verification of my financial aid status to be included with this scholarship application. (Required)
What are your sources of income? (i.e. How are you paying for the RN program):
What other scholarships and/or financial aid have you applied for? (include amounts of awards):
Are you working at a hospital now?

Are you working at a hospital now? Yes No If so, where: If so, where:
Have you received scholarships from any of the local hospital auxiliaries?

Have you received scholarships from any of the local hospital auxiliaries? Yes No If so, which one(s): If so, which one(s):
Personal Statement Section
Include a personal statement here for the scholarship selection committee to review
Must be between 500 and 750 words. Currently Entered: 0 words.
You may copy an paste into this box
Upload three Letters of Recommendation (non-relatives)

Attach Files

Be sure to upload 3 different letters of recommendation, or turn in hard copies of the letters of recommendation.
Upload a Photo

Attach Files

This is a requirement, but you may turn in an actual photo to the Foundation Office

Margaret C. Lassey Nursing Scholarship

Margaret C. Lassey Nursing Scholarship

Academic Section

Financial Aid Verification

Personal Statement Section