2023-2024 Donna Johnson Memorial Scholarship ApplicaitonScholarship ApplicationApply for the Donna Johnson Memorial Scholarship.Name First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code United States of AmericaCanada Country PhoneEmail Date of Birth MM slash DD slash YYYY Name of Local/Hometown NewspaperInclude City/StateName of Parent or Legal Guardian First Last High School & College Activities Select All Student Council Class Officer School Paper Yearbook Drama Debate National Honor Society Foreign Language Band Choir Orchestra 4-H FFA Science Technology DECA HOSA Basketball Baseball Football Wrestling Track & Field Volleyball Swimming Soccer Tennis Golf RodeoSelect which activities you participated in high school and/or college.List any honors or awards you have received:List your community involvement in HS & College:If working, list number of hours per week? And where?Do you quality for financial need based assistance? Yes No N/AAre you currently attending a Bismarck school?* Yes NoIf yes, what institutionIf no, what institution will you be attending in the fall?What is your GPA based on a 4.0 Scale:What is your intended course of study?In accordance with Federal Guidelines, are you: U.S. Citizen National, Refugee Alien or Permanent Resident Alien OtherHigh School AttendedName, City & StateYear of Graduation:HS Class RankGPA based on a 4.0 Scale:Are you an RN enrolling in a Masters program or Oncology certificaiton? Yes NoCollege Attending:Name, City & StateYear of GraduationGPA based on a 4.0 Scale:What Bismarck College have you applied for admissions to?List oncology or related jobs held:Place, dates and length of employmentAuthorization* I agreeI hereby certify that to the best of my knowledge the information on this application is true. I understand that this application authorizes BCCF dissemination of scholarship applicaiton and awards information as considered necessary and appropriate by BCC and the BCCF.Essay upload to be completed by applicant:*Write an essay on why you want to become an oncology professional and what it means to you or why you are interested in the field of oncology. Drop files here or Select filesMax. file size: 50 MB.Letter of RecommendationWill a letter of recommendation be submitted on your behalf? Yes No N/AList the individual(s) recommending you for this opportunity.An email will be sent to you explaining what type of recommendation we are looking for and where it should be mailed.CAPTCHAΔ
