Mon Health Scholars Program Application

All fields are required. Please use none or zero where appropriate. You must be accepted and enrolled in an accredited nursing school in order to be considered for this program. Anyone beginning their first semester of the nursing program must provide a copy of their nursing acceptance letter on college letterhead as part of the application process. The application deadline for Spring Semester is November 1, and Fall Semester is September 1. For additional assistance or to submit application, email with the Subject line stating “Mon Health Scholar Application.”

Applicant Information
Please list two professional references.
Semester Enrolled in Nursing School