LCN Scholarship Application for CURRENT STUDENTS
Currently, these scholarship awards range from approximately $250 - $2,000 per semester.
You must be registered for Lakeview courses in order to qualify.  Once enrolled, scholarship applications will remain on file for the period of time for which a student maintains enrollment at LCN.  A current Student Aid Report (FAFSA) MUST be on file in the LCN Financial Aid Office each academic year for which you would like to be considered for scholarships.  The information requested is used to determine whether you meet criteria for specific scholarships.  This application and related information may be forwarded to other organizations that grant scholarships to LCN students.  In submitting this, you attest that all information provided is true and correct to the best of your knowledge.  Please be advised that there is no essay or references required with this scholarship application.  Thank you!
Sign in to Google to save your progress. Learn more
What is your email address?  (LCN email is preferred, if known.) *
First Name *
Last Name *
Home Address *
Home City *
Home State *
Home Zipcode *
Are you a Benton, Vermillion, or Warren County, Indiana resident? *
Are you an Iroquois County, Illinois resident? *
Are you a Vermilion County, Illinois resident? *
If you are a Vermilion County, Illinois resident, how long have you lived in Vermilion County (approx. years)? *
Location of LCN Attendance *
I currently hold the following license/certification: *
Required
Do you have any previous healthcare experience? *
Please describe your experience if you answered yes to the previous question.  If you answered no to the previous question, please type "N/A" below. *
Do you hold a previous bachelor's degree? *
Did you indicate on your application for admission that you are an ethnic minority? *
Are you a member of Phi Theta Kappa Honor Society? *
Please describe any community service you have provided within the last year.  If none, please type "None" in the box below. *
Are you an Active-Duty U.S. Military Member? *
Are you a U.S. Military Veteran? *
If you are either active-duty military or a veteran, which branch did you or do you serve? *
Is any member of your immediate family either active-duty military or a military veteran?  (Check ALL that apply). *
Required
Are you a single parent raising a child under the age of 18? *
Are you directly related to a Lakeview grad? *
If you are directly related to a Lakeview graduate, please provide the following:  Graduate's First & Last Name, Relationship to You, and the Alum's Year of Graduation.  If you do not have a relative who is a Lakeview grad, please type "N/A" below. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lakeview College of Nursing. Report Abuse
Google Forms