Colonial Dames is a social club for women who are interested in history and current events. If you are interested in becoming a member, you will need to complete an application form. The form asks for your name, address, phone number, email address, and date of birth. It also asks for information about your education and work experience. You will also need to provide the names of two members who can recommend you for membership. The application process is competitive, and only the most qualified applicants are accepted into the club.
| Question | Answer |
|---|---|
| Form Name | Colonial Dames Application Form |
| Form Length | 4 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 1 min |
| Other names | application for national society of colonial dames 17th century, animalsflys, colonial dames of the seventeenth century application, colonial dames of the 17th century |
THE NATIONAL SOCIETY OF THE COLONIAL DAMES OF
AMERICA
National Patriotic Service Committee
THE AMERICAN INDIAN NURSE SCHOLARSHIP AWARDS
Since 1928 The National Society of The Colonial Dames of America has provided a small number of scholarship awards to assist students of American Indian heritage who are pursuing degrees in nursing or in the field of health care and health education.
Eligible students receive $1,000 per semester and the money is to be used strictly for tuition, books or for fees applicable to the student’s approved program. The grant is sent to the school and credited to the student’s account. Once a student is accepted, he or she may
To be eligible for a scholarship, the candidate must be:
1/4 American Indian, enrolled in a tribe. If not enrolled, the student will be considered if he or she can prove direct tribal ancestry.
A high school graduate or have equivalent education
Enrolled in an accredited school
Enrolled in the nursing program, having achieved good scholastic standing in
Expected to graduate two years after enrollment if in an Associate Degree program
Expected to graduate in four years if pursuing a B.S.
Post graduate students are also eligible
Maintaining the scholastic average required by the school
Recommended by their counselor, teacher or other school official
In need of financial assistance
Not receiving an Indian Health Service Scholarship
Should have a career goal directly related to the needs of the Indian people
This fund is made possible through contributions of our State Societies and individual members throughout the United States. The purpose of the scholarship is to help the students fill a basic health care need of their people.
INSTRUCTIONS FOR COMPLETING APPLICATION
1.1. Read the requirements. Do you qualify?
2.2. Please type or print legibly.
3.3. Attach the following documents:
a.a. One letter of recommendation.
b.b. Proof of tribal membership
c.c. Official transcript.
d.d. A small photograph.
e.e. A biographical statement including educational
background, financial need, career goals, special achievements or other pertinent information.
1.4. Send the completed application with attachments to:
Mrs. Alexander C. McLeod 203 Evelyn Avenue Nashville, TN
THE NATIONAL SOCIETY OF THE COLONIAL DAMES OF AMERICA
NATIONAL PATRIOTIC SERVICE COMMITTEE
THE AMERICAN INDIAN NURSE SCHOLARSHIP AWARDS
APPLICATION
NAME_________________________________________________________________
(Last)(First)(Middle)
HOME
ADDRESS______________________________________________________________
(Street)(City) (State) (Zip)
TELEPHONE_________________________EMAIL___________________________
SOCIAL SECURITY # __________________________DOB_____________________
BEST WAY TO CONTACT________________________________________
TRIBAL ORIGIN_________________ARE YOU AN ENROLLED MEMBER?____
TRIBAL ENROLLMENT NUMBER _______________________________________
IF NOT A TRIBAL MEMBER, PLEASE SUBMIT ON A SEPARATE SHEET PROOF OF TRIBAL ANCESTRY.
MARITAL STATUS _____ NUMBER & AGES OF DEPENDENTS_____________
EXPECTED DEGREE FROM_____________________________________________
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(Name of Institution) |
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______________________________________________ |
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(Degree Expected) |
(Date) |
ADDRESS OF INSTITUTION _____________________________________________ |
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(Street) |
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(City) |
(State) |
(Zip) |
NAME OF FINANCIAL AID OFFICER ____________________________________
ADDRESS OF FINANCIAL AID OFFICE __________________________________
(Street) |
(City) |
(State) |
(Zip) |
YOUR COLLEGE ADDRESS_____________________________________________
(Street)
______________________________________________
(City)(State) (Zip)
Do you have other financial aid? _______ If yes, please list on another sheet. List
estimated school expenses for the year (tuition, books, fees, uniforms, etc.)
Please list two or three personal references with addresses, submitting a letter of recommendation from at least one. Include a previous teacher or counselor.
____________________________ ___________________________________________
(Name)(Street) (City) (State) (Zip)
____________________________ ___________________________________________
(Name)(Street) (City) (State) (Zip)
____________________________ ___________________________________________
(Name) |
(Street) |
(City) |
(State) |
(Zip) |
SIGNATURE AND DATE:
________________________________________________________________________
(Name)(Date)
Application for: ______ Fall ______ Spring _____ Summer term in Year 20___.
Applications for fall term must be submitted by June 1st. Applications for the spring must be submitted by December 1st.
How did you learn of the Indian Nurse Scholarship (website, school, friend, etc)?