Leslie Mikesell Memorial Nursing Scholarship Application

Please complete the application form, and upload your personal essay as described below, a reference letter from an instructor, a reference letter from a community organization with which you are affiliated (faith based, non-profit, educational, etc.), and unofficial transcripts through Spring 2025

Leslie Mikesell
Name Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Mailing Address if different
Email
Phone Phone - ### - ### ####
High School
College(s)
Extra curricular activities in clubs or groups, e.g. volunteer, church member, certification programs, 4H, etc.
Your Personal Essay must be miimum 500/maximum 1500 words, 12 pt font, and double spaced.
It must Include:

- Your goals in life and why you have chosen a career in Nursing and/or Healthcare.

- What core values or principles guide your decisions and define who you are? In what way, if any, do you draw inspiration from the life of Leslie Mikesell?

- What your financial needs are and how this scholarship will be used (e.g. tuition, fees, books, equipment, transportation, etc.)

Please upload your essay here and include your name and the date
Reference Letter 1,
Written by an instructor/professor that describes your work, participation, and commitment, including their contact info.
Reference Letter 2,
Written by an agent or leader of an organization (volunteer, church, non profit group) that describes your work, participation, and commitment, including their contact info.
Transcripts with total number of units accumulated and list of classes through Spring 2025
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
I have included the following:

I have included the following: My information A personal essay complete with the requested information listed. Reference letter from faculty Reference letter from community organization Unofficial transcripts including total units and classes through May 2025