COLLEGE OF NURSING

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Address

City

• Citizen or permanent resident of the United States• GPA of at least 2.75 in the St. Joseph’s College of Nursing’s Curriculum• Has resolved any overpayments on a Title IV Education Loan• Be in good standing on all education loans (Federal Family Education loan Program,

Federal Perkins Loan Program, Federal Direct Loan Program)

I am applying for the follwing loan:

Nursing Education Loan Agreement Application due Evening/Weekend - January 1, 2019; Weekday - May 1, 2019

Nursing Education Loan Agreement Dual Degree Program in Nursing (Current Year 3 NELA Recipient) Application due February 1, 2019

Nursing Education Loan Agreement Dual Degree Program in Nursing (Exclusive Fourth Year Tuition Loan) Application due February 1, 2019

NURSING EDUCATION LOAN AGREEMENT (NELA) APPLICATION To be considered for a Nursing Education Loan, all financial aid paperwork and this application must be returned to the Financial Aid Office no later than the due date noted below.

State Zip

To qualify for a NELA, the following criteria must be met:

ST. JOSEPH’S

COLLEGE OF NURSING

Indicate three (3) specific reasons in detail why you deserve to be awarded a Nursing Education Loan with St. Joseph’s Health Hospital:

ST. JOSEPH’S

COLLEGE OF NURSING

St. Joseph’s College of Nursing at St. Joseph’s Hospital Health Center does not discriminate in the administration of educational policies or programs, admission policies, scholarship and loan programs, and other school-administered programs. The College’s non-discrimination policy is inclusive of, but not limited to, race, age, color, national or ethnic origin, marital status, gender, sexual orientation, gender identity, gender expression, veteran/military status, religion, disability, or political ideology.

I authorize St. Joseph’s College of Nursing to release personally identifiable information from my education record to outside entities for scholarship selection, to scholarship donors and/or for publicity purposes regarding the awarding of a scholarship. This could include items such as my class, and GPA.

I hereby certify that all of the information reported on this application is true and accurate to the best of my knowledge. I give permission for release of this information, including academic and financial status, to the organization’s Scholarship Selection Committee. If results of the FAFSA are required, I authorize the Office of Student Financial Aid to release my expected family contribution (EFC) to the committee.

Signature Date

NOTICE OF NON-DISCRIMINATION POLICY

ST. JOSEPH’S