Betty and Gene Barth Memorial Scholarship

BETTY & GENE BARTH MEMORIAL SCHOLARSHIP
SCHOLARSHIP APPLICATION FORM
Welcome to the Betty & Gene Barth Memorial Scholarship Application! By participating in BrightCourse, (formerly called Earn While You Learn), either currently or within the past year, and by pursuing an education in Nursing or related Health Science field at Western Iowa Tech Community College, you may be eligible for this scholarship.

Please carefully read this application, and make sure the information you provide is complete and accurate. Note that once you begin the application, you will need to complete it in its entirety.

The application must be submitted by the end of May. Please contact info@herhealthwomenscenter.org if you have any questions or concerns.

Education
IMPORTANT: To be eligible for the Betty and Gene Barth Memorial Scholarship you must be currently enrolled or planning to enroll in a Nursing or related Health Science Program at Western Iowa Tech Community College. You must also be currently enrolled in, or have previously completed Her Health Women's Center's Earn While You Learn program.

If selected, your Scholarship Award will be directly applied to your student account at Western Iowa Tech.
Which best describes your relationship with Western Iowa Tech Community College.*

I am already enrolled at Western Iowa Tech. (I'm currently taking classes.)I have applied to Western Iowa Tech, but haven't started classes yet. (I will be attending school this fall, or I'm on a waitlist for a Nursing Program.)I have not yet applied to Western Iowa Tech, but will be doing so soon.Other
Program you plan to study at Western Iowa Tech?*
If you already have your Western Iowa Tech Community College student ID number, please enter it here.
WITCC Student ID #

Tell Us About Yourself
In a few paragraphs, tell us a little about yourself.*
Please tell us anything that would help us get to know you better.
Tell us about your relationship with Her Health Women's Center.*
How did you find us? Why did you seek us out? How has the program benefited you? Whatever you are comfortable sharing with us.

Questions
Why do you want to be a nurse, and or pursue a career in healthcare?*
Is there a specific reason or story behind why you want to be a nurse? Do you know what kind of nurse you'd like to be, or what area of nursing you would like to focus on? Please share with us what has helped you to decide to pursue an education in nursing.
What is a short-term goal you have for yourself this next year, and why would accomplishing this goal be important to you?*
For Example: This could be as simple as attending all your nursing classes. This goal should be something you could accomplish within the next year.
Where do you see yourself 3-5 years from now, and how would receiving this scholarship help you get there?*
Close your eyes, and think how much your life will be changed a few years from now. Tell us about where you see yourself working, living, your family life, etc.
Should be Empty: