RN-to-BSN Scholarship Application

Welcome! We're excited to review your application and look forward to supporting your success with RN-to-BSN Scholarship funds.

RN-to-BSN Scholarship funds are distributed directly to Central Michigan University (CMU), and by accepting these funds, you agree to complete your BSN at CMU.

Name*

First NameLast Name

Date of Birth*

MonthDayYear

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Area CodePhone Number

Email*

example@example.com

Mid Michigan College Student ID Number*

You can find your Student ID Number on your Mid Michigan College Student ID Card or in myMid.

Central Michigan University Student ID Number*

When do you plan to start your BSN courses at CMU?*

MonthDayYear

My signature below confirms that the information above is correct and that I understand scholarship funds are distributed directly to CMU and that I must complete my BSN at CMU to receive these funds.*

Date*

MonthDayYear

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