La Charities Trust Nursing Scholarship

La Charities Trust Nursing Scholarship
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Program of Study:*
Are you an employee of Heritage Manor of Houma, The Oaks of Houma, or Audubon Guest House?*

YesNo
If you are an employee, please upload a statement verifying employement from your employer on organization letterhead*

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Please upload the following documents:
1. A 350-word essay explaining why you chose your program of study. Please include what type of community service you have provided in the last year.
2. A Letter of Recommendation (Must be from high school teacher, guidance counselor, current employer, or a health care professional. Cannot be a family member)
3. A copy of your acceptance email into either the Practical Nursing or LPN to ASN program.
Upload Files*

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