The Dr. Pallavi Patel College of Health Care Sciences seeks to support students in
achieving their dream to become an excellent health care provider. This scholarship
is awarded one-time and is designed to recognize outstanding achievements and contributions
in health care to our college and community.
In order to be eligible to receive a scholarship, requirements are:
Good standing at NSU
Be a student in the Dr. Pallavi Patel College of Health Care Sciences
Have completed at least two (2) semesters in your program
Demonstrated commitment to serving your program, community, and / or profession
Applicant Name:
Street
City/Town
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip/Postal Code
Preferred Phone Number:
NSU Email Address:
NSU Student ID#:
Year of entry into program:
Semester of entry into program:
-- selec one --
Fall
Spring
Summer
Campus:
-- selec one --
Fort Lauderdale / Davie
Jacksonville
Orlando
Tampa Bay
Fort Myers
Palm Beach
Program:
Anesthesiologist Assistant
Audiology
Sport Science
Health Science
Occupational Therapy
Physical Therapy
Physician Assistant
Respiratory Therapy
Cardiovascular Sonography
Medical Sonography
Speech Language Pathology
List and briefly describe volunteer and leadership activities that you have been involved
in since beginning at NSU. Please include the name of the organization or activity,
role, and dates of involvement.
List and briefly describe any professional development activities that you have participated
in. Please include the name of the organization, the topic, your mentor (if applicable),
and dates of involvement. (Required) to answer.
Applicant must provide an essay of 500 words or less. Essay should address ways in
which the student qualifies for the scholarship, highlighting leadership roles, or
community service experiences you've had. The applicant should also describe how they
would use the funds to contribute to their professional development and the profession
they are aspiring to enter. (Required) to answer.
File number limit: 1 , Single file size limit: 10 MB, Allowed file types: Word, Excel,
PPT, PDF, Image
Applicant Certification: I hereby certify that all of the information provided in
this application is complete and true to the best of my knowledge.
Please verify that you have completed all required fields and are not a robot before
submitting this form.