Legacy Educational Grant Application

The IMSN Alumni Association Board is proud to offer our Legacy Grant Application Program to direct descendants of our Alumni.

Our purpose is to support direct descendants of IMSN Graduates pursuing a career in nursing.

Direct descendants are defined as children and/or grandchildren, naturally or legally adopted, who are pursuing a career in nursing and have complete at least one year in an accredited nursing program.

If you have an interested descendant, please direct him/her to complete the Application below. Also, please submit proof of the relationship to the IMSN Alumnus proof of completion of at least one year of nursing school, and a 500-word essay relating how the IMSN Alumni relative has influenced your decision to pursue nursing as a career. If you have already submitted your essay and proof of relationship, just submit a new application.

Email or print and send your completed application and written essay to:

Email: Christine.Parker@unitypoint.org

Address: Chris Parker, IMSN Alumni Treasurer

IMSN Alumni Association

1314 SW Campus Lane

Ankeny, Iowa 50023

NAME OF IMSN RELATIVE AT GRADUATION _____________________________

YEAR OF GRAD: _______

APPLICANT’S RELATIONSHIP TO IMSN GRADUATE ____________________________________________

APPLICANT NAME _____________________________________________________________________

ADDRESS_______________________________________________ APT # ________________________

CITY / STATE / ZIP CODE ________________________________________________________________

PHONE NUMBER ________________________________ EMAIL ADDRESS ________________________

SCHOOL ATTENDING ___________________________________________________________________

ADDRESS (CITY/STATE/ZIP) ______________________________________________________________

NAME OF ADMISSIONS/FINANCIAL OFFICER AT SCHOOL _______________________________________

TELEPHONE NO: ______________________ PURSUED DEGREE _________________________________

NUMBER OF CREDIT HOURS _____________________ COST/CREDIT HOUR _______________________

TOTAL DOLLAR AMOUNT REQUESTED ______________________________________________________

Please submit application and supporting documents by August 7, 2023. 7/2023