Student RN Tuition Assistance Application
All fields are required. Please use none or zero where appropriate. Please note, if you are not a CAMC employee, you may skip the CAMC Employment information and move on to the College Enrolled section. You must be accepted and enrolled in an accredited nursing school in order to be considered for this program. Anyone beginning their first nursing semester must provide their nursing acceptance letter on college letterhead in order to be considered. The application deadline date for spring semester is November 1, summer semester is April 1, and fall semester is July 1.
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Personal
Last Name
First Name
Middle Initial
Street Address
City
State
Zip
County Of Residence
Email
Home/Cell Phone
Work Phone
Employement
Are you a CAMC Employee?
Yes
No
CAMC Employee ID
Hospital
Department
Job Title
Manager
Hire Date
Education
College Enrolled
School Street Address
School City
School State
School Zip
Student ID
Major
Semester enrolled in nursing school
Please provide your nursing acceptance letter by emailing brianna.chin@camc.org. Letter must be on college letterhead and signed.
1st
2nd
3rd
4th
5th
6th
7th
8th
Last
N/A
Associate Degree
Bachelor Degree
Anticipated Graduation Date
Have You Completed FAFSA
Yes
No