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Qualification Application

This information will be used to ensure you are a good candidate for our program

First name*

Last name*

Email*

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

Academic GPA (Grade Point Average)?*

Why do you want to be in the Fale Scholar program?*

Are you currently employed*

Yes

No

Character Reference 1 (Name & Email Address)*

Character Reference 2 (Name & Email Address)*

Character Reference 3 (Name & Email Address)*

By checking this box, you acknowledge and understand the Fale Scholar program may require you to stay in the United States for up to 5 years in order to complete your Nursing degree.

You understand this application does NOT guarantee entrance into the Fale Scholar program*

Yes

No

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