nuherbs® Co. Scholarship Program Student Application

APPLICANT INFORMATION

Name _____________________________________ Student ID _____________________ (Last, First, Middle)

Street Address ________________________________________________________________

City _________________________________ State _____ Zip Code ____________

Telephone No __________________________ Email ______________________________

EDUCATIONAL INFORMATION

Current Institution City/State Dates Attended GPA ___________________________________ _____________ ____________ ____________

Institution Attended (Higher Education Only) City/State Dates Attended Degree

___________________________________ _____________ ____________ ____________ ___________________________________ _____________ ____________ ____________

APPLICATION ESSAY (The essay may be any length up to 1000 words)

How can we encourage the use of Chinese herbs in America?

VOLUNTEER/EXTRACIRRICULAR ACTIVITIES (If necessary, use another sheet of paper)

ACADEMIC INTERESTS (If necessary, use another sheet of paper)

Print Name Signature Date

My signature above indicates that I have answered all questions on this form truthfully and to the best of my ability. The essays submitted are entirely my work. I further understand that any scholarship awarded, based on the information presented in my application, is subject to revocation if my application is untruthful in any way. I also grant nuherbs Co., an unlimited license to use my essay in any manner it sees fit, including reproduction in any medium it chooses including, but not limited to, print and internet.

The nuherbs® Co. Scholarship Program is designed to advance Traditional Chinese Medicine by supporting the brightest and most passionate Acupuncture students. nuherbs Co. will be offering three scholarships: the nuherbs® Scholarship ($2,000), Herbal Times® Scholarship ($1,500), and the Jade Dragon® Scholarship ($1,000), for current students of Acupuncture and Oriental Medicine. We would like to thank you and your fellow practitioners who support nuherbs Co. and the values that we stand for. You make these scholarships possible. In order to be eligible for the scholarships, the applicant must (1) provide proof of a minimum cumulative 3.0 GPA (2) be a current student of a participating school and will attend the Fall 2013 term, and (3) return a completed signed applica-tion, including essay. (Your school will confirm your enrollment and your GPA or its equivalent.)

Deadline: All applications must be submitted by Monday, April 1, 2013. Please turn in your completed application to your institution’s financial aid office. Applications submitted to nuherbs® Co. directly will not be accepted.

2013