Manager's Evaluation for BILD Nursing Scholarship
Thursday, June 13th, 2019 is the DEADLINE for the July 2019 awarded Ruth Castellano and
Edward J. Stiften nursing scholarships.

Managers: Complete this online evaluation. Make sure to put the nurse's name on the application.

Please direct questions to scholarships@bjclearn.org

Please, enter your FIRST name and LAST name *
Your answer
Enter your title here *
Your answer
Your email *
Your answer
Your phone number *
Enter your telephone number here (cell or work). This may be needed by the BILD selection team, or the Chief Nurse in your area if there are questions about the candidate.
Your answer
HSO or BJC branch where you work *
Your department *
Your answer
Please enter the LAST 4 DIGITS ONLY of your employee number. This will be used for identity verification. This step replaces the previously used faxed signature page. *
Your answer
Today's Date *
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