Monarch Scholarship Program Application

Educational Assistance Plan Policy:

Link to Educational Assistance Plan Policy

First name: *

Last name: *

Email address: *

Facility employed by: *

Bayside Manor SNF

Bethany on the Lake SNF

Gardens at Foley SNF

Gardens at Winsted SNF

Green Prairie Rehabilitation Center

Hillcrest Rehabilitation Center

Lakeshore Rehabilitation Center

Laurels Peak Rehabilitation Center

Mala Strana Rehabilitation Center SNF

Maplewood Rehabilitation Center SNF

Meeker Manor Rehabilitation Center

North Shore Estates

Oaklawn Rehabilitation Center

Parmly on the Lake SNF

River Valley Health and Rehabilitation Center

Sleepy Eye Rehabilitation Center SNF

The Emeralds at Faribault

The Emeralds at Grand Rapids SNF

The Emeralds at St. Paul

The Estates at Bloomington

The Estates at Chateau

The Estates at Delano

The Estates at Excelsior

The Estates at Fridley

The Estates at Greeley

The Estates at Linden

The Estates at Lynnhurst

The Estates at Roseville

The Estates at Rush City

The Estates at St. Louis Park

The Estates at Twin Rivers

The Villas at Brookview

The Villas at Bryn Mawr

The Villas at New Brighton

The Villas at Osseo

The Villas at Richfield

The Villas at Robbinsdale

The Villas at Roseville

The Villas at St. Louis Park

The Villas at St. Paul

The Villas at the Cedars

The Villas at the Park

The Waterview Pines

The Waterview Shores SNF

The Waterview Woods SNF

Current job title: *

Hire date: *

Average hours per week: *

1-9

10-20

21-30

31-40

Educational Institution: *

Reimbursement Application: *

Tuition Reimbursement Application (this application is used if you are CURRENTLY ENROLLED in a qualified program)

Loan Reimbursement Application (this application is for LICENSED NURSES who HAVE GRADUATED and HAVE OUTSTANDING LOAN BALANCES from nursing school)

Nursing Assistant Class/Test Reimbursement Application