Inez Taylor Walter Scholarship Fund
The Inez Taylor Walter Scholarship Fund was established by Harley Taylor in memory
of his sister, Inez Walter who was from the Ipswich area. The scholarship is for high
school students in South Dakota. Preference in awarding this scholarship will be given
to a student planning on attending a South Dakota or North Dakota college or university
in the field of nursing.
APPLICATION DEADLINE: April 1
st
**If awarded, the applicant must provide his/her college acceptance letter and/or class
schedule. Scholarship award check will be sent directly to the college or university
attending.
Please include the following with your submission:
□ Application
□ Written Essay 750 words or less on “Why I am choosing Nursing as my profession”
**Scan application and essay into one document and email to Amy
Email submissions to: Amy Kielman
amyholdhusen@gmail.com
Full Name: ____________________________________________________________
Address: ______________________________________________________________
City: ___________________________ State: __________ Zip Code: _____________
Home Phone: _______________________ Alternate Phone: ____________________
Email Address: _________________________________________________________
Personal Information
High School: __________________________________________________________
ACT: _______________ GPA: ___________________Class Rank: _____________
High School Gradation Date: _____________________________________________
Please list all school activities that you have been involved with during high school.
(Student Council, sports, band, clubs, etc.)
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
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Institution: ____________________________________________________________
Address: ______________________________________________________________
City: ______________________________ State: ___________ Zip Code: __________
Phone: _______________________________________________________________
Applicant Signature Date