ALABAMA BOARD OF NURSING - JSU



[pic]

MEMORANDUM

TO: Interested Persons

FROM: N. Genell Lee, Executive Officer

SUBJECT: Application/Awarding of Scholarships to Educate Nursing Instructors and

Application/Awarding of Scholarships for Post-Baccalaureate Nursing Education

On June 15, 1977, an Act was signed into law providing for 15 scholarships of $3,800.00 each for post-baccalaureate nursing education. The scholarships are awarded by the Board of Nursing contingent upon annual appropriation of funds by the legislature.

The scholarship monies are allocated to the Board from the Alabama Education Trust Fund on a fiscal year basis (October 1 through September 30). For the Fiscal Year 2011-12, Post-Baccalaureate scholarships are funded at a pro-rated amount, reducing the award amount to $1,529 per award. Should there be further proration reductions of the education budget during Fiscal Year 2011-2012, scholarships would be affected accordingly.

During the 2011 legislative session, the legislature appropriated $150,000 of Education Trust Funds to the Alabama Board of Nursing to “be expended exclusively for scholarships for advanced degrees to train instructors to teach nursing classes in Alabama colleges and universities”. Disbursement checks will be issued after January 1, 2012 and July 1, 2012, upon receipt of verification of continued full-time study. Should there be proration of the education budget during Fiscal Year 2011-12, scholarships would be affected accordingly.

If you are interested and can meet the requirements for either of these awards, we encourage you to proceed with the application. Completed applications must be received in the Board office on or before August 1, 2011 to be considered. This includes the application form, official transcript, certification form, and proofs of Alabama residency.

The announcement of scholarship recipients will be released after the September 2011 board meeting.

BOARD OF NURSING SCHOLARSHIP

INFORMATION AND INSTRUCTIONS

Please read the candidate qualifications and scholarship conditions for each scholarship carefully. If you are interested in being considered for either scholarship and can comply with all requirements, please proceed with the application process.

Basic Candidate Qualifications

To be eligible to receive either scholarship, a person must:

a) Have been a resident of Alabama for a period of at least ONE YEAR immediately preceding application. Two proofs of residency are required and must have YOUR name, a PHYSICAL Alabama address (post office boxes are not acceptable), and be dated July 1, 2010 or before.

b) Have an ACTIVE unencumbered Alabama REGISTERED NURSE license.

c) Be a person of good character.

d) Submit a completed application ON OR BEFORE AUGUST 1, 2011, including official transcript or certification from the registrar, certification of admission to graduate study, and proofs of Alabama residency. It is the responsibility of the applicant to ensure all of the required information is received by the deadline.

Scholarship to Educate Nursing Instructors Qualifications

To be eligible to receive the Nursing Instructor scholarship, a person must:

a) Have been admitted to an accredited graduate program seeking an ADVANCED DEGREE.

b) Hold or substantially met the requirements for a BACCALAUREATE DEGREE IN NURSING from an accredited school of nursing. An OFFICIAL transcript (in sealed/unopened envelope from school) from the BSN program is required. If a baccalaureate degree in nursing was not awarded, certification from the registrar is required stating requirements for a baccalaureate degree in nursing have been met.

c) Agree to teach nursing full-time in an Alabama college or university for at least one year immediately after graduation.

Scholarship for Post-Baccalaureate Nursing Education Qualifications

To be eligible to receive the Post-Baccalaureate scholarship, a person must:

a) Have been admitted to a graduate program seeking a MASTER’S OR DOCTORATE DEGREE in nursing or nurse anesthesia in an accredited SCHOOL OF NURSING IN ALABAMA. One is not eligible for this scholarship if a master’s or doctorate degree in nursing/nursing anesthesia is not awarded upon completion of the program, or if one is not attending a school of nursing in Alabama.

b) Hold a BACCALAUREATE DEGREE IN NURSING from an accredited school of nursing. An OFFICIAL transcript (in sealed/unopened envelope from school) from the BSN program is required.

c) Agree to practice professional nursing in Alabama for at least one year immediately after graduation.

Scholarship Conditions

a) Recipient must attend school FOR 6 HOURS EACH SEMESTER DURING TWO CONSECUTIVE SEMESTERS DURING THE YEAR OF FUNDING (10/01/11 – 09/30/12).

b) Prior to October 1 of the year of study, recipient must submit a signed promissory note and an agreement to fulfill obligations to repay funds.

c) Recipient must KEEP THE BOARD INFORMED of the status of the above conditions and must immediately inform the Board of the failure to comply with the conditions.

d) The Board, at its discretion and for just cause shown, may modify or extend the conditions on an individual basis.

e) If receiving the Nursing Instructor scholarship, recipient must teach nursing full-time in an Alabama college or university for at least one year in Alabama immediately following completion of the graduate program.

f) If receiving the Post-Baccalaureate scholarship, recipient must practice nursing for at least one year in Alabama immediately following completion of the graduate program.

Application

It is your responsibility to submit a complete application packet. Your application packet must be received in the Board of Nursing office on or before August 1, 2011, and ALL of the following items MUST BE INCLUDED IN YOUR APPLICATION PACKET at the time of submission:

a) A completed application;

b) An official transcript (in sealed/unopened envelope from school) from your baccalaureate nursing program indicating the degree and date awarded. Student copies are not acceptable. If applying for the Nursing Instructor scholarship and a baccalaureate degree in nursing was not awarded, certification from the registrar is required stating requirements for a baccalaureate degree in nursing have been met.

c) Certification of admission to graduate study signed by the dean or associate dean; and

d) Two documents evidencing Alabama residency for the year immediately preceding application (i.e., copy of drivers license, real estate mortgage, lease agreement, car insurance policy, homeowners insurance policy, voter registration card, Alabama income tax return, tag receipt, utility bill, etc.). The proofs of residency must be dated July 1, 2010 or before and must contain the applicant’s name and an Alabama physical address (Items with Post Office boxes for the address are NOT acceptable as proofs of residency).

General Information

Completed applications will be considered by the Board at the September 2011 meeting. Everyone having a completed application on file by August 1, 2011, will be notified when the scholarship recipients have been selected.

Upon submission of a signed contract, promissory note, and verification of full-time study, scholarship payments will be made semi-annually with the first check being issued after January 1, 2012 and the second check being issued after July 1, 2012 upon receipt of verification of continued full-time study. Grades for Fall semester must be received by December 23, 2011. Grades for Spring semester must be received by June 22, 2012. Grades for Summer semester must be received by September 1, 2012. If grades are not received by the deadline for the appropriate term, the Alabama Board of Nursing will assume the intended recipient is declining the scholarship award.

If the recipient fails to continue full-time study, complete the program, or complete one full year of working in Alabama immediately following graduation, the recipient must repay to the State Treasury the entire amount of any scholarship funds received.

Should you have any questions, please contact Jennifer Weaver at (334) 293-5200.

Revised 06/2010

ALABAMA BOARD OF NURSING

APPLICATION FOR SCHOLARSHIP

| |I am applying for the Scholarship to Educate Nursing Instructors I have been admitted to an accredited graduate program seeking an advanced degree. |

| |I am applying for the Scholarship for Post-Baccalaureate Nursing Education. I have been admitted to an accredited graduate program seeking a Master’s|

| |or Doctorate Degree in Nursing. |

Please check the box next to the scholarship you are applying for

| | | | | | |

|NAME: | | | | | |

| |Last |First |Middle |Maiden | |

| | | |

|PHYSICAL ADDRESS: | | |

| |Street Address, Apartment Number | |

| | | | | | |

| | | | |( ) | |

| |City County |State |Zip Code |Contact Phone | |

|SOC. SEC. NUMBER | |RN LICENSE NUMBER | |DATES OF RESIDENCY | | | |

| | | | |IN ALABAMA | | | |

| | | | | |From |To | |

|SCHOOL YOU PLAN TO ATTEND:| |AREA OF CONCENTRATION | | | | |

| | | | |DEGREE: | | |

| | | | | | |

|DATE OF ENROLLMENT: | | |EXPECTED DATE OF GRADUATION: | | |

| |From |To | |Month/Year | |

| | | | | | |

|HAVE YOU BEEN ACCEPTED FOR FULL TIME STUDY? |YES | |NO | | |

| | | |

|IF NO, PLEASE EXPLAIN. | | |

| | | | | | |

|DO YOU HAVE A SCHOLARSHIP/OTHER FINANCIAL AID FOR THE PROPOSED YEAR OF STUDY? |YES | |NO | | |

| | | |

|IF YES, STATE SOURCE. | | |

| | | | | | |

|HAVE YOU APPLIED FOR OTHER SCHOLARSHIPS, TRAINEESHIPS, OR FINANCIAL AID? |YES | |NO | | |

| | | |

|IF YES, STATE SOURCE. | | |

| | | | | | |

|HAVE YOU PREVIOUSLY RECEIVED AN ALABAMA BOARD OF NURSING SCHOLARSHIP? |YES | |NO | | |

| | | |

|IF YES, STATE YEAR. | | |

| | | |

|PROFESSIONAL CHARACTER REFERENCES |

|REFERENCE 1 |REFERENCE 2 |

| | | | | | |

|Name: | | |Name: | | |

|Relationship to | | |Relationship to | | |

|Applicant: | | |Applicant: | | |

|Business Title: | | |Business Title: | | |

|Business Name: | | |Business Name: | | |

|Business Address:| | |Business Address: | | |

| | | | | | |

|Daytime | | |Daytime Telephone:| | |

|Telephone: | | | | | |

| | | | | | |

APPLICATION PAGE 2

|EMPLOYMENT HISTORY (Past 5 Years) |

|Agency |Position/Job Title |Supervisor |Dates of Employment |

|Current Employer (Include address and telephone number) | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

|EDUCATION HISTORY (Post High School) |

|School |Location |Dates of Enrollment |Degree/Diploma |

| | | | |

| | | | |

| | | | |

|ACADEMIC OR PROFESSIONAL HONORS/AWARDS: | |

| | |

ON ADDITIONAL SHEETS OF PAPER, PLEASE ANSWER THE FOLLOWING QUESTIONS:

1. DESCRIBE, IN DETAIL, HOW YOUR PROPOSED COURSE OF STUDY WILL SERVE THE RESIDENTS OF ALABAMA:

A. SHORT-TERM (within one year after successful completion of the graduate program)

B. LONG-TERM (one to five years after successful completion of the graduate program)

C. LOCAL COMMUNITY

2. IF THE LEGISLATURE DOES NOT PROVIDE FUTURE FUNDING FOR THIS SCHOLARSHIP, HOW WILL YOU COMPLETE YOUR GRADUATE NURSING PROGRAM? EXPLAIN YOUR ANSWER IN DETAIL.

3. WHAT IS YOUR CURRENT EMPLOYMENT STATUS? WHAT WILL BE YOUR EMPLOYMENT STATUS IF AWARDED THIS SCHOLARSHIP? EXPLAIN ANY DIFFERENCES.

4. DESCRIBE YOUR CAREER PLANS AND/OR GOALS FOLLOWING SUCCESSFUL COMPLETION OF THE GRADUATE PROGRAM FOR WHICH YOU ARE RECEIVING THE SCHOLARSHIP.

5. PROVIDE A COMPREHENSIVE RATIONALE FOR WHY YOU SHOULD BE AWARDED THIS SCHOLARSHIP.

6. EXPLAIN YOUR REASONS FOR CHOOSING THE IDENTIFIED:

A. GRADUATE PROGRAM

B. TYPE OF DEGREE (i.e., MSN or doctorate)

C. AREA OF CONCENTRATION

Minimum Eligibility Requirements

| |I have an active, unencumbered Alabama Registered Nurse license |

| |I have been a resident of Alabama for at least one year prior to applying for a Board scholarship & have 2 proofs of residency |

| |dated July 1, 2010 or before as proof of my Alabama residency. |

| |I have been admitted to an accredited graduate program seeking and Advanced Degree (if applying for Nursing Instructor |

| |scholarship) or a Master’s or Doctorate Degree in Nursing (if applying for Post-Baccalaureate scholarship). |

| |I understand that I must earn at least six hours of semester credit for two consecutive semesters during the scholarship period |

| |(Fall 2011, Spring 2012 & Summer 2012) to remain eligible for the scholarship. |

| |I have ordered/enclosed an official transcript from my baccalaureate program or certification from the Registrar. |

| |I have completed, signed and dated the application and attached answers to the five questions on separate sheets of paper. |

| |I am a person of good character. |

|By signing below, I have verified that I meet the minimum eligibility requirements listed above. |

| |

| |

|Signature |

| |

Revised 06/2010

ALABAMA BOARD OF NURSING

BOARD OF NURSING SCHOLARSHIP

CERTIFICATE OF ADMISSION TO GRADUATE STUDY

INSTRUCTIONS: THIS FORM IS TO BE COMPLETED BY THE DEAN/ASSOCIATE DEAN AND RETURNED TO THE SCHOLARSHIP APPLICANT TO BE INCLUDED IN THE APPLICATION PACKET. TO BE ELIGIBLE FOR THIS SCHOLARSHIP, THE APPLICANT MUST BE ENROLLED IN AN ADVANCED DEGREE PROGRAM TO EDUCATE THE APPLICANT TO TEACH NURSING CLASSES IN ALABAMA COLLEGES AND UNIVERSITIES.

I CERTIFY THAT ____________________________________ HAS BEEN ADMITTED TO FULL TIME GRADUATE STUDY AT _______________________________________________ SEEKING THE DEGREE OF __________________________________ FOR THE PERIOD _____________________ TO ___________________________ ON THE BASIS OF HIS/HER CREDENTIALS AND OTHER ADMISSION REQUIREMENTS. THE PERSON NAMED ABOVE HAS THE POTENTIAL TO SUCCESSFULLY COMPLETE THE PRESCRIBED COURSE OF STUDY, AND I RECOMMEND THAT THE APPLICATION OF THIS PERSON BE FAVORABLY CONSIDERED FOR A SCHOLARSHIP.

| | |

| |SIGNATURE OF DEAN/ASSOCIATE DEAN |

| | |

| |SCHOOL |

| | |

| |DATE |

Revised 06/2008

-----------------------

Alabama Board of Nursing

RSA Plaza, Ste 250

770 Washington Avenue

Montgomery, AL 36104

334-293-5200 (FAX) 334-293-5201

Toll Free: 1-800-656-5318

Mailing Address:

P O Box 303900

Montgomery, AL 36130-3900

N. Genell Lee, MSN, RN, JD

Executive Officer

NAME OF SCHOOL

NAME OF APPLICANT

MONTH AND YEAR

MONTH AND YEAR

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download