Bachelor of Science Loan Repayment Program BSNLRP How to Complete Your Application

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Bachelor of Science Loan Repayment Program
(BSNLRP)How to Complete Your Application
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Cycle Deadline

• Make sure that the application you have reflects
  the current cycle date and year. This
  information can be found on the cover of the
  application indicating the postmark deadline
• Spring deadline date - March 24
• Fall deadline date - September 11

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Application Requirements

• Read both pages of the requirements carefully.
  This section should help to answer most of your
  questions and help to explain the following

• Award Amount
• Selection Criteria
• Eligibility
• Required Documentation
• Application Submission
• Notification of Awards

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Application Page 1

• Indicate the amount of money you are requesting
  (up to 19,000) on the top of the page. You
  cannot request more than you owe in educational
  debt.
• Part A Fill out all of your personal
  information
• this information will remain
  confidential.
• It is important to note that you must be both a
  permanent California resident and a U.S. citizen
  to apply.

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Application Page 2

• Part B List all relevant nursing and non-nursing
  work
• experience in a medically
  underserved area.
• Part C Provide information about your specific
  
• background including family
  structure and
• community where you grew up.
• Part D Describe any language in which you are
  fluent.
• This information needs to be
  verified by your
• employer.
• Part E You must type or write a personal
  statement
• in response to the six questions
  listed. Your
• entire statement should be no
  longer than
• two pages.

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Personal Statement

• When writing your personal statement, consider
  these recommendations
• Consider your goals as they relate to your chosen
  health profession.
• Explain community outreach, documented volunteer
  service, and organizational memberships you have
  been involved with.
• Tell about the communities and populations you
  currently serve or would like to serve and your
  cultural and linguistic experience in a health
  profession setting.
• Explain the actual or potential difficulty you
  may have in completing your education/employment
  in the absence of an award.
• Note Elaborate and provide as much
  information as you can. Personal
• statements that lack
  detail may be considered incomplete and
• therefore, ineligible.

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Application page 3

• Part F Complete the questions in this section.
  Note It is important
• to note that your application
  will be ineligible if you indicate
• that you currently owe an
  existing service obligation.
• Service Obligation means the
  contractual obligation agreed to
• by the recipient of
  scholarship or loan repayment where the recipient
  
• agreed to practice
  their profession for specified period of time in
  or
• through a designated
  facility.
• Part G Read this section carefully and make sure
  to date and sign
• below the certification
  statement. If this section is not
• signed, the application will be
  deemed incomplete
• Submission Checklist Use this checklist to
  ensure that all required documentation is
  included prior to mailing your application
  packet.

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Employment Verification Form

• This form should be completed by an
  Official in the Personnel or Human Resources
  Department. This form should be filled out in
  full before submission and include all of the
  following
• Hour you worked per week in
• direct patience care
• Average weekly hours worked
• Start date at this site
• Fluency in a second language
• Verification signature

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Educational Debt Reporting Form

• List all of the requested information which
  corresponds to your current educational loans.
  If your loans are consolidated, you only need to
  list the information for the consolidated loans.
  
• You are also required to submit recent copies of
  the corresponding lender statements (dated within
  six months of the application deadline). Make
  sure your statements include your name, the name
  of the lender, balance owed, account number and
  monthly payments.
• If the Educational Debt Reporting Form is not
  filled out completely or your lender statements
  do not include all of the required information,
  your application will be considered incomplete.

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Incomplete or Ineligible Applications

• Common mistakes which would deem an
  application incomplete or ineligible include the
  following
• One or more of the required documents is
  postmarked beyond the current cycle deadline
• Letters of Recommendation are not dated, signed,
  or formatted correctly.
• Missing Official Transcripts
• Application is not signed and/or dated
• Student Aid Report or 2008 Federal Tax Return and
  all W-2s missing or not signed
• Lender statements are unacceptable because they
  are not current or do not include all of the
  information specified in the application
• Applicant does not follow the format or questions
  specified for the Personal Statement

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Technical Assistance

• The Foundation will convene a technical
  assistance call to discus the application process
  for this program. Please contact the Foundation
  staff to obtain the phone number and pass code if
  you would like to participate in this call.
• Please visit the Frequently Asked Questions
  (FAQs) section of our website in order to find
  out more information about this program as well
  as the other programs offered by the Foundation.

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Items to note

• The Foundation encourages applicants to submit
  their application prior to the postmark deadline
  and recommends applicants contact the Foundation
  staff in order to verify that their application
  was received complete.
• Applicants will be notified in writing within 120
  days of the postmark deadline whether or not they
  are selected to receive a scholarship award.

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Contact Information

• If you have questions regarding the application
  process or how to complete any of the required
  documents, please contact the Foundation
• 1 [phone] or [phone]
• Margarita Miranda
• Program Officer
• [phone]
• www.healthprofessions.ca.gov