Nurse Education Loan Repayment Program (NELRP) For RNs working in Critical Shortage Facilities And Nurse Faculty Working in Accredited Schools of Nursing U.S. Department of Health and Human Services Health Resources and Services Administration Bureau of Clinician Recruitment and Service Division of Nursing and Public Health

2 NELRP Purpose Provide economic assistance in an effort to recruit and retain professional Registered Nurses dedicated to providing health care in designated critical shortage facilities and educational institutions which offer nursing curriculums.

3 NELRP Eligibility To be eligible for the NELRP, the applicant must: Be a U.S. Citizen; U.S. National; Lawful Permanent Resident Have completed a qualified nursing education program leading to a degree or diploma in Nursing Be employed FT at a qualified critical shortage facility or accredited school of nursing Possess a current, full, permanent, unencumbered, unrestricted RN license valid in the state in which they are employed Have outstanding, qualified nursing education loans

4 NELRP Funding Preference Insufficient funds to award all qualified applicants Sequential order determined by: Greatest Need - Debt/Salary Ratio Facility Preference Type Nurse Faculty – accredited educational institution Base (Preference 1): DSH; Critical Access Hospital; Nursing Home; State or Local Public Health or Human Services; Federally Designated Health Center (and Look- Alike); Indian Health Service Health Center; Native Hawaiian Health Center; Rural Health Clinic Historically – Preference 1 > 80%

5 Application Requirements Forms I. Application Checklist II. Loan Information and Verification III. Authorization to Release 1. Employment Information 2. General IV. Certificate Regarding Debarment, Suspension, Disqualification… V. Employment Verification 1. RN working at a CSF 2. Nurse Faculty working at a school of nursing I.On-Line I.Eligibility II.Personal Identification III.Qualified Education IV.Loan Summary V.Licensure Information VI.Employment Information VII.Agreement Statement On-Line I. Eligibility II. Personal Identification III. Qualified Education IV. Loan Summary V. Licensure Information VI. Employment Information VII. Agreement Statement

6 Application Requirements (cont.) Supplemental Documents I.Education Transcripts (applicable to ALL applicants) II.Documentation of legal status if born outside of the U.S. III.Statement from Professional Group I.For advanced practice nurses employed by a Professional Group IV.Documentation that any loans that can be potentially ‘cancelled’ are NOT eligible for cancellation I.Perkins Loans II.Nursing Student Loans from BHPr

7 Before You Begin: Read the Application and Program Guidance Download and print all required forms Complete all forms and gather all required support documentation before attempting to complete the on-line application Ensure all data on forms, documentation and on-line application match

8 Forms & Support Documentation Application Checklist Use this document to ensure: all required forms and documents are complete, organized and submitted. Omission of any required forms could result in the application not being considered for NELRP funding.

9 Forms & Support Documentation Loan Information & Verification Form Most error prone document Address All Fields Be Accurate Only for loans in pursuit of a nursing education One LIVF for EACH Loan Stand Alone, Consolidated, and Group Loans

10 Forms & Support Documentation Loan Information & Verification Form Section 1 - Header Verify lender information Check that your loan has not been sold to another lender All fields MUST be complete, accurate AND match values/dates entered in the on-line application

11 Forms & Support Documentation Loan Information & Verification Form Section 2 Answer all questions – most common error is leaving blanks Work with your lender to resolve unknown or missing data All fields MUST be complete, accurate AND match values/dates entered in the on-line application

12 Forms & Support Documentation Loan Information & Verification Form For Consolidated Loans Answer all questions for THIS consolidated loan. Supply documentation for all loans which were consolidated into this loan Include original loan dates, disbursement amount, current balances, loan types, etc… All loans in the consolidation must have been incurred while enrolled in nursing education When was THIS consolidated loan originated? Amount of THIS consolidated loan? Balance of THIS consolidated loan? X

13 Forms & Support Documentation Employment Verification Form, Page 1 (NOT for Nurse Faculty) Submit to Employer for completion Ensure accuracy and completeness before submitting

14 Forms & Support Documentation Employment Verification Form, Page 2 (NOT for Nurse Faculty) Submit to Employer for completion Ensure accuracy and completeness before submitting Facility type MUST match on-line application

15 Forms & Support Documentation Employment Verification Form Group Practice RN Program Only – NOT Nurse Faculty If you are an advanced nurse practitioners (CRNAs, CNMs, NPs, etc..) employed by a professional group at a qualified CSF: Complete Group Practice section on Page 1 Submit letter from the Group Practice On Letterhead, signed by an authorized representative Stating Full time (32h/45w) at THIS facility Dates AFTER December 21, 2010 If not applicable, please leave blank or enter N/A.

16 Forms & Support Documentation Employment Verification Form Page 2 – Signature Block RN Program Only – NOT Nurse Faculty While these forms are completed by the employer, it is the applicants responsibility to ensure accuracy, completeness and timely submission Ensure ALL fields in the Page 2 signature section are COMPLETE

17 Forms & Support Documentation Employment Verification Form for Nurse Faculty Submit to School for completion Applicant is responsible for ensuring accuracy and completeness before submitting

18 Forms & Support Documentation School Accreditation Status Nurse Faculty Only Verifies the school of nursing you are employed by is a qualified and accredited educational institution

19 Forms & Support Documentation Authorization for Release of Employment Information Authorizes the government to contact your employer for purposes of verifying employment status

20 Forms & Support Documentation Authorization for Release of Information Authorizes the government to release information identifying the applicant for purposes of obtaining the credit, loan and other information relevant to the application

21 Forms & Support Documentation Certification Regarding Debarment, Suspension, Disqualification and Related Matters To enter into a NELRP contract, all applicants must disclose certain information defined on this form. Please read all information carefully Complete ONLY the signature block that correspond to YOUR situation

22 On-Line Application Before you begin: It is HIGHLY RECOMMENDED that applicants gather all required information and complete all required forms and support documentation BEFORE beginning the on- line portion of the application Please review the Application and Program Guidance for a full list of material you will need for the on-line portion of the application. All answers must be complete and accurate. Any omissions, errors or divergence from your submitted forms and support documentation could be cause for disqualification. Do NOT submit the application until you are CERTAIN it is COMPLETE and FINAL – no editing after submission Do submit before the Application Deadline!!

23 Key Components Program Selection RN working in a CSF Nurse Faculty working in an accredited nursing school Account Creation/ID and Password Eligibility Status Relevant Education Qualified Loans Employment Verification On-Line Application

24 On-Line Application Login Page Choose Program NELRP NOT NSP Existing Login OR Register Create Account

25 On-Line Application Registration Page Disclaimer Getting Started Please read!! What you will need Tips Clarification Create Account OR ‘Login’

On-Line Application Registration Page Create a User Account Complete ALL *Fields Establish: -User Name -Password Keep Safe! Validation

On-Line Application Application Start User Policy and Rules of Behavior

On-Line Application Welcome Page Messages Review/Begin Status

On-Line Application Another Disclaimer/Public Burden Statement

On-Line Application Part I. Eligibility Criteria

On-Line Application Part II. Eligibility Criteria Verify eligibility data entered in Part 1. Gender Voluntary Ethnicity/Race Demographic information is for tracking purposes ONLY

On-Line Application Part III. Qualified Education List ALL schools attended for ALL nursing education where a loan was obtained. State and School Name Degrees, Dates and Comments

On-Line Application Part IV. Qualifying Loans Please Read the instructions and follow the Program Guidance All loan forms

On-Line Application Part IV. Qualifying Loans (cont.) Repeat this process for EACH loan you would like considered All loan information MUST match you LIVF

On-Line Application Part V. - Licensure Information Licensing Details Be sure that your license information matches the information your employer provides on the Employment Verification Form

On-Line Application Part V. Curriculum Vitae (CV) CV should document all education and work experience Do not be concerned with formatting errors

On-Line Application Part VI. Employment Information The EVF, as received from your employer, must match the information entered here Same information for Base and NF Programs

On-Line Application Part VII. Certification The final step – Accurate and Complete Attesting to ‘accurate and complete’ to the best of your knowledge. Potential ramifications for intentionally falsifying information DO NOT SUBMIT if you want to return and make any edits or changes

On-Line Application NELRP Receipt of Submission Must be submitted BEFORE the application deadline Print this receipt and save in a safe place

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