Nursing Scholarship Program

Applicant Information Bulletin: School Year 2009-2010
NSP Checklist for Completing the Application

Printer Friendly - Checklist (PDF - 210 KB)

The first item listed below must be completed by all applicants, regardless of funding preference.  The remaining items must be submitted only by first funding preference applicants.   Except as otherwise noted below, the documents must be received by the NSP or be postmarked by the May 14, 2009, deadline.

1. Online Application (submitted electronically by 5:00 p.m. ET on May 14, 2009)- Be sure to submit your application by the due date.  
2. Scholarship contract - Signed in ink, and dated. Sign on each line for each school year you are requesting support.    
3. Authorization to Release Information Letter - Be sure to complete and sign the authorization letter. 
4. Verification of Acceptance/Good Standing Report and Data Collection Worksheet – Must be completed by school official and include school seal or stamp.  If there are contingencies to acceptance  noted on the Verification of Acceptance/Good Standing Report, documentation that the contingencies have been met must be provided.
5. Proof of Citizenship - Each applicant is required to submit evidence of your U.S. citizenship or status as a U.S. National (e.g., a copy of a birth certificate, a certificate of citizenship, passport or naturalization certificate).
6. Online BCRSIS Banking Information - (submitted electronically by 5:00 p.m. ET on May 14,, 2009).  Submit banking information electronically through BCRSIS.
7. BCRSIS Receipt of Submission – Be sure to print a copy of the completed “BCRSIS Receipt of Submission” by 5:00 p.m. ET and submit with supporting documents.  If you are unable to print a copy of the “BCRSIS Receipt of Submission”, please complete the following 2 steps: (1) Contact the HRSA Call Center to log a help-ticket toll-free at 1-800-221-9393 (TTY: 1-877-897-9910), Monday-Friday (except Federal Holidays), 9:00 a.m. to 5:30 p.m. ET; and (2) Complete the Banking Update Form ( PDF - 112 KB).  The completed form must be received or postmarked by May 14, 2009.  Please mail the completed form to: Division of Applications and Awards, Scholarship Branch, 5600 Fishers Lane, Room 8-37, Rockville, MD 20857.
8. Power-of-Attorney - This document must be submitted if you are submitting an application on behalf of another person.
9. Tuition and Fees Schedule for 2009-2010 School Year - A copy of your school’s 2009-2010 tuition/fees schedule or most recent tuition/fees schedule.
10. Student Aid Report (SAR) – This is obtained when you submit the Department of Education’s Free Application for Federal Student Aid (FAFSA).  Please note that it takes a minimum of 2 weeks to receive the official SAR.
11. Form W-4 – Completed and submitted for appropriate tax deductions by 5:00 p.m. ET on May 14, 2009, and a copy of the Form W-4 must be received or postmarked by May 14, 2009.
12. Letter, on business letterhead, from entity to which existing service obligation is owed (if applicable) indicating the date the service obligation will be complete.
13. Certification Regarding Debarment, Suspension, Disqualification and Related Matters Form