|
|
  |
 |
  |
Nurse Faculty Loan Program
Guidance
IV. Application and Submission Information
1. Address to Request Application
Package
Application Materials
Applicants may download a copy of the 2008 NFLP application
material.
2. Content and Form of Application Submission
Application Format Guidelines
Compliance with the following instructions supports
consistent formatting from all applicants. An applicant’s
failure to comply with these instructions may jeopardize
the review of their application.
- Applications must be submitted in English and
typed on 8 ½ x 11-inch plain white paper.
- Applications must not exceed 30 pages
including program summary, agreement and appendices.
Applications that exceed the page limit
will be deemed non-compliant. All non-compliant
applications will be returned to the applicant without
further consideration.
- Margins must be at least one (1) inch at the
top, bottom, right and left of the paper.
- The text portion of the application
must be submitted in 12 point Arial or 12 point
Times New Roman font, and single line spacing. (See
examples below)
- This
is an example of 12-point Times New Roman
font and single line spacing; this document
uses the 12 point Times New Roman font.
- This
is an example of 12-point Arial font and single
line spacing. Please note that print size
cannot be smaller than these examples.
|
- Size and type standards apply only to the sections
of the application normally prepared by applicants.
Applicants will not be held responsible for items
prepared by entities over which it has no control
(e.g., letters of recommendation and support, biographical
sketches, and attachments).
- The application must be numbered sequentially
from page 1 (face page) to the end of the application,
including the attachments. Pages must be numbered
using whole numbers only; use of alphas or decimals
such as 3A or 3.1, etc are not acceptable.
- Pages must be one-sided.
- All application materials should be prepared in
black and white.
Application Format
i. Application Face Page
Applicants must use the SF-424 R&R application
face page to provide required applicant information.
Please read and follow the instructions for completing
this form carefully. Some fields are pre-filled and
should not be changed. Some fields are not applicable
and should not be completed. Only provide information
for the fields that we have provided instructions
to complete. Please print, sign and date the
completed form (pages 3 and 4 only). The
completed SF-424 R& R must be submitted with all
other application components.
The SF-424 R&R form is available for download
at the top of this page. You may need to download
the latest version of Adobe Reader in order to complete
the fillable SF 424 R&R. Visit
the Adobe Reader Web site for the free downloadable
version of Adobe reader.
INSTRUCTIONS FOR COMPLETING THE SF-424 R&R
Field |
Instructions
|
1. |
Type of
Submission: PRE-FILLED |
2. |
Date Submitted:
Enter the date the application is
submitted to the Federal agency. |
3. |
Date Received
by State: NOT APPLICABLE |
4. |
Federal
Identifier: New Project Applications
should leave this field blank. Existing/Renewal
applicants should enter the OPSID number previously
assigned, located on the Notice of Award. |
5. |
Applicant
Information: All items in bold are
required fields and must be completed.
- Organization’s DUNS Number
(received from Dun and Bradstreet): Enter
the organization’s DUNS Number
- Legal Name of Institution:
Enter the legal name of the Institution.
- Enter the Department and/or Division
of the Business Office Official: Enter
the Department/Division of the person in the
Financial Aid Office responsible for administering
the NFLP.
- Enter the Complete Address of the
Business Office Official: Enter the
Street Address (mailing address), City, County
and State, Zip Code and Country where your
organization is located.
Person to be Contacted on Matters Involving
the Application: This is the Business
Office Official – the financial aid office
coordinator responsible for administering the
NFLP.
- Enter the Prefix, First Name, Middle Name
and Last Name and Suffix (i.e. Credentials)
of the person to be contacted on matters relating
to this application.
- Enter the Phone and Fax number as well
as the E-MAIL address of this person. These
are all required fields.
|
6. |
Employer
Identification (EIN)/(TIN):
Enter the 9 Digit Employer Identification Number
as Assigned by the Internal Revenue Services.
|
7. |
Type of
Applicant: Select the appropriate
letter from one of the following:
A. State Controlled Institution of Higher
Education
B. Private Institution of Higher Education
|
8. |
Type of
Application: Select the Type from the
following list :
- New – A new assistance
award
- Renewal – An application
for a competing continuation – this is a request
for an extension for an additional project
period.
|
9. |
Name of
Federal Agency: PRE-FILLED |
10. |
Catalogue
of Federal Domestic Assistance Number (CFDA):
PRE-FILLED |
11. |
Descriptive
Title of Applicant's Project: PRE-FILLED
|
12. |
Areas Affected
by Project: List only the largest
political Entities affected by the project (
ex. states, counties, cities) |
13. |
Proposed
Project Start Date/Ending Date: PRE-FILLED
|
14. |
Congressional
District Applicant and Congressional District
Project: Enter your Congressional District(s)
in Applicant Field. Enter the Congressional
District (s) of Project, the primary site where
the project will be performed. To find your
Congressional District(s) vist the Government
Printing Office Web site. |
15. |
Project
Director/Principal Investigator Contact Information:
All items in bold are required fields
and must be completed.
- Enter the Prefix, First Name, Middle
Name and Last Name and Suffix (i.e.
Credentials) of the Project Director/Principle
Investigator (PD/PI) for the project.
- Enter the Title of the
PD/PI and the name of the organization
of the PD/PI. Enter the name of the primary
organization Department and
Division of the PD/PI.
- In Street 1 enter the
first line of the street address of the PD/PI
for the project. In Street2
enter the second line of the street address
for the PD/PI, if applicable.
- Enter the City, County
and State, Zip Code and Country
of the PD/PI.
- Enter the Phone and Fax
number as well as the E-MAIL
address of this person. These are
all required fields.
|
16. |
Estimated
Project Funding:
a. Total Estimated Project Funding:
NOT APPLICABLE
b. Total Federal and Non-Federal Funds:
NOT APPLICABLE
c. Estimated Program
Income: NOT APPLICABLE |
17. |
Is Application
Subject to Review by State Executive Order 12372
Process: PRE-FILLED |
18. |
Complete
Certification:
Check the “I agree” box to attest to
acceptance of required certifications, assurances
and other requirements included in this application
as part of the NFLP Agreement (Attachment
1, Section J) . |
19. |
Authorized
Representative (Authorizing Official):
This is the person who has the authority to
sign the application for the organization).
All items in bold are required fields and must
be completed.
- Enter the name of Authorized Representative/Authorizing
Official.
- Enter the Prefix, First Name, Middle
Name and Last Name and Suffix (i.e.
Credentials) of the Authorized Representative
(AR) or Authorizing Official (AO).
- Enter the Title of the
Authorized Representative and the organization
of the AR/AO.
- Enter the name of the primary organization
Department and Division
of the AO.
- In Street1 enter the first
line of the street address of the AR/AO for
the project. In Street2 enter
the second line of the street address for
the AR/AO, if applicable.
- Enter the City, County
and State, Zip Code and Country
of the AR/AO.
- Enter the Phone and Fax
number as well as the E-MAIL
address of AR/AO this person. These
are all required fields.
Signature of Authorized Representative
and Date Signed: Provide original signature
and date.
|
20. |
Pre-application:
NOT APPLICABLE |
IMPORTANT
NOTE: Do not complete any pages or
fields for the remaining parts of the form.
|
DUNS Number
All applicant organizations are required
to have a Data Universal Numbering System (DUNS) number
in order to apply for an award from the Federal Government.
The DUNS number is a unique nine-character identification
number provided by the commercial company, Dun and
Bradstreet. There is no charge to obtain a DUNS number.
Information about obtaining a DUNS number can be found
at HRSA
Grants or call 1-866-705-5711. Please include
the DUNS number in item 5 on the application face
page. Applications will not be processed
without a DUNS number.
Additionally, the applicant organization is required
to register with the Federal Government’s Central
Contractor Registry (CCR) in order to do electronic
business with the Federal Government. Information
about registering with the CCR can be found at HRSA
Grants.
ii. Table of Contents
2007
Nurse Faculty Loan Program
Table of Contents
Application Face Page (SF-424 R&R)...............................1
Table of Contents...........................................................2
Program Abstract............................................................3
Program Narrative............................................................4
Attachment 1 - 2008 NFLP Agreement
Attachment 2 - NFLP Program Summary
Attachment 3 - Documentation of Accreditation/Approvals
Attachment 4 - Letter from the Department
of Education, if applicable
Attachment 5 - Documentation of Collaborative
Arrangement, if applicable
Application 6– Application Checklist |
iii. Application Checklist
The NFLP application checklist must be completed
and submitted to complete the content of the application
and is included in this application guidance as ATTACHMENT
6.
iv. Budget
The NFLP is a formula-based program that does not
require a budget submission.
v. Budget Justification
The NFLP is a formula-based program that does not
require a budget submission.
vi. Staffing Plan and Personnel Requirements
The SF-424 R&R application face page must identify
the key personnel responsible for the proposed project.
Under the NLFP, the project director (school of nursing
coordinator), the business office official (financial
aid office coordinator), and the authorized representative/official
at the institution are considered key personnel. Applicants
may refer to Section III of this application guidance
for additional information regarding the role of key
personnel.
vii. Assurances
The assurances for the NFLP are included in the application
guidance as part of the 2008 NFLP agreement referenced
in section xii below (ATTACHMENT 1,
Section J). The official of the applicant
school accepts, as Federal funds are allocated and
paid as a result of this application, the obligation
to comply with the applicable Federal non-discrimination
and assurances. Signing of the application face page
and the NFLP agreement indicates acceptance of these
assurances.
viii. Certifications and Other Requirements
The certifications and other requirements for the
NFLP are included in the application guidance as part
of the 2008 NFLP Agreement referenced in section xii
below (ATTACHMENT 1, Section
J). The official of the applicant school accepts,
as Federal funds are allocated and paid as a result
of this application, the obligation to comply with
the applicable Federal certifications and other requirements.
Signing of the application face page and the NFLP
agreement indicates acceptance of these certifications
and other requirements.
ix. Project Abstract
The application must provide a summary of the proposed
project. The project abstract is often distributed
to provide information to the public and Congress.
It must include a brief description of the proposed
project including the eligible nursing education program(s)
of study that will prepare qualified nurse faculty,
the current and/or projected number of master’s
and doctoral NFLP student participants, and the number
of NFLP graduates employed as nurse faculty. Please
prepare the abstract so that it is clear, accurate,
concise, and without reference to other parts of the
application.
The project abstract must be single-spaced and limited
to one page in length. The project abstract must be
submitted to complete the content of the application.
Please place the following information at the top
of the abstract:
- Project Title (Indicate Nurse Faculty Loan
Program)
- School of Nursing Coordinator/Project Director
(Full Name & Credentials)
- Applicant Institution Name
- Address
- Contact Phone Numbers (Voice, Fax)
- E-Mail Address
x. Program Narrative
The program narrative must be submitted to complete
the content of the application. Use the following
section headers for the Narrative:
- INTRODUCTION
This section should briefly describe the proposed
project. Provide an overview of
the master’s and/or doctoral nursing education
program(s) that prepares nurse faculty and how the
specific education component(s) offered will qualify
students for their role as nurse faculty.
Include evidence of the graduate nursing program
accreditation status (National League of Nursing
and/or Commission on Collegiate Nursing Education,
American College of Nurse-Midwives, American Association
of Nurse Anesthetists’ Council on Accreditation
of Nurse Anesthesia Educational Programs). Accreditation
information should include the accrediting body,
accreditation status and expiration date. Applicants
must submit a copy of the accreditation letter with
the application as ATTACHMENT 3.
For new programs (i.e., new master’s and doctoral
programs, new tracks/specialties), applicants must
provide documentation of all approvals needed to
initiate the program and enroll students, including
those approvals needed for new courses and programs
of study. Identify all steps in the approval process
(i.e., copy of letter or meeting minutes from –
Nursing Faculty Committee, Institutional Committees/Boards,
State bodies, National Professional Associations).
Include documentation as part of ATTACHMENT
3.
The education component may be offered through the
school of nursing or another entity within the University
or College; however, the terminal degree must be
in nursing. The school may offer the education component
for graduate credit through a formal collaboration
with another campus or University. Describe any
collaborative arrangements. Documentation of any
formal collaborative arrangement should be included
with the application as ATTACHMENT 5.
- NEEDS ASSESSMENT
This section outlines the needs of your community
and/or organization. Describe the local, state and
regional demand for nurse faculty (i.e., vacancy
rates). Specify the number of full-time and part-time
students interested in participating in the NFLP
at your school. Describe the level of NFLP student
participation at your school and whether the program
is expected to expand.
Specify the number of NFLP loan recipients that
received funding in the past academic year (continuing
students) who are committed for support in the upcoming
academic year and the number of new students (never
received NFLP support) projected to request NFLP
support in the upcoming academic year.
- METHODOLOGY
Not applicable to the NFLP.
- WORK PLAN
This section should identify the nurse educator
competencies to be achieved upon completion of the
program.
The competencies assume that a nurse educator is
a skilled health care provider who meets professional
nursing standards and has graduate nursing preparation
to assume a role as a qualified nursing faculty
in a clinical and/or classroom environment. For
example, graduates should be able to apply pedagogically
appropriate teaching strategies through the development
of curriculum designs for both classroom and clinical
instruction; and be able to create effective methods
for evaluation of student learning outcomes. These
competencies can be met through didactic coursework,
experiential learning and/or a mentored practicum
in teaching.
1. Plan of Study
Provide the sample plan of study for full-time students
and the plan of study for part-time students (3-year
and 5-year plan and as appropriate for the doctoral
program). Applicants should clearly describe how
the part-time plan of study will enable the part-time
student to progress through the program requirements
(including the education components) within the
timeframe proposed by the plan of study. Please
give the statute of limitation for a master’s
and/or doctoral degree program.
IMPORTANT NOTE: Students who
participate in NFLP are required to complete the
education component prior to graduation from the
nursing education program; otherwise the borrower
will be responsible for repayment of the NFLP
loan.
Include the following information for each semester/quarter:
course number and title, number of credits, number
of clinical and didactic hours, and any distance
learning methods used. Specifically identify the
total number of clinical clock hours and didactic
clock hours in the curriculum for each specialty
for which support is requested.
Provide the school’s definition of full-time
and part-time graduate study (i.e., school’s
full-time-equivalent definition).
2. Education Component(s)
Describe the education component(s) that will
prepare students to become nurse faculty. The
component may consist of an education course(s)
or a mentored teaching practicum identified within
the curriculum and may be offered through a wide
range of teaching methods, including distance
learning. Provide the following information
on each education component (didactic and practicum):
course title and catalog number, whether the education
component is offered for both the master’s
and/or doctoral programs, objectives, topical
outline, teaching-learning methods, the number
of credits hours, and specify whether it is required
or elective.
Use the following format to describe each
education component:
Course Title and Number:
- Specify Master’s and/or Doctoral Offering
- Number of Credit Hours
- Practicum Hours, if applicable
- Specify whether the course is required or elective
for NFLP recipients
Course Objective and Competencies Addressed:
Course Outline:
Teaching/Learning Methods:
- RESOLUTION OF CHALLENGES
Describe any challenges related to maintaining or
expanding the current level of participation in
the NFLP, the challenges related to NFLP graduates
establishing full-time employment as nurse faculty,
and approaches that will be used in resolving such
challenges. Existing NFLP schools that have a significant
unused accumulation (cash balance) should address
the challenges related to expending these funds.
- EVALUATION AND TECHNICAL SUPPORT CAPACITY
Describe the capacity for administering the program
at your school. Describe the staff responsible for
recruitment, student orientation, program monitoring,
and completion and submission of reports.
Provide specific information on how the student
will be oriented on the program participation guidelines
and requirements; and identify the person responsible
for advising the student on the enrollment and employment
requirements and the cancellation provision.
- ORGANIZATIONAL INFORMATION
Provide information on the applicant’s (Department,
College and/or School of Nursing) current mission
and structure, scope of current activities, an organizational
chart, and describe how these contribute to the
ability of the organization to conduct the program
requirements and meet program expectations.
Describe the institutional resources (systems,
office/divisions, external service agency) that
will be used to manage the collection, repayment,
monitoring, and tracking of graduates’ employment.
xi. Program Specific Attachments
The school must enter into a yearly agreement with
HHS to establish and operate a NFLP fund according
to the terms and conditions for participating in the
NFLP. The original signature of the signed 2008
NFLP Agreement must be submitted to complete
the content of the application and included in this
application guidance as ATTACHMENT 1.
The 2008 NFLP Agreement must be signed by
the Authorized Official at the institution.
All applicants must address the information requested
in the NFLP Program Summary to be
considered for funding. The NFLP Program Summary must
be submitted to complete the content of the application
and included in this application guidance as ATTACHMENT
2.
All applicants must complete the NFLP Application
Checklist to complete the content of the
application and included in this application guidance
as ATTACHMENT 6.
xii. Attachments
In addition to the program specific attachments above,
applicants must provide the following items as attachments
(if applicable) to complete the content of the application.
Please note that these are supplementary in nature,
and are not intended to be a continuation of the project
narrative.
ATTACHMENT 1 – 2008 NFLP Agreement
ATTACHMENT 2 – NFLP Program Summary
ATTACHMENT 3 – Accreditation Documentation/Approvals
ATTACHMENT 4 – Letter from the Department
of Education (if applicable)
ATTACHMENT 5 – Documentation of Collaborative
Arrangement (if applicable)
ATTACHMENT 6 – NFLP Application Checklist
3. Application Due Dates and Times
Notification of Intent to Apply
This does not apply to the NFLP.
Application Due Date
Applications MUST BE POSTMARKED by May 13,
2008 by 8:00 P.M. E.T. Applications will
be considered as meeting the deadline if they are
either (1) received on or before the deadline date;
or (2) postmarked on or before the deadline date and
received in time for orderly processing. A legibly
dated receipt from a commercial carrier or U.S. Postal
Service will be accepted in lieu of a postmark. Private
metered postmarks shall not be accepted as proof of
timely mailing. Late applications will not be accepted
for processing and will be returned to the applicant.
Late Applications
Applications that do not meet the criteria above
are considered late applications. HRSA shall notify
each late applicant that its application will not
be considered in the current application cycle.
The Chief Grants Management Officer (CGMO) or designee
may authorize an extension of published deadlines
when justified by circumstances such as acts of God
(e.g. floods or hurricanes), widespread disruptions
of mail service, or other disruptions of services,
such as a prolonged blackout. The authorizing official
will determine the affected geographical area(s).
Submission of Application Material
Applicants should mail or deliver the completed and
signed original of the application to the address
below.
Division of Nursing (NFLP)
Bureau of Health Professions
Health Resources and Services Administration
Department of Health and Human Services
Parklawn Building, Room 9-36
5600 Fishers Lane
Rockville, MD 20857
4. Intergovernmental Review
The provisions of Executive Order 12372, as implemented
by 45 CFR 100, do not apply to the NFLP.
5. Funding Restrictions
NFLP applicants responding to this announcement may
request funding for the 2008-2009
academic year to support NFLP loan recipients enrolled
full-time or part-time in an eligible program that
will prepare students to become qualified nursing
faculty. Applicants that currently participate in
the NFLP and request support for continuing NFLP loan
recipients will be funded ahead of new NFLP applicants.
IMPORTANT NOTE: NFLP funds are allocated
to award existing NFLP schools with continuing students
first. The remaining funds are used to award additional
new students at existing NFLP schools and/or new applicant
schools until funds are expended. In FY 2007, limited
funds were available to new students and new applicant
schools requesting NFLP support.
6. Other Submission Requirements
Please understand that we will not consider additional
information and/or materials submitted after your
initial application. You must therefore ensure that
all materials are submitted together.
We will not accept submission or
re-submission of incomplete, rejected, or otherwise
delayed applications after the deadline.
|
 |
 |
 |
More Information for Applicants
|
 |
| |
Applications due May
13, 2008
Program guidance
(PDF - 662KB)
Application
form SF 424 R&R-NFLP (Fillable PDF - 203KB)
Exhibit
Forms (Word - 398KB)
Program
Specific Attachments (Word - 176KB)
Applications submitted on paper (no on-line submissions) to:
Division of Nursing (NFLP)
Bureau of Health Professions
Health Resources and Services Administration
Parklawn Building, Room 9-36
5600 Fishers Lane
Rockville , MD 20857
|
|
|
|
|