Registered Nurse Educational Loan Guidelines

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1 Registered Nurse Educational Loan Guidelines Wellmont enjoys a reputation for its outstanding commitment to the education and professional development of our caregivers. We invite you to apply for educational assistance from a leading healthcare organization committed to delivering superior health care with compassion. Eligibility: To be considered for the Wellmont Health System Registered Nursing School Educational Loan, an applicant: 1. Must be accepted for admission to a full-time registered nurse program and be actively enrolled in a minimum of nine credit hours each semester 2. Must not be receiving scholarship funds or educational loans from any other health care provider 3. Must submit the following: Fully completed Wellmont Health System Educational Loan application Two faculty references o If presently in a nursing program, all references must be from current nursing faculty o If you are a Wellmont Health System employee, one reference source must be from your clinical leader and be completed on the Wellmont Supervisor Evaluation form. Most recent college transcripts must be official school transcript Application essay Next semester s class schedule Your resume FAFSA applicant must submit the Free Application for Federal Student Aid for the academic year if awarded Where to send the application packet: 1. When the application packet is complete, please submit to: Wellmont Health System Nurse Recruiter Amanda Blevins or Linda King Human Resources Wellmont Health System P.O. Box 238 Kingsport, TN You may Fax your information to (423) For more information, please call Amanda Blevins at (423) or Linda King (423) Deadline: All educational loan applications must be received by the Nurse Recruiter by the third week of the new semester. Applications missing required documentation will not be considered.

2 What happens to your application? Your application materials will be reviewed by the Wellmont Health System Nurse recruiters. Only candidates who submit all of the required documents on time will be considered. Applicants will be required to participate in a personal interview with Wellmont s educational loan committee. Educational Loans are determined on a semester-by-semester basis and require the following: 1. Recipient must remain in good standing with Wellmont Health System and the college s nursing program. 2. Recipient must maintain a minimum cumulative GPA of Recipient must maintain continuous enrollment in the nursing education program. Recipient withdrawal or dismissal from the nursing education program terminates the Wellmont Educational Loan award and triggers immediate payback requirements. 4. Recipient s status, schedule, and GPA will be verified at the start of each semester to determine continuation of award. 5. Recipient may be required to submit additional nursing faculty references for each semester of award. Commitment of Award: 1. Recipient must sign the Wellmont Health System Educational Loan Program Service Agreement prior to receiving educational loan funds. (Please read the Agreement carefully before signing and call the nurse recruiters with questions) 2. Recipient is required to graduate from the nursing program, successfully pass the appropriate licensure exam promptly and begin work with the Wellmont Health System within 15 days of securing the nursing license. 3. While it is the intention of Wellmont Health System to employ all recipients of educational loan funds, this is not a guarantee of employment with Wellmont Health System. Repayment of Award: Recipients who do not meet the continuation criteria will lose the educational loan award for the subsequent semester(s) and must meet with the nurse recruiter of the Wellmont Health System to determine the repayment of educational loan funds.

3 WELLMONT HEALTH SYSTEM EDUCATIONAL LOAN APPLICATION ( ) First Name (Please Print) Last Name Phone Address Present Address City State Zip Permanent Address City State Zip College / University Expected Graduation Date Social Security Number Employment Information Current Employer Position How long? Employer s Address City State Zip Have you ever worked for Wellmont Health System? No Yes - dates of employment No Yes Have you ever been convicted of a crime? (Wellmont Health System performs criminal history background checks.) * Are you receiving scholarships/grants/loans from any source? No Yes - please list Please briefly describe your areas of interest and goals upon graduation. Please submit a one page essay explaining why you are a qualified candidate and should be considered for an educational loan. Signature of Applicant Date Semester You may fax this from to attn: Nurse Recruiters. Transcripts must be official. References must be in a sealed envelope. These can be delivered in person to Holston Valley Medical Center Human Resources department or mailed to: Wellmont Health System Human Resources Attn: Nurse Recruiter PO Box 238 Kingsport, TN * Wellmont Health System educational loan program supplements tuition cost not otherwise provided through other forms of financial assistance.

4 FACULTY REFERENCE Dear Nursing School Faculty Member I am submitting an application for a (check one) Nurse Intern Program Nurse Extern Program Educational Loan at Wellmont Health System. Please complete the evaluation below and place the evaluation in the mail to the address at the bottom of this form. Name of Nursing Student (Please Print) Name of School FACULTY EVALUATION Based on your experience with the student in the clinical setting, please evaluate the student on the following items using the scale to the right. WORK SKILLS Very Good Good Average Below Average Top 10% Top 20% 1. Organization of work Technical skills (nursing assistant level) Communication skills ATTITUDES TOWARD WORK 1. Attitude toward learning new skills Attitude to adjust to new situations Integrity PERSONAL QUALITIES 1. Appearance Attendance What are the applicant s major strengths? What areas need further improvement? What is your overall evaluation of this student compared with others at the same level in your program? Faculty Signature School Title Phone Please send the references in a sealed envelope. Wellmont Health System Attn: Nurse Recruiters PO Box 238, Kingsport, TN 37660

5 WELLMONT SUPERVISOR Dear Wellmont Supervisor I am submitting an application for a (check one) Nurse Intern Program Nurse Extern Program Educational Loan at Wellmont Health System. Please complete the evaluation below and place the evaluation in the mail to the address at the bottom of this form. Name of Nursing Student (Please Print) Name of School WELLMONT SUPERVISOR EVALUATION Based on your experience with the student in the clinical setting, please evaluate the student on the following items using the scale to the right. WORK SKILLS Very Good Good Average Below Average Top 10% Top 20% 4. Organization of work Technical skills (nursing assistant level) Communication skills ATTITUDES TOWARD WORK 4. Attitude toward learning new skills Attitude to adjust to new situations Integrity PERSONAL QUALITIES 3. Appearance Attendance What are the applicant s major strengths? What areas need further improvement? What is your overall evaluation of this student compared with others performing in the same position? Wellmont Supervisor Signature Facility Title Phone Please send the references in a sealed envelope. Wellmont Health System Attn: Nurse Recruiters PO Box 238, Kingsport, TN 37660

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