ARMY NURSE CORPS ASSOCIATION SCHOLARSHIP PROGRAM PO Box 458 LISBON, MD 21765-0458 2015 SCHOLARSHIP PROGRAM GUIDELINES HISTORY OF THE ARMY NURSE CORPS ASSOCIATION In 1976, a group of retired Army Nurse Corps officers expressed their desire to continue the camaraderie and close ties of the Army Nurse Corps in retired life and to establish a means of communication by, for and about Army nurses. The Retired Army Nurse Corps Association (RANCA) emerged and was incorporated in 1977. In 2000, the name was changed to the Army Nurse Corps Association (ANCA) to better reflect the membership composition. Membership is comprised of Army Nurse Corps officers from the Active Army, Army National Guard or Army Reserve. They may be currently serving, retired or honorably discharged from one of these components. In accordance with our stated purpose, the association promotes literary, educational, research, charitable and artistic endeavors. One of these is the Army Nurse Corps Association Scholarship Program. All funds to support the scholarship program are contributed or bequeathed to the ANCA Education Fund by others. ARMY NURSE CORPS ASSOCIATION SCHOLARSHIP PROGRAM The purpose of this program is to provide $3,000.00 scholarships to nursing students who are enrolled in colleges and universities, hereafter referred to as schools, with accredited baccalaureate and graduate nursing/nurse anesthesia programs. These may include generic Bachelor of Science in Nursing (BSN), RN to BSN, accelerated nursing degree programs, Master s degree in Nursing (MSN) or anesthesia and doctoral programs in nursing. 1. Basic application eligibility criteria include: a. Students currently enrolled in baccalaureate or advanced degree nursing or anesthesia programs who have previously served at any rank in any component of the Active Army, Army National Guard or Army Reserve. b. Students currently enrolled in baccalaureate or advanced degree nursing or anesthesia programs whose parent(s), spouse, or children is/are serving or have served in the Active Army, Army National Guard or Army Reserve. 2. Those ineligible to apply for an ANCA Scholarship include: a. Students receiving financial support for educational endeavors through military programs sponsored by the U.S. Army, Army National Guard, Army Reserve or other military programs. b. Students receiving full benefits from any of the GI Bill programs (Montgomery, Post 9/11, sponsored by the US Army, Army National Guard, Army Reserve or other military services, MGIB-SR, REAP and /or VEAP). Those receiving less than full GI Bill program monies for education may be eligible. Such an applicant must clearly outline the scope of benefits (period of eligibility, projected financial payment amounts, usage restrictions, etc.) in the
Current and Projected Financial Sources section of the application. c. ROTC scholarship recipients. (NOTE: ROTC program students who are not receiving an ROTC Scholarship are eligible to apply.) 3. Other important information regarding eligibility. a. Appeal of application eligibility. An individual who believes he/she should be eligible to apply for a scholarship may submit an application, with supporting documentation, to be reviewed by the Education Committee for eligibility determination prior to being considered during the scholarship selection process. The request for consideration should be initiated well before the application deadline date. b. Funding of Part-Time School Attendance. Students attending school part-time are eligible to apply; funds will be distributed by the school to the student only when the student is actively participating in educational endeavors. c. Prior ANCA Scholarship Recipients. 1) Receipt of an ANCA scholarship in the past does not preclude an applicant from receiving a scholarship in subsequent years. However, it is expected the personal statement, as well as any endorsements/recommendations from those who had submitted such in support of an applicant s previous year s submission, will be rewritten to reflect current circumstances, progress in the present program, etc. Copies of previously submitted items are not acceptable. 2) Include year(s) of prior award(s) and amount of each award in the application where indicated. Instructions for completing the application, along with required documentation are described in the Application for ANCA Scholarship. All required documents supporting the application must be received by March 31, 2015. Students are encouraged to submit applications prior to the deadline in case further clarification or additional documentation needs to be obtained by ANCA Education Committee members. The Army Nurse Corps Association Scholarship Program is not a U.S. Army, Army Nurse Corps or Reserve Officer Training Corps sponsored program. ANCA does not have an official affiliation with the U.S. Army or the Army Nurse Corps and there is not a military service obligation incurred by the student who receives scholarship funds through this program. Students with questions concerning service in one of the components of the U.S. Army should contact Army recruiting personnel or the school s Army Military Science Department. This is a highly competitive scholarship program. The applicant will be represented only by information contained in the application and supporting documentation. Please carefully review all required material prior to submitting your application. Previous editions of the application are obsolete and will not be accepted. Applications may be printed or typed. 2015 ARMY NURSE CORPS ASSOCIATION SCHOLARSHIP APPLICATION 2
APPLICATION CHECKLIST Please include this checklist with your application This checklist is provided for you to ensure that your application is complete. Prior to forwarding your application, be sure the following documents are included or arrangements have been made for them to be incorporated into your application: Army Nurse Corps Association Scholarship Application (pages 4-8 ) Signature included on Certification Statement (page 8) Recommendation letter from the Academic Advisor or Dean, School of Nursing/School of Nurse Anesthesia (page 9) Letter is included Arrangements have been made to send directly to ANCA School Financial Information Form (page 11) Included Arrangements have been made to send directly to ANCA Official College Transcripts (page9) Included Arrangements have been made to send directly to ANCA; Anticipate transcripts from (specify name and address of schools): Prior or present military service documents (page 9) Letter(s) of Recommendation, as desired (page 10) Letter is included Arrangements have been made to send directly to ANCA; Anticipate letters of recommendation from (specify name(s)): Photograph, if desired (If selected for a scholarship, a photograph will be required.) (page 10) Comments: 3
Sections I & II: Applicant Information & Qualification Category I. Name & Current Mailing Address: (If you are in a temporary living arrangement, e.g., apartment or dormitory at school, and may not be at the listed address in the coming year, you must alsoinclude an alternative contact address.) Other Applicant Contact Information: E-Mail: (If you are using a temporary or school email address, you must also include an alternative email address.): Telephone: Optional (For Statistical Purposes Only) Gender (Circle One) M F Ethnicity: II. Qualifications Category (Check as applicable) (Comment as Needed) I am currently enrolled in an accredited baccalaureate or advanced degree nursing or nurse anesthesia program and am serving or have previously served in a branch, at any rank, of a component of the US Army (Active Army, Army National Guard and/or Army Reserve. I am not currently receiving funding by any component of the US Army, e.g., scholarship ROTC student or student receiving full GI Bill benefits. As applicable, I have received an honorable discharge (as noted on a submitted DD214 or comparable qualified document) from the component. OR I am a nursing or anesthesia student whose spouse, parent, or child is serving or has served in a component of the US Army. Previous ANCA Scholarship Winner (Check one) Yes No Date and amount of each award: Current GPA (consistent with submitted transcripts): 4
2015 ARMY NURSE CORPS ASSOCIATION SCHOLARSHIP APPLICATION Section III: School Information Name & Address of School (Include applicable Department or Program (e.g., Nursing or Education): Nursing Program accredited by: Degree Sought/Program of Study: Expected Graduation Date (Month/Year): Academic Advisor Information (Name, Address, E-Mail, Telephone): 5
2015 ARMY NURSE CORPS ASSOCIATION SCHOLARSHIP APPLICATION Scholastic, Academic or Military Honors: SECTION IV: TELL US ABOUT YOURSELF (In the space provided) Society, Organization, and/or Volunteer Activities: Interests and Hobbies: Current and Projected Financial Support Sources: Scholarships, GI Bill benefits, etc. Do not include personal or other family financial support. Summarize actual costs of the program for the scholarship period and the total amount of funding anticipated from other sources from the same academic year. Personal Statement (Use the space provided on the next page or attach a separate document. It may be hand written or typed): This section is an extremely important part of the application and should be prepared carefully and legibly. Present any information you would like the Education Committee to consider. Emphasize professional career objectives and reasons for applying for the ANCA scholarship, e.g., need, special considerations. Advise the committee of your personal and academic interests and why you are pursuing a nursing career. Address any prior or current service with the 6
U.S. Army, Army National Guard or Army Reserve including prior or current ROTC experience. Speak specifically to how the Army has impacted or is impacting your life and professional aspirations. PERSONAL STATEMENT 7
CERTIFICATION STATEMENT The information contained in this application is true and correct. I understand I am under no obligation to serve in a component of the US Army as a result of selection. If necessary, ANCA may contact the appropriate agency(s) to verify any or all of the information submitted with this application. If I am selected to receive an ANCA Scholarship, I agree to provide a photograph or myself and realize that my name and contact information may be shared with the U.S. Army nurse recruiting personnel and my name and photograph may be used in ANCA publications and on the ANCA website. I have provided an alternative contact address for future communication from ANCA to me. Student Signature Date 8
2015 ARMY NURSE CORPS ASSOCIATION SCHOLARSHIP APPLICATION SECTION V: INSTRUCTIONS FOR OTHER DOCUMENTS e.g., Recommendations and Other Information NOTE: Any of the material indicated as *Required must arrive before the application deadline of March 31, 2015 or the application will be considered incomplete and will not be reviewed by the ANCA Education Committee Letter of Recommendation from Academic Advisor/Dean, School of Nursing or Nurse Anesthesia Program (*Required) The letter of recommendation should outlined the applicant s degree program and discuss the applicants current status and progress toward degree completion. If forwarded separately from the student s application, the letter should be addressed to Army Nurse Corps Association Scholarship Program, PO Box 458, Lisbon, MD 21765. The applicant should indicate on the Application Checklist that the letter is being sent separately. School Financial Information Form (*Required) ANCA does not disburse scholarship funds directly to the student. A scholarship recipient s monies will be sent in a one-time check to the person and office designated in the application for the recipient s use in defraying direct education costs. Applications must include the School Financial Information Form (Section VI) completed and authenticated by the school. It reflects who should receive the scholarship funds and details how the scholarship funds will be managed. If forwarded separately from the student s application, the School Financial Information Form should be mailed to Army Nurse Corps Association, Scholarship Program, PO Box 458, Lisbon, MD 21765. An annotation that the form is being sent separately should be made on the Application Checklist (page 3). College Transcripts (*Required) Official college transcripts are required to demonstrate academic ability andsuccessful progress within the applicant s current program. Credits or degrees obtained at other schools in order to enroll in the current academic program are usually reflected in the current school s transcript. If not, transcripts reflecting performance in these courses or the attaining a prerequisite degree must be included with the application. Unofficial transcripts obtained by the student are not acceptable. Graduate students must include an official transcript documenting their last nursing degree. Official transcripts may be forwarded by the student with the application. If required by school policy, transcripts may be sent by the school directly to the Army Nurse Corps Association Scholarship Program, PO Box 458, Lisbon, MD 21765. The applicant should indicate on the Application Checklist whether transcripts are enclosed with the application or being sent separately. Previous or Current U.S. Army Service (*Required) If you previously served in some capacity in a component of the U.S. Army, please include 9
documentation (i.e., DD Form 214 or other qualified documents) to substantiate this service. An individual currently in service must include either an Officer Record Brief orenlisted Record Brief, as applicable. If your eligibility to apply is based on current or previous service of a parent, spouse, or child in the Active Army, Army National Guard or Army Reserve, documentation to substantiate this service must be included in the application. This can be military orders, DD Form 214, or other qualified documents attesting to the fact that the individual is serving or has served. Please provide documentation of any name changes. Additional Letters of Recommendation (Optional) Other letters of recommendation or information deemed to enhance the application should be current. If you are a former ANCA scholarship recipient, please have any previously used reference rewrite the recommendation to reflect your current situation. Any affiliations with ROTC or other components of the Active Army, Army National Guard and/or Army Reserve should be addressed whenever possible through letters from leaders of these departments, units, and/or organizations. Please indicate on the Application Checklist if recommendations are being included or sent separately to the Army Nurse Corps Association Scholarship Program, PO Box 458, Lisbon, MD 21765. Photograph (Optional) A photograph is not required until you are notified of your selection to receive an ANCA Scholarship. If you desire to enclose a photograph with the application, it should be suitable for possible publication in the ANCA documents. 10
2015 ARMY NURSE CORPS ASSOCIATION SCHOLARSHIP APPLICATION SECTION VI: SCHOOL FINANCIAL INFORMATION FORM This document is to be completed by the school. It will provide information about the general management of the student s Army Nurse Corps Association (ANCA) scholarship funds. If the student is selected, the scholarship funds will be sent in the student s name to the appropriate department at the school as indicated on this form. This form should be included in the student s application or sent directly to Army Nurse Corps Association Scholarship Program, PO Box 458, Lisbon, MD 21765-045. The student should annotate the Application Checklist to reflect whether this document is enclosed with the applications or will arrive separately. It is due by March 31, 2015. If further information is needed, please e-mail ANCA at education@e-anca.org. Name of Student: The responsible department at the school is: How will the scholarship funds be managed? Under IRS provisions, ANCA Scholarship Funds can only be used for tuition, fees, and course-related expenses (books, supplies and required equipment). Please indicate how the school will manage the scholarship funds and outline allowed usages. Pay to the Order of If the student is selected for a scholarship, what information is required in the Pay to the Order of section of the check? (Please clearly print or type): School Financial Contact Information. If selected, the student s check is to be mailed to the attention of the following: Name: Position: Contact Information (Mailing Address; Email; Telephone): 11
Authorized Department Signature 2015 ARMY NURSE CORPS ASSOCIATION SCHOLARSHIP APPLICATION SECTION VII: APPLICATION DUE DATE A complete application must be received by 31 March 2015 This date is firm unless changed by the ANCA Board of Directors. Extensions will not be granted. Applicants should take into consideration the time necessary for documents to reach ANCA by the deadline. If the applicant is selected by the ANCA Education Committee, written notification will be sent to the student, his/her academic advisor/dean, and the department designated by the school to be responsible for the scholarship funds. Notification will be sent within 4 to 6 weeks after the application deadline. Please be sure that ANCA has current addresses to contact the applicant and the school. SECTION VIII: MISCELLANEOUS INFORMATION Questions about the Application Process Questions concerning the application process should be sent via email at education@eanca.org or the contact us form on the ANCA Scholarship web page, e-anca.org/ancaeduc.htm. Army Recruiters and/or ROTC Detachments may not have specific information about this program; therefore, you should address your questions directly to the Army Nurse Corps Association. Applicant Name Variation Any applicant name variations in documents submitted should be explained and substantiated as necessary for clarity. Sending the Application to the Army Nurse Corps Association All correspondence must be sent to the postal or E-mail address. United Parcel Service or FedEx letters and packages are unable to be received. Applications may be forwarded as email attachments to ANCA@umfamily.net. (transdigital) in Microsoft Word format is necessary) What Happens to Your Information If selected to receive an ANCA scholarship, the applicant s contact information may be provided to appropriate Army Nurse Corps Recruiting personnel. Otherwise none of the information in the application will be shared with anyone outside of ANCA. If you are not selected for a scholarship, your information will not be shared with any other entity. Identifying information, e.g., SSAN, will be redacted (blocked out). 12