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BAGNC Predoctoral Scholarship






2010 Predoctoral Scholarship Application Checklist

As noted in the FAQ section, the process of completing an application may take much longer than anticipated; therefore, we encourage you to begin as soon as possible

Please use the following checklist as you develop your application.  Items listed in the left hand column are required elements for the Predoctoral Scholarship application.   The right column provides a description of each item.

For each application element, format guidelines are provided and must be followed.  In addition, file name conventions are provided and must be followed. Use only the last three digits of your applicant number in these conventions. Please note: NO zipped files are allowed. 

Additional items are not accepted.  Submitting additional items will result in removing your application from consideration.

Data Sheet All applicants provide basic identifying information.  You must include a second, permanent e-mail address as well as a home address.
Professional Development Plan for the scholarship period

Format: 5-7 pages double spaced, 12 point Arial, 1 inch margins using APA or AMA format.


FILE NAME: [your applicant number] [underscore] ProfDevPlan
(e.g., 108_ProfDevPlan.doc)
The professional development plan must include:
    
(a) an introduction that traces your personal and professional interest in geriatric nursing;
(b) a summary of relevant training and experience;
(c) the proposed institution for study and reason for choosing that institution;
(d) identified Mentor(s) and why his or her background is appropriate for the applicant’s program of research
(e) research, teaching and leadership goals for the program;
(f) research, teaching and leadership competencies to be attained during the program
(g) workplan and timeline: activities planned to develop the competencies – plotted along a two year time line – including the applicant’s program of study and attendance at Leadership Conference and GSA
(h) an explanation of how you could arrange your other responsibilities so you can commit full time effort to the program
(i) long-term plans: “Where do you see yourself in 5, 10 and 15 years?"

Scholars are not permitted to work more than .5FTE during the scholarship period.

Where some work activities are to be undertaken during the scholarship period, they must be carefully and fully described in the application.

The length is a maximum 5-7 pages, not including the following three addenda:
1.  References (if applicable).
2.  Mentor/Consultant Information. A list including primary mentor, other mentors, and consultants as applicable. Include name, credentials, organization, and email for each person. Consultants’ letters of commitment should be included here. Mentor letters are provided in a separate section.
3. Response to Reviewers. If you previously applied for a predoctoral scholarship and received feedback from the review committee, explain in two pages or less how you addressed the issues raised by reviewers.

NOTE: If Professional Development Plan is beyond the page limit, the entire application will be disqualified.
Letter of Acceptance

Format: PDF copy of original letter.

FILE NAME: [your applicant number] [underscore] AcceptanceLtr (e.g., 108_AcceptanceLtr.pdf)
Evidence of acceptance from the School of Nursing for doctoral study.
Budget for each grant year

Format: You must use Excel format provided.


FILE NAME: [your applicant number] [underscore] Budget (e.g., 108_Budget.xls)
The Predoctoral Scholarship Award offers each candidate a total of $100,000 for the two year award term.

Provide a budget for grant year I and grant year II. Each grant year will not exceed $50,000 and include the following items:
tuition, academic fees, a stipend which may not exceed $30,000 per year, support for Primary Mentor travel and hotel for the Leadership Conference (recommend $1,200 per year), and applicant’s own GSA Annual Scientific Meeting registration and hotel.

The Coordinating Center covers the applicant’s travel and hotel for participation in the Leadership Conference and therefore is not included in this budget. Foreign travel is not an acceptable expense.

Applicants may also request an additional $5,000 Mayday Award if research focuses on pain in older adults, which may be used over the two year term. A separate budget is required; see Mayday tab on Excel budget format.

Applicants must include all anticipated sources of funding (e.g. NRSA). Budgets must be reviewed and approved by an appropriate official at the proposed institution of study prior to application submission. No indirect costs allowed.

If applicable, the budget should contain a detailed research and funding timetable beginning July 1, 2010 and ending June 30, 2012.
Official statement of tuition and fees

Format: PDF of statement.

FILE NAME: [your applicant number] [underscore] TuitionFees (e.g., 108_TuitionFees.pdf)
Provide a statement that confirms tuition and fees for the coming academic year. If information is available online, a printout from the university's website may be scanned and uploaded.
Letters of Commitment from mentor(s), including mentors’ 4-page NIH format bio-sketch

No specific format required for this letter. Letter must be addressed to the Program Director.

Letter

FILE NAME: [your applicant number] [underscore] PrimaryMentor (e.g., 211_PrimaryMentor.doc)



FILE NAME: [your applicant number] [underscore] Mentor2
(e.g., 211_Mentor2.doc)

Biosketch

FILE NAME: [Last name] [First name] [underscore] Biosketch (e.g., BeckCornelia_Biosketch.doc)
Each mentor who will support and advise the applicant in implementing the scholarship program will provide a letter of commitment.  If more than one mentor is enlisted, applicant MUST identify who will serve as primary mentor in the Professional Development Plan. 

Mentor letters should include a detailed proposal for involvement in the applicant's professional development; and strategies to help the applicant form linkages with relevant colleagues and institutions. Include each mentor's NIH-formatted 4-page bio-sketch.

The Program reserves the right to call the mentor(s) for additional information.
Letter of commitment from institution of study

No specific format required for this letter. Letter must be addressed to the Program Director.


FILE NAME: [your applicant number] [underscore] InstCommitment (e.g., 108_InstCommitment.doc)
Submit a letter of commitment signed by the Dean or other appropriate administrator at the proposed institution of study that documents the school’s current capacity in geriatrics, i.e., curriculum, grants, faculty and other initiatives; an outline of institutional resources available to the candidate, e.g., secretarial support, technology; etc.

The letter will also address the school’s commitment to work with selected predoctoral scholar in securing continued funding support to complete the PhD program once BAGNC support is finished.
Letter of commitment from employing agency (if applicable)

No specific format required for this letter. Letter must be addressed to the Program Director.


FILE NAME: [your applicant number] [underscore] EmployCommitment
(e.g., 108_EmployCommit.doc)
If an applicant plans to work during the Scholarship period, the employer must provide a letter describing sufficient release time to allow full time commitment to the scholarship program. 

Scholars are not permitted to work more than .5FTE during the Scholarship period. See Professional Development Plan for more information.
Applicant's Curriculum Vitae

FILE NAME: [your applicant number] [underscore] CV (e.g., 108_CV.doc)
Current document that includes education, professional experience, research, publications, special achievements, and professional service activities.
Transcripts

Format: PDF

FILE NAME: [your applicant number] [underscore] [degree] (e.g., 108_PhD.pdf)
We require transcripts from your baccalaureate program as well as any post-baccalaureate and graduate nursing degree program (e.g., BSN-PhD).

Official Transcripts

The sealed, official transcript(s) must be mailed to the Coordinating Center (address at the end of this page). When possible have all official copies sent to you, and when you have them all gathered, forward them to the Coordinating Center in one package using a mail service that allows you to track your package. If an institution will not release the official transcript to you, be sure they have the correct mailing address and we recommend you follow up to ensure it arrives.

NOTE:

- If PhD is currently underway, submit transcript that incorporates all classes to date.

Unofficial transcripts
These should be uploaded into the online application.

NOTE:

- The unofficial uploaded version may be a printout from the university website.

3 references (other than mentor(s))

Includes online assessment and uploaded letter addressed to the Program Director.

No specific format required for this letter.

Provide name, credentials, institution and email address for each reference. Once you enter a reference’s information they will receive an email from bagnc@geriatricnursing.org with login information.

References are confidential and are composed of two separate elements:
  1. an online assessment, and
  2. a formal letter of reference which must be uploaded into the online system.
The three references must speak to the potential of the candidate to succeed in the scholarship program and offer specific evidence of the candidate’s potential for academic and professional leadership in the field.

The reference and the applicant will receive a confirmation email when the reference is completed. It is the applicant's responsibility to ensure that the person providing the reference completes the two separate elements of the reference by the due date.
Institutional signoff

No specific format required for this letter. Letter must be addressed to the Program Director.

FILE NAME: [your applicant number][underscore]InstSignoff (e.g., 108_InstSignoff.doc)
Signed letter from appropriate institutional office approving the application to the BAGNC Program, including the proposed budget.

This letter/signoff must be from the office that will handle the financial administration of the award.



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