Application for Nursing Incentives Scholarship Program

Deadline to apply for Spring 2023 semester funding is 12/16/2022. Applicants may still apply to be considered for Summer 2023 semester.

The American Rescue Plan Act (ARPA) granted $5,000,000 to Nebraska DHHS to distribute in the form of scholarships to eligible Nebraska nursing students in approved nursing programs up to $2,500/semester. This scholarship will fulfill two primary goals: to reduce barriers to entry in the nursing field and to grow Nebraska's public health workforce. Upon completion of their nursing programs, these students will be obligated to practice nursing in Nebraska for a minimum of two years. Each of these students will play a vital supporting role in rebuilding Nebraska's public health infrastructure and will advance the state's recovery from COVID-induced nursing shortages.

Any Nebraska resident currently enrolled or intending to enroll in a Nebraskan LPN, ADN, or accelerated BSN program is eligible to apply. These scholarships will be distributed on a first-come, first-served basis to qualified applicants. After submitting their applications and all necessary documentation, students will receive the scholarship amount in Spring 2023 and each subsequent semester until either their program is completed or ARPA funds run out.

Please complete the application below to determine your eligibility. You will enter your personal information, demographic information, and nursing program information. Failure to enter correct Student Identification Number may cause scholarship funds to be delayed. You will also be required to attach proof of enrollment as well as complete the W9/ACH Enrollment form. To complete this form, you will need to upload the file, fill it out digitally, then submit the completed version.

First Name:
Middle Name:
Last Name:
Maiden name:
Date of birith:

Email address:
Phone number:
Address:
City:
State:
Zip code:

Race:
Ethnicity:
Gender:

Nursing progam name:
Nursing program location:
Student identification number:
Have you finished all program pre-requisites?
Degree being pursued:
State date in program:
Anticipated graduation date:
Remaining semesters:
Full or part time:
Credit hours per semester:
Does the semester tuition exceed $2500?

You will need to upload documentation from your school indicating your name and proof of enrollment for the current semester. Document should clearly specify that you are enrolled for the coming semester in an LPN, ADN, or accelerated BSN program.

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Upload file

Please click on this link to open W-9 & ACH enrollment form:

W9/ACH Enrollment Form

Then fill out, sign, date, save to your pc, and upload here. Use your personal info, make sure to fill out all required fields, and sign in both of the two areas requiring it (middle and bottom of sheet).

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Upload file

Nebraska Resident Attestation

I attest as follows:

United States Citizenship Attestation Form

For the purpose of complying with Neb Rev. Stat. SS 4-108 through 4-114, I attest as follows:

I understand that this form will determine my eligibility for this scholarship. This scholarship is up to $2,500 a semester and if semester fees are less than $2,500, it will pay the amount in full. I understand that to receive funds each semester, I will be required to submit proof of enrollment each semester. I attest that I will practice in Nebraska for at least two years after completing school. Throughout these two years I will be required to provide proof of employment at DHHS' request. I understand that failure to practice in Nebraska for at least two years after graduation means that I will be required to repay the full scholarship amount.

I hereby attest that my response and the information provided on this form and any related application for public benefits are true, complete, and accurate and I understand that this information may be used to verify my lawful presence in the United States.

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