TCWD Psych Nurse Practitioner Incentive Program.
This incentive offers students $20,000 per year in exchange for a two-year service commitment in a rural or underserved are of TN post-graduation!
Personal Information:
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Psychiatric NP Program
School/Program Name
*
School/Program Location
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Program Type:
*
Master's
Doctoral
Post-graduate certificate
Program Start Date
*
-
Month
-
Day
Year
Date
Are you full-time or part-time student?
*
Full-Time
Part-Time
Anticipated Graduation Date
*
-
Month
-
Day
Year
Date
Service Commitment
Service commitments start within 90 days of graduating your program and last for 2 years! TCWD does to assign you a practice site- we work with you to help determine if sites you are interested in will qualify.
Is there a county or specific area on TN you are hoping to work within upon graduating your program?
Is there a specific health system, practice site, or type of healthcare setting you hope to work within upon graduating your program?
Have you already accepted an employment opportunity post-graduation?
*
Yes
No
If yes, please tell us about your employer: name, location, your position/role, and start date.
Are you currently involved with any service commitments such as the National Health Service Corps or a federal/state loan repayment program?
*
Yes
No
Documentation
Please upload the following documents:
CV/Resume
*
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Personal Statement
*
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Upload a personal statement which explains your connection and commitment to practice in a medically underserved area of Tennessee, as well as what type of practice you prefer. Why are you interested in participating in TCWD's Psych NP Incentive Program? Do you have any examples of your experiences and commitment to providing care to medically underserved populations?
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Letter of Support from Program Director or Clinical Preceptor
*
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Letter should be in pdf format, on program/clinic letterhead, addressing your suitability for this incentive program to serve the rural and/or underserved populations.
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Upload Nursing License
*
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Submit
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