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FORMS
This section contains forms needed to apply for services RRANN offers. Most of the forms are in PDF format and your computer must be equipped with Acrobat Reader in order to successfully download. If you need Acrobat Reader, simply click onto the lettering and download. If you can't download (for whatever reason), please contact Cyrenthia Newton (907) 786-6978 -or- ancdn@uaa.alaska.edu for assistance.


RRANN Prospective Student Form
Please complete the below form if you're interested in being a RRANN participant. This is the first place to start if you are not familiar with RRANN and would like to receive more information regarding our services. This form also allows us to place you on our mailing list, so whether you're presently enrolled at UAA, still in high school or deciding to attend after graduation, please use the FILLABLE application or the regular PDF and either mail or fax to the numbers listed on the form.

RRANN Application
RRANN Consent Form


Nursing Workforce Diversity Program (NWDP)
The UAA School of Nursing is pleased to announce the formation of a new program designed to address the lack of diversity in Alaska's nursing workforce. The Nursing Workforce Diversity Program (NWDP) seeks to provide assistance and support to ethnic minority nursing students as well as economically and educationally disadvantaged nursing students of any ethnic background.

NWDP Application
Stipend Application
NWDP Stipend POLICY and REQUIREMENTS
Consent Form

Verification of Eligibility

NWDP Application - BETHEL
NWDP Consent Form - BETHEL

NWDP Application - SITKA
NWDP Consent Form - SITKA

 

RRANN Stipend Application and Requirements
New applicants for the RRANN Stipend Program are only accepted at the beginning of each semester. Please read the Policy carefully and note the Specific Deadlines. Make sure the application is complete, signed and includes the required documentation.

PRE-NURSING STIPENDS NOT AVAILABLE DURINIG SUMMER MONTHS
Pre-Nursing STIPEND APPLICATION
Pre-Nursing POLICY and REQUIREMENTS

NURSING MAJORS STIPENDS ARE AVAILABLE DURING THE SUMMER MONTHS
Nursing Majors STIPEND APPLICATION
Nursing Majors POLICY and REQUIREMENTS

STATEWIDE STIPENDS NOT AVAILABLE DURING SUMMER MONTHS
Statewide Majors STIPEND APPLICATION
Statewide Majors POLICY and REQUIREMENTS


RRANN Tutor Request Form
Fill out the Tutor Request Form if you need assistance with the pre-requisite biology and chemistry class or classes in the nursing majors. Tutoring is open to all nursing and pre-nursing majors, based on tutor availability. Please return the form to the RRANN Tutor Coordinator, PAMELA READ, Professional Studies Building, $146C (you may also fax the completed form to PAMELA @ (9070 786-4559).

Please allow 2-3 days for a tutor response. Tutoring is most effective if you seek help early in the course. There are also suggestions attached (For the Tutee Form) that assist you in getting the most out of your tutor experience.

RRANN Tutor Request Packet
Tutor Request Form (ONLY)
For The Tutee Form (ONLY)



RRANN Tutor Evaluation Form
We ask that the tutee complete a brief Evaluation following their last tutoring session. This information helps RRANN gauge the effectiveness of the Tutor Program and what we can do to make it more successful

Tutor Evaluation Form

 

RRANN Mentor Program
The RRANN Mentor Program provides academic and personal support to pre-nursing students. Pre-Nursing students or proteges are paired with an experienced nursing student or mentor, willing to invest time, energy and interest in the support of a protege.

Interested in becoming a Mentor? Download the RRANN Mentor Application Packet and speak to a RRANN staff member.

RRANN Mentor Program Application Packet
RRANN Mentor Program Application (ONLY)



RRANN Protege Program
Interested in becoming a Protege? Download the RRANN Protege Brochure and Application.

RRANN Protege Program Brochure
RRANN Protege Program Application



RRANN Change or Updated Information
Help keep our Mailing List current by completing the Change -or- Updated Information form if you have a new address, email, telephone or cell number.

RRANN Change -or- Updated Information


Mail or Hand-Deliver all forms to:
University of Alaska Anchorage
RRANN/School of Nursing
3211 Providence Drive, PSB #103N
Anchorage, Alaska 99508


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