Cal. Code Regs. tit. 5 § 30921

Current through Register 2025 Notice Reg. No. 2, January 10, 2025

Section 30921 - Application to Participate in the Program

(a) CSAC applications to participate in the program shall be submitted to the Commission by the June 30 deadline and shall include the following information regarding the applicant:

(1) Last name, first name and middle initial;

(2) Social Security number;

(3) Address and telephone number;

(4) Date of birth;

(5) E-mail address, if available;

(6) The name of the lender, loan identification number(s), type of loan or loans (need-based or non-need-based), and current balance(s) of a loan or loans the applicant has received, or has been approved to receive, in order to meet the costs of the applicant's education under one or more of the following designated loan programs (to be eligible for assumption benefits, loan(s) must be disbursed prior to the date of registered nurse license of applicant):

(A) the Federal Family Education Loan Program (20 U.S.C. Sec. 1071 et seq.);

(B) the Federal Direct Loan Program (20 U.S.C. Sec. 1087b et seq.);

(C) any educational loan program approved by the Commission on a case by case basis, but not including lines of credit, home equity loans, credit card debt, and other general consumer loans, business loans, personal loans, or mortgages;

and,

(7) proof that the applicant possesses a baccalaureate degree, if applicable.

(8) Ethnicity;

(9) Gender;

(10) Type of program of professional preparation applicant is attending or has attended

(11) the name of the state-operated facility the eligible applicant is employed at and the date the eligible applicant commenced employment, if applicable;

(12) the name of the college the eligible applicant is attending or has attended;

(13) the college's federal school code.

(b) Applications to participate in the program from applicants who are admitted to, or are enrolled in an accredited program shall include the following information regarding the applicant:

(1) Certification from an eligible institution of the applicant's current admission or enrollment as specified in Section 30922(a);

(2) Certification from an eligible institution that the applicant has completed a minimum of 60 post-secondary semester units or the equivalent;

(3) Statement that the applicant agrees to:

(A) maintain satisfactory academic progress and full-time enrollment;

(B) obtain and maintain a California registered nurse license within 12 months of completing the pre-licensure nursing program; and,

(C) obtain and maintain employment, within 6 months of obtaining a California registered nurse license, as a registered nurse in an eligible position in a state-operated facility, as defined in Section 30920(q), on a full-time basis for four consecutive years.

(c) Applications to participate in the program from applicants who have completed a pre-licensure nursing program within the award year that he or she applies for the program, but have not obtained a California registered nursing license shall include the following information regarding the applicant:

(1) Certification from an eligible institution that the applicant has completed a pre-licensure nursing program and the date completed as specified in Section 30922(a);

(2) Statement that the applicant agrees to:

(A) obtain and maintain a California registered nurse license within 12 months of completing the pre-licensure nursing program

(B) obtain and maintain employment, within 6 months of obtaining a California registered nurse license, as a registered nurse in an eligible position in a state-operated facility, as defined in Section 30920(q), on a full-time basis for four consecutive years.

(d) Applications to participate in the program from applicants who have completed a pre-licensure nursing program within the award year that they apply for the program and who possess a current California registered nursing license, shall include the following information regarding the applicant:

(1) Certification from an eligible institution that the applicant has completed a pre-licensure nursing program and the date completed as specified in Section 30922(a);

(2) California Registered Nurse License number and expiration date;

(3) Statement that the applicant agrees to:

(A) obtain and maintain employment, within 6 months of being accepted into the program, as a registered nurse in an eligible position in a state-operated facility, as defined in Section 30920(q), on a full-time basis for four consecutive years.

(e) The application shall state that by signing, the applicant agrees that, if requested, the applicant will provide information or documentation to verify the accuracy of the information included in the application, and the applicant understands that failure to provide accurate and complete information as requested may result in disqualification from the program and loss of program benefits. The application shall be dated and signed by the applicant under penalty of perjury under the laws of the State of California.

Cal. Code Regs. Tit. 5, § 30921

1. New section filed 5-30-2007; operative 5-30-2007 pursuant to Government Code section 11343.4 (Register 2007, No. 22).
2. Amendment of subsections (a) and (a)(7) and new subsections (a)(8)-(a)(13) filed 6-10-2008; operative 6-10-2008 pursuant to Government Code section 11343.4 (Register 2008, No. 24).

Note: Authority cited: Section 70125, Education Code. Reference: Sections 70120, 70122, 70125 and 70128, Education Code.