WP E-Signature by Approve Me - Sign Documents Using WordPress -

Nevada Rural Hospital Partners Foundation

Nurse Apprentice Program ARPA Grant

PARTICIPATION AGREEMENT

This Participation Agreement (hereafter “agreement”) is entered into between (hereafter “facility”) and the Nevada Rural Hospital Partners Foundation (NRHPF). This Agreement shall become effective upon the execution and delivery hereof by the parties hereto.

This agreement provides the commitment of NRHPF, a nonprofit organization, to provide available funding through the American Rescue Plan Act (ARPA) via a subaward from the Nevada Department of Health and Human Services, Division or Public and Behavioral Health (DPBH) for qualifying facilities who have hired Nurse Apprentices from March 1, 2022 to February 28, 2025.

The Nurse Apprentice Program ARPA Grant has four main components of funding that the facility may receive:

Reimbursement of each RN Nurse Apprentice's salary defined at an hourly rate of $25.00 (Requests must be submitted for exact number of hours worked. No rounding.)
Reimbursement of each LPN Nurse Apprentice's salary defined at an hourly rate of $20.00 (Requests must be submitted for exact number of hours worked. No rounding.)
Reimbursement of an hourly rate of $3.00 for the Registered Nurse supervising the Nurse Apprentice.
Availability of funding for a retention/sign-on bonus of up to $4,000 upon graduation and licensure of the Nurse Apprentice to Licensed Nurse with proof of employment agreement from the facility. (Must provide license number of nurse)

Please note: Funding is available to the Nurse Apprentice residing over 50 miles from the employing facility. This funding will be provided directly to the Nurse Apprentice at the federal GSA rates for food per diem, mileage, and lodging if needed (lodging receipt required).

NRHPF agrees to perform the following functions:

Promote the Nevada Rural Hospital Partners Foundation (NRHPF) Nurse Apprentice Program (NAP).
Create a secured website to facilitate participation in the NAP ARPA Grant.
Distribute monthly Electronic Fund Transfer (EFT) payments to participating facilities.
Perform random site visits at each enrolled facility and audit the facility for compliance with this agreement.
Monitor and Report to DPBH and legislative committees the benefit and utilization of the Nurse Apprentice Program ARPA grant funds.

Facility agrees to perform the following functions:

Conform with the requirements and regulations of the Nevada State Board of Nursing (NSBN) Nurse Apprentice Program (NAP).
Conform with the requirements of the Nevada Administrative Code (NAC) 632.
Create and maintain internal policy and procedures for Nurse Apprentice Program.
Ensure the Nurse Apprentice is a W-2 employee of the facility.
Ensure each Nurse Apprentice is an enrolled student in good standing with an accredited nursing program.
Ensure each Nurse Apprentice provides an updated clinical skills checklist from nursing program and that student is competent in each skill listed.
Provide NRHPF with copies of updated clinical skills checklists for each Nurse Apprentice and internal program policies as requested.
Utilize the secured portal to provide required information to NRHPF including submissions of proof of time worked by each Nurse Apprentice by the 10th of each month for work performed the prior month.
Accept monthly payments via Electronic Funds Transfer (EFT).
Agree to provide each Nurse Apprentice with information on potential travel reimbursement funding from NRHPF.
Agree to provide retention information to NRHPF for a 3-year period post hire, including a signed full-time employment retention agreement for each nurse offered retention bonus.

Failure to follow the requirements outlined in this agreement will deem the program ineligible for grant reimbursement.

The facility may terminate this agreement for any reason or no reason at all by giving the NRHPF at least 30 days prior written notice.

The following policy has been reviewed by : ,

By signing this agreement, I am acknowledging that it is my responsibility as the Director of Nursing to follow these requirements set forth by the Nevada State Board of Nursing

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw Signature
Type In Signature

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Adopt & Sign

Timestamp

Audit

February 22, 2023 12:14 pm PDT

{{gravity-field-id-19}} - D.O.N.- ARPA Grant Participation Agreement Uploaded by NV Nurse Apprentice Program Manager - naprequests@nrhp.org IP 134.197.230.125

March 1, 2023 11:03 am PDT