Students to service program

Loan Information. Provide information on each qualifying educational loan for which you seek repayment. Loan account number. Original amount disbursed. Original date of the loan.

Current outstanding balance no more than 30 days from the date you submit your application. Current interest rate. Type of loan. If a consolidated loan, additional questions will be asked: Original date of consolidation. Original balance of consolidation. Account number. Purpose of loan. Respond to the essay topic in words or less, and upload it to the application.

An application is incomplete without these required supplemental documents: Proof of status as a United States citizen or United States national Acceptable documents: birth certificate, current U.

Authorization to Release Information Authorizes identified entities to disclose information about you. It must include the last four digits of your social security number, be dated and have your handwritten signature. Dental students must submit documentation verifying that they have passed Part I of the National Board Dental Examination. Nursing students must submit documentation of appropriate specialized training and certification.

Verification of Good Standing A school official must complete and sign a report verifying: Your enrollment; You are in good standing Your last day of classes is no later than May 31, ; and You will graduate before July 1, We will verify for accuracy Letters of Recommendation Submit two letters of recommendation, each on letterhead with a handwritten signature: One letter from an instructor; and One additional letter of recommendation. Loan Information Verification Provide two types of documentation for each loan you submit: Document One: Account Statement Current information on your qualifying educational loans.

An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, and completing and reviewing the collection of information.

Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to HRSA Reports Clearance Officer, Fishers Lane, Room 14NB, Rockville, Maryland, or paperwork hrsa.

Create an account for the FLRP. Note: If you have previously registered to apply for the FLRP in past application cycles, you will still need to recreate an account.

Funding Status. Applicant Info. Printable view. How Do I Find Note: Any time you serve at the site prior to the contract going into effect will not count towards your service commitment. We may adjust your end date in certain circumstances e. You must work a specified minimum number of hours per week full-time or half-time.

Note: There are additional full-time clinical practice requirements by discipline. Note: There are additional half-time clinical practice requirements by discipline. If you receive a waiver of the full-time service requirement, you must agree to provide six years of half-time clinical practice at one or more NHSC sites.

If you have completed your training and are practicing at an NHSC-approved site:. Note While we do alert you about the ISV submission, it is your responsibility to ensure that your site administrator submits it on time. We will work with you to fulfill your service commitment if your site faces a mandatory furlough or a reduction-in-force. While we cannot waive the minimum clinical practice requirements or the maximum allowable absences in these cases, we will work with you to identify solutions.