| Issues |
Important Deadlines |
| Submit NHSC LRP On-Line Application |
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| Submit Supplemental Forms (pdf, 606 KB):
- Community Site Information Form
- Loan Information and Verification Form(s)
- Biographical Statement
- Payment Information Form
- NHSC LRP Checklist
- Signed and Dated NHSC LRP Contract
- Authorization to Release Information Form
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| Submit Proof of U.S. Citizenship or U.S. National |
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| Submit Documentation of Status as a Member of Reserve Component of the Armed Forces (if applicable) |
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| Submit Letter from Entity to which Existing Service Obligation is Owed (if applicable) |
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| Submit Two Letters of Reference (dated after 10/1/2007) |
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| Submit Current Resume/Curriculum Vitae |
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| Submit Disadvantaged Background Documentation (if applicable) |
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| Submit Exceptional Financial Need Documentation (if applicable) |
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| Submit Copy of the Original Loan Applications, Promissory Notes, Disclosure Statements, Truth-in-Lending Statements |
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| Submit Copy of Current Account Statements for each loan submitted |
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| Submit Copy of Your Specialty Board Certification or Residency Completion Certificate |
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| Submit Copy of Your Health Professional Degree or Certificate |
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| Submit Copy of Your National Certification (PAs, NPs, NMs, PNSs, LPCs, MFTs) |
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| Submit Copy of Your Permanent License in the State of Practice |
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| Submit Copy of Your National Board Examination Results (SW/DH/CP) |
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| Submit copy of the National Practitioner Data Bank (NPDB) “Response to Your Self-Query” and associated documents. |
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| Submit copy of the Healthcare Integrity Protection Data Bank (HIPDB) “Response to your self-Query” and associated documents. |
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| ** New physicians and dentists only: Submit letter of good standing from Residency Program Director |
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| **New physicians and dentists only: Submit copy of Residency Completion Certificate |
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| Last Date to Submit a Request to Terminate an NHSC LRP Contract |
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| Notify Applicants of Award |
ongoing beginning in March
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| Fund Qualified Applicants at approved facilities in HPSAs with scores of 14 or higher |
March through April 2, 2008
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| Notify Applicants by e-Mail of Non-Selection for an Award |
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| Complete All Awards |
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