Scan a U.S. birth certificate, an unexpired U.S. Passport ID or U.S. Passport Card, a Certificate of Citizenship, a Naturalization Certificate, or a Permanent Resident Card (Green Card) and save as a PDF for proof of U.S. citizenship. (Please note, the following are NOT acceptable as proof of citizenship: a driver’s license, social security card, or marriage license).
Authorization to Release Information Form. You must download the “Authorization to Release Information” form from the online application, fill it out, sign it, and upload it to the application with a handwritten signature on the form.
Employment Contract/Letter of Employment. You must submit a copy of the contract to validate your full-time or part-time employment with your academic institution. The contract should document your effective start date, end date, and your base salary. The contract must also show that you will continue employment with that institution for a minimum of two years following June 30, 2022.
Loan Repayment Match/Request for a Waiver of the Loan Repayment Match. A copy of your employer’s:
written agreement to pay your loan repayment amount equal to the FLRP loan repayment amount OR
request from the your institution or employer for a full waiver to match the FLRP loan repayment amount with supporting documentation citing undue financial hardship OR
request from your employer for a partial waiver requirement to match the FLRP loan repayment amount with supporting documentation citing undue financial hardship. Note: We will need a copy of your employer’s written agreement to pay the remainder of your loan repayment match amount.
Proof of Disadvantaged Background. The document must indicate that you were economically or environmentally disadvantaged and be signed and authorized by a program or school administrator.
Complete your Institution Employment/Loan Repayment Verification Form. Speak to your employer or designated human resources officer to complete this form.
Request academic transcripts from qualifying schools you have attended. You must submit an official or unofficial transcript from each college or health professions school you attended for all coursework directly related to the attainment of your degree(s) or certificate(s). Your transcript must be legible and include your dates of attendance and courses taken.
Health Professions Degree or Certificate. The document must include your name, type of degree, date conferred, and signature by an authorized program director, dean, or other school official.
Loan Documentation. All loan documentation must come from the lender and include identifiable information, your name, lenders’ name(s) and account number(s).
Curriculum Vitae/Resume (CV). You must submit a CV or resume to document all of your education, training and degrees for all time periods of employment since you completed your qualifying health professions education.
