University of Vermont

College of Medicine

Office of Primary Care and Area Health Education Centers (AHEC) Program

applicationsandforms.html

Applications and Forms

Educational Loan Repayment Program for Health Care Professionals

Please read the program overview and participant eligibility carefully since this is updated by the State of Vermont annually and changes based on the greatest, current statewide workforce shortages and needs.

The Vermont Educational Loan Repayment Program for Health Care Professionals is funded by the State of Vermont through the Department of Health, and is administered by the University of Vermont College of Medicine Area Health Education Centers (AHEC) Program.

The purpose of this loan repayment program is to respond to the workforce shortage of certain health professionals in Vermont thereby increasing access to health care for underserved populations and communities. This program aims to contribute to a stabilized workforce at the specific work site (as identified in application materials) and timeframe.

Effective for the 2016 cycle, there are a number of program changes due to reduced funding and identified state health care workforce priorities within these funding limitations.

2016 APPLICATION DEADLINE: Thursday, September 10, 2015

The 2016 application has two parts: 1) CORE application and 2) Employer Section E.

Both parts must be completed for the application to be complete. Only complete applications will be considered.

Applications must be typed and received by September 10, 2015. It is the applicant’s responsibility to ensure that the application has been received and is complete by the stated deadline.

Instructions

  • Save these PDFs to your computer.
    • To save, open the document. Go to File, “save as”—select the location on your computer.
    • Rename the CORE file. We suggest “2016 PC ELR your last name, your first initial”
    • Rename the Employer SECTION E file. We suggest “Section E your last name, your first initial”.
  • Email Section E to your employer for completion. Section E can be returned by your employer directly to AHEC by September 10, 2015. It is the applicant’s responsibility to ensure that Section E is completed and sent to AHEC by the stated deadline.
  • The forms must be completed using the fillable PDF (i.e., must be typed), then print, sign, and mail to AHEC.

Application Tips

  1. Use the TAB button to move from field to field.
  2. Save as you complete. You may return to it later.
  3. Gather and print all of your loan/lender verification documentation in advance.
  4. The Practitioner Statement (Section C) is required and can be typed into the form directly or pasted from a Word document, but space is limited.
  5. The Employer Statement is optional and can be typed into the form directly or pasted from a Word document, but space is limited.
  6. Application can be printed using the "print" button on the application or by going to the Adobe Acrobat menu, File, the Print.

Primary Care and Psychiatry Practitioners

Effective for the 2016 cycle:
  • Employer matching is required.
  • Service commitments are for two years (not one year) at the worksite specified in the application (and defined in the service contract, if awarded funds).
  • See application materials for more information.
Flyer, Eligibility, and Forms

Nurses (LPNs and RNs)

Effective for the 2016 cycle:
  • Service commitments are for two years (not one year) at the worksite specified in the application and narrowed eligibility parameters.
  • See application materials for more information.
Flyer, Eligibility, and Forms

Dentists

Effective for the 2016 cycle:
  • Employer matching is required.
  • Service commitments are for two years (not one year) at the worksite specified in the application (and defined in the service contract, if awarded funds).
  • See application materials for more information.
Flyer, Eligibility, and Forms

Nurse Educators/Faculty

Due to FY16 state budget reductions, this program is not funded for the 2016 cycle. Funding priorities are determined annually. The 2016 cycle is focused on direct care and public health services.
Flyer, Eligibility, and Forms
 

Links of Interest

 

Conference and Event Registration

 

Last modified August 10 2015 08:35 AM