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

2015 application deadline: received by September 8, 2014

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 2015 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 8, 2014. 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 “2015 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 8. 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
  • 2015 Primary Care Educational Loan Repayment Application CORE (PDF)
  • 2015 Primary Care Educational Loan Repayment Application EMPLOYER SECTION E (PDF)
Nursing
  • 2015 Nursing Educational Loan Repayment Application CORE (PDF)
  • 2015 Nursing Educational Loan Repayment Application EMPLOYER SECTION E (PDF)
Dentists
  • 2015 Dental Educational Loan Repayment Application CORE (PDF)
  • 2015 Dental Educational Loan Repayment Application EMPLOYER SECTION E (PDF)
Nurse Educators/Faculty
  • 2015 Nurse Educators/Faculty Educational Loan Repayment Application CORE (PDF)
  • 2015 Nurse Educators/Faculty Educational Loan Repayment Application EMPLOYER SECTION E (PDF)

 

Links of Interest

 

Conference and Event Registration

 

Summer Programs 2015

AHEC and MedQuest Summer Projects
  • College of Medicine 2015 Summer Opportunities Application (PDF) (oming soon...)

 

Last modified November 11 2014 03:33 PM