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Click ‘Get Form’ to open it in the editor.
Begin by entering your full name in the designated field at the top of the form. Ensure accuracy as this information is crucial for identification.
In the first authorization section, provide your name, address, and social security number. This information allows the Department of Health and Human Services (HHS) to assess your eligibility for the NHSC Loan Repayment Program.
Next, fill out the second authorization section with similar personal details required for lenders/holders of your educational loans. This ensures they can verify your loan payoff balances.
Continue to complete sections three and four, where you will authorize HHS to release your information for compliance checks against various databases.
If applicable, include any health profession service obligations in section five. This helps HHS understand any additional commitments you may have.
Finally, sign and date the form at the bottom. Make sure that all fields are filled accurately before submitting.
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Proof of status as a U.S. citizen or U.S. national Acceptable documents: Birth certificate, current U.S. passports ID page, or a Certificate of Citizenship or Naturalization. Unacceptable documents: Drivers license, permanent resident card, marriage license, or Social Security card.
Can you apply to both NHSC and Nurse Corps?
Am I able to apply to both the National Health Service Corps and Nurse Corps Scholarship Programs? Yes you may, however, if you are accepted to both, you will need to decide to which program you will commit. Once the commitment is made, you will automatically be made ineligible for the other program.
How hard is it to get a NHSC scholarship?
As far as making the finalist list, it comes downto the number of applications across MD, CNM, Dentist, NP, DO, and PA. The Government has cut down on funding so NHSC is only giving out 180 scholarships across all those fields. There is about a 6-10% chance (using FY23) of getting the scholarship.
How much is the NHSC living stipend?
During the 2025-2026 school year, National Health Service Corps scholars will receive a monthly stipend (currently estimated at $1,631 before federal taxes) to assist with living expenses.
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