Issues |
Important
Deadlines |
Submit electronic
NHSC LRP Application and Print out,
sign & submit a paper copy of electronic application |
January
31, 2009 (postmark date) |
Submit Community
Site Information Form(s) |
January
31, 2009 (postmark date) |
Submit Loan
Information and Verification Form(s) |
January
31, 2009 (postmark date) |
Submit Biographical
Statement |
January
31, 2009 (postmark date) |
Submit electronic
BCRSIS Banking Information and Print
out, sign & submit Receipt of BCRSIS Banking Information
|
January
31, 2009 (postmark date) |
Submit NHSC
LRP Checklist |
January
31, 2009 (postmark date) |
Submit Privacy
Act Release Authorization Form (if applicable) |
January
31, 2009 (postmark date) |
Submit Applicant’s
Certification of Accuracy of Information Provided
Form |
January
31, 2009 (postmark date) |
Submit Certification
Regarding Debarment, Suspension, Disqualification
and Related Matters Form |
January
31, 2009 (postmark date) |
Submit Signed
and Dated NHSC LRP Contract |
January
31, 2009 (postmark date) |
Submit Authorization
to Release Information Form |
January
31, 2009 (postmark date) |
Submit Proof
of U.S. Citizenship or U.S. National |
January
31, 2009 (postmark date) |
Submit Documentation
of Status as a Member of Reserve Component of the
Armed Forces (if applicable) |
January
31, 2009 (postmark date) |
Submit Letter
from Entity to which Existing Service Obligation is
Owed (if applicable) |
January
31, 2009 (postmark date) |
Submit Two
(or, if applicable, Four) Letters of Reference (dated
after October 1, 2008) |
January
31, 2009 (postmark date) |
Submit Current
Resume/Curriculum Vitae |
January
31, 2009 (postmark date) |
Submit Disadvantaged
Background Documentation (if applicable)
|
January
31, 2009 (postmark date) |
Submit Exceptional
Financial Need Documentation (if applicable) |
January
31, 2009 (postmark date) |
Submit Copy
of the Original Loan Applications, Promissory Notes,
Disclosure Statements, Truth-in-Lending Statements
|
January
31, 2009 (postmark date) |
Submit Copy
of Current Account Statements for each loan submitted |
January
31, 2009 (postmark date) |
Submit Copy
of Your Specialty Board Certification or Residency
Completion Certificate (Exception: physicians/dentists
in last year of residency submit letter of good standing
from Residency Program Director) |
January
31, 2009 (postmark date) |
Submit Copy
of Your Health Professional Degree or Certificate |
January
31, 2009 (postmark date) |
Submit Copy
of Your National Certification (PAs, NPs,
NMs, PNSs, LPCs, MFTs) |
January
31, 2009 (postmark date) |
Submit Copy
of Your Permanent License in the State of Practice
Exception: physicians/dentists in last
year of residency submit copy of your permanent license
in the State of Practice by August 15, 2008
(postmark date) |
January
31, 2009 (postmark date) |
Submit Copy
of Your National Board Examination Results (SWs,
DHs, HSPs) |
January
31, 2009 (postmark date) |
Submit copy
of the National Practitioner Data Bank (NPDB) “Response
to Your Self-Query” report and associated documents. |
January
31, 2009 (postmark date) |
Submit copy
of the Healthcare Integrity Protection Data Bank (HIPDB)
“Response to your self-Query” report and associated
documents. |
January
31, 2009 (postmark date) |
** New
physicians and dentists only: Submit letter of
good standing from Residency Program Director |
January
31, 2009 (postmark date) |
**New
physicians and dentists in last year of residency
only: Submit copy of Residency Completion Documentation/Certificate |
July
7, 2009 |
Last Date
to Submit a Request to Terminate an NHSC LRP Contract |
August
17, 2009 |
Notify Applicants
of Award |
Ongoing,
January to September 30, 2009 |
Fund Qualified
Applicants |
January
to September 30, 2009 |
Notify Applicants
of Non-Selection for an Award |
December
to September 30, 2009 |
Complete
All Awards |
September
30, 2009 |