Applicants must complete the online application form and submit:

  • Current resume;
  • Responses to essay questions;
  • Proof of licensure (or plans for licensure);
  • Documentation of outstanding qualified education loan debt;
  • At least 1 letter of recommendation (other than employer or practice owner); and
  • If applicable, a written statement of support from employer or practice authorizing applicant to meet service requirements.


Applications are due by November 1.