Get Vt Educational Loan Repayment Program For Dentists Application Form 2020-2025

The VT Educational Loan Repayment Program for Dentists application form is an essential document for funding dental education. This guide provides comprehensive, step-by-step instructions for completing the form accurately online.

Follow the steps to complete your application form efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Save the PDF to your computer. Make sure to rename the file to include the applicant's last name followed by their first initial.
3. Begin filling out the application using the fillable PDF. It is recommended to use the TAB button to navigate between fields.
4. Complete the 'Applicant Start Date and Hours at Practice Site' section, ensuring to include the practitioner applicant's name (if applicable), practice site name, start date of employment, and average clinical hours per week.
5. Indicate the practice type by selecting one of the available options: Public, Private Non-Profit, or Private For Profit. Also, specify if your practice has a sliding fee scale.
6. Fill out the 'Employer/Matching Organization and Address' section, including the organization's name and mailing address.
7. Provide the contact person’s details, including their name, honorific title, job title, email address, and phone number.
8. In the section concerning matching dollars, specify whether the organization will offer matching funds and provide the name and amount of matching dollars pledged for the program.
9. Optionally, include any additional data or extenuating circumstances that should be considered for the application.
10. Complete the employer certification section by checking all required boxes, signing, dating, and printing the certifying individual’s name and title in the specified areas.
11. Finally, save your progress, print the completed application, and mail it to the address provided: UVM Office of Primary Care and AHEC Program, 1 South Prospect Street, Mail Stop 430 AR5, Burlington, VT 05401, Attn: Rebecca T. Dubois.

Complete your application form online to ensure you secure your educational loan repayment opportunities.