Follow the steps to complete your application accurately.

1. Click ‘Get Form’ button to download the application form in PDF format and open it on your device.
2. Review the application requirements carefully. Understand your application type: Retention, Recruitment, or Job Seeker, which will dictate the sections you need to complete.
3. In Section A, fill out your Practitioner Information. This includes your name, last four digits of your SSN, your National Provider Identifier (if applicable), and contact information.
4. In Section B, provide detailed information about your Educational Debt. This requires documentation from your lenders verifying your unpaid educational loans.
5. Craft a Practitioner Statement in Section C that outlines your reasons for practicing in Vermont, your career goals, and your contributions to the community.
6. Complete Section D with your Practice Site Information, ensuring that you list all relevant sites where you will work if awarded funds.
7. If applicable, Section E must be completed by your employer. This section is a separate PDF that your employer will need to fill out.
8. At the end of the application, ensure all required certifications are checked, sign and date the application form.
9. Finally, save your completed application. You can choose to print and sign it before mailing it to the specified address.
10. Ensure you submit your application by the deadline of September 10, 2020, to avoid disqualification.

Complete your application form online to take the first step in securing your educational loan repayment!