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OHPP : pco-larpforms

State Loan Repayment Program (SLRP)

Application Enrollment Opens: March 1, 2013
Application Deadline: May 1, 2013

Awards begin on July 1, 2013

How to Apply:

There are eight Parts to the SLRP application. Please complete and submit Part I-VI. Parts VII and VIII are to be read and understood by the Candidate and Employer.

2013 SLRP Instructions
Part I - SLRP Application (to be completed by Candidate - electronically)
Part II -SLRP - Practice Site Confirmation (to be completed by Employer)
Part III - SLRP - Site Eligibility Application (to be completed by Employer)
Part IV - SLRP - Lender Verification (to be completed by each lender)
Part V - SLRP – Official Medical School Transcript (to be completed by medical school)
Part VI - SLRP – Cultural Competency Requirements (to be completed by the Candidate and Employer)
Part VII- SLRP- Retention Study (to be read by the Candidate and Employer)
Part VIII- SLRP- Understanding Breaching of Contract (to be read by the Candidate and Employer)

Part I:  Must be completed by the Candidate and submitted electronically to Christina Shaklee at christina.shaklee@maryland.gov. Signature must be faxed or mailed.

PARTS II through VI:  Must be completed and mailed, faxed, or sent electronically to:

Christina Shaklee, Workforce Coordinator
Maryland Department of Health and Mental Hygiene
Health Systems and Infrastructure Administration
Office of Primary Care Access
300 West Preston Street
Baltimore, MD 21201
Phone: 410-767-6523 Fax: 410-333-7501
christina.shaklee@maryland.gov

Find us on facebook at: www.facebook.com/marylandOPCAworkforce