Section 97720 - Application Process for Financial Assistance(a) Each person desiring a scholarship or loan repayment commitment shall submit a completed application, available from the Office, which will require the following information: (1) Written documentation that the applicant complies with the provisions of section 97730 if applying for a scholarship, or section 97740 if applying for a loan repayment commitment;(2) The dollar amount requested for scholarship expenses, with justification for the amount requested, or the dollar amount requested for loan repayment assistance, with details on outstanding educational loans including the current outstanding loan balances;(3) An official copy of college transcripts for all postsecondary institutions attended;(4) The applicant's work experience (if any);(5) Community background, including any residence in a medically underserved area;(6) The applicant's career goals;(8) Length of time before the applicant would be available to provide services in a medically underserved area;(9) The medically underserved area where the applicant would propose to practice, and potential employers from whom the applicant would seek employment;(10) Community involvement, including extra curricular activities;(11) A personal statement by the applicant indicating any other qualifications, attributes or characteristics which would increase the likelihood the applicant will continue to practice in a medically underserved area after the service obligation has ended;(12) A signed Letter of Understanding, which is an acknowledgement by the applicant that financial assistance requires a binding commitment from those applicants selected for a scholarship or loan repayment commitment to practice their health professions in a medically underserved area of the state for a specified period of time;(13) Health care license number (if applicable); and(14) Any other information the applicant believes is relevant.Cal. Code Regs. Tit. 22, § 97720
1. New section filed 5-24-90 as an emergency; operative 5-24-90 (Register 90, No. 27). Section remains in effect pursuant to Education Code section 69801 unless amended or repealed by the Office of Statewide Health Planning and Development.
2. Change without regulatory effect amending NOTE filed 7-3-2017 pursuant to section 100, title 1, California Code of Regulations (Register 2017, No. 27). Note: Authority cited: Section 128360, Health and Safety Code. Reference: Sections 128345 and 128350, Health and Safety Code.
1. New section filed 5-24-90 as an emergency; operative 5-24-90 (Register 90, No. 27). Section remains in effect pursuant to Education Code section 69801 unless amended or repealed by the Office of Statewide Health Planning and Development.
2. Change without regulatory effect amending Note filed 7-3-2017 pursuant to section 100, title 1, California Code of Regulations (Register 2017, No. 27).