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Forms

Title Description Type
Class of 2017 Cover Letter Overview of the IUSM financial aid process for the Class of 2016 Doc
Class of 2017 IUSM Application for Financial Assistance Primarily used for Indiana University School of Medicine (IUSM) scholarship consideration and collection of vital information not attained through any other source. PDF
FAFSA Online Free Application for Federal Student Aid Ext
Indiana Primary Care Scholarship Indiana Primary Care Scholarship Program Application PDF
Indiana Primary Care Information Indiana Primary Care Scholarship Information and Brochure PDF
NSLDS National Student Loan Data Service (Access your financial aid records.) Ext
Direct Loan Servicing View the loans you have with the US Department of Education Ext
National Health Service Corp (NHSC) National Health Service Corps Scholarship Programs Ext

Professional Judgment Appeal Form or Budget Adjustment Appeal Form

(2012-2013)

(Summer 2013)

Request professional judgment for special financial aid circumstances. Remember that you must turn this form into IUSM Student Financial Services via Med Sci room 158, email sbunn@iupui.edu or fax 317-278-2691.
PDF

Professional Judgment Appeal Form
(October 2012)
Interview Expenses Budget Adjustment Form

Request professional judgment for Interview Expenses for the month of October. Remember that you must turn this form into IUSM Student Financial Services - Med Sci 158, email sbunn@iupui.edu or fax 317-278-2691. PDF

Professional Judgment Appeal Form
(November 2012)
Interview Expenses Budget Adjustment Form

Request professional judgment for Interview Expenses for the month of November. Remember that you must turn this form into IUSM Student Financial Services - Med Sci 158, email sbunn@iupui.edu or fax 317-278-2691. PDF

Professional Judgment Appeal Form
(December 2012)
Interview Expenses Budget Adjustment Form

Request professional judgment for Interview Expenses for the month of December. Remember that you must turn this form into IUSM Student Financial Services - Med Sci 158, email sbunn@iupui.edu or fax 317-278-2691.
PDF

Professional Judgment Appeal Form
(January 2013)
Interview Expenses Budget Adjustment Form

Request professional judgment for Interview Expenses for the month of January. Remember that you must turn this form into IUSM Student Financial Services - Med Sci 158, email sbunn@iupui.edu or fax 317-278-2691.
PDF

Professional Judgment Appeal Form
(February 2013)
Interview Expenses Budget Adjustment Form

Request professional judgment for Interview Expenses for the month of February. Remember that you must turn this form into IUSM Student Financial Services - Med Sci 158, email sbunn@iupui.edu or fax 317-278-2691.
PDF
Residency Interviewing & Relocation Loan-
---Sallie Mae---
Available for application August 1 through June 15 of the student's fourth year. A private loan for interviewing and relocation to a residency program. Maximum amount is $15,000. Ext
Residency Interviewing & Relocation Loan-
---Sallie Mae Quick Reference---
Quick Reference Guide for Sallie Mae Residency and Relocation Loan. Outlines eligibility, credit requirements, the application process, repayment, and other details. Ext
Residency Interviewing & Relocation Loan-
---PNC---
A private loan for interviewing and relocation to a residency program. Maximum amount is $15,000. Apply during final year of study up to 60 days after graduation. Repayment begins nine months after graduation. Ext
Residency Interviewing & Relocation Loan-
---Wells Fargo---
A private loan for interviewing and relocation to a residency program. Maximum amount is $15,000. Defer payments up to 60 months after you leave school. Ext
Residency Interviewing & Relocation Loan-
---Fifth Third Bank---
A private loan for interviewing and relocation to a residency program. Maximum amount is $15,000. Ext
Federal Stafford Loan and Graduate PLUS Loan Master Promissory Note (MPN) Link is partially down the page after a brief explanation of the MPN. Make sure to enter the school as IUPUI-Indianapolis (Normal) - 001813-00 Ext
Federal Perkins, PCL, LDS and School-based Promissory Notes (You may also view existing signed promissory notes through the IU Student Loan Administration.) Ext
Child of Veteran and Public Safety Officer Supplemental Grant Program (the CVO Program) Children of injured Indiana National Guard members, public safety officers, or veterans may be covered. Ext
IUSM Campus (Non-Indianapolis) Scholarships IUSM Campus scholarships that pertain to the non-Indianapolis campuses. Ext
AnnualCreditReport.com Check your credit reports once a year from each of the three reporting agencies Ext
Sallie Mae SMART for International Students Private loan for International students ONLY Ext
IRS Form 1098-T Taxpayers who pay qualified educational expenses at an eligible educational institution may qualify for the Hope Scholarship Credit, the Lifetime Learning Credit, or the Tuition and Fees Deduction. The Act requires eligible educational institutions to report certain enrollment and financial information on Form 1098-T to students and the Internal Revenue Service. Ext
Title IV Authorization (instructions) Instructions for completing your Title IV Authorization in OneStart. This allows the bursar to deduct charges other than tuition and fees from your student aid. These charges normally cannot be deducted before aid refunds are disbursed causing the student extra work to bring your account current. Instr