Nurse Faculty Loan Program (NFLP) Application

Nurse Faculty Loan Program (NFLP) Application

The Nurse Faculty Loan Program (NFLP) is a loan program funded by the Health Resources and Services Administration (HRSA) Bureau of Health Professions which allows nursing schools to make loans to their students enrolled full-time in advanced degree nursing programs. NFLP loans made to eligible students can be used for the direct costs of the graduate nursing degree program, e.g. tuition, mandatory HPU fees, lab expenses, and other required expenses, not including living expenses. Students must complete a FAFSA to be eligible. Completion of the FAFSA is required to ensure that the student has not defaulted on other student loans.

The purpose of the Nurse Faculty Loan Program is to increase the number of qualified nursing faculty. The NFLP provides funding to schools of nursing to support the establishment and operation of a distinct, interest-bearing NFLP loan fund. The program offers up to 85% loan forgiveness for borrowers who graduate and serve as full-time nursing faculty for the prescribed period. Repayment begins nine months after leaving school. HPU’s Business Office will contact you before the end of your final semester and will stay in contact with you until the loan is paid in full.

To obtain a Nurse Faculty Loan, the Borrower must complete this HPU NFLP application in its entirety and submit for review and selection by the NFLP Selection Committee (School of Nursing - 500 Ala Moana Blvd, Bldg1-400). Please read the full description of the NFLP at: https://www.hpu.edu/business-office/loan-programs.html

WARNING: Any person who knowingly makes a false statement or misrepresentation in an NFLP transaction, bribes or attempts to bribe a Federal official, fraudulently obtains an NFLP loan, or commits any other illegal activities in connection with a Federal NFLP loan is subject to a fine or imprisonment under Federal statute.

1.) Name 1.) Name First Last
2.) HPU Student ID (e.g. @12345678)
3.) Address 3.) Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
4.) Date of Birth 4.) Date of Birth / MM / DD YYYY
5.) Email
6.) Phone 6.) Phone - ### - ### ####
7.) Driver's License number and State
8.) Plan of Study
9.) Expected Date of Graduation 9.) Expected Date of Graduation / MM / DD YYYY
10.) PREVIOUS FINANCIAL ASSISTANCE:

10.) PREVIOUS FINANCIAL ASSISTANCE: I have received need-based federal financial aid. I have received a previous federal loan, other than NFLP, and not in default on any prior federal student loans. I have received an NFLP loan.
If you have previously received an NFLP loan, please list the date previously awarded If you have previously received an NFLP loan, please list the date previously awarded / MM / DD YYYY
11.) CURRENT FINANCIAL ASSISTANCE:
I have received scholarship awards in the amount of $ Dollars . Cents
I have received student loans in the amount of $ Dollars . Cents
I have not received scholarship or student loans as part of my current degree program's aid package.

I have not received scholarship or student loans as part of my current degree program's aid package. No scholarship or loan award
12.) ESTIMATED COST OF PROGRAM FOR APPLICATION PERIOD (Cost of Program includes direct educational expenses such as tuition, fees, books, laboratory expenses and other reasonable education expenses for one year of study.) NFLP loans do not apply to other indirect costs of attandance (i.e., living expenses, student transportation, room/board, personal expenses). $ Dollars . Cents
13.) REQUESTED NFLP LOAN AMOUNT (amount requested cannot exceed cost of program in #12) See https://hpu.edu/financial-aid/cost-of-attendance.html for assistance in estimating direct costs of program. $ Dollars . Cents
14.) APPLICATION PERIOD

Enrollment (indicate the number of credits you will take in each semester.)
	9+ credits	6 credits	3 credits	0 credits
Fall	Fall9+ credits	Fall6 credits	Fall3 credits	Fall0 credits
Spring	Spring9+ credits	Spring6 credits	Spring3 credits	Spring0 credits
Summer	Summer9+ credits	Summer6 credits	Summer3 credits	Summer0 credits

15.) CITIZENSHIP STATUS:
16.) Age at the time of application submission:
17.) Are you a veteran, reservist or active duty member of the U.S. Armed Forces?
18.) Are you from a rural residential background?
19.) Are you from a disadvantaged background?
20.) Are you Hispanic (or Latino)?
21.) What is your racial background? Check one or more.

21.) What is your racial background? Check one or more. American Indian or Alaska Native Native Hawaiian or other Pacific Islander Asian Black or African American White
22.) Do you have a disability?
If yes, which of the following categories describe your disability(ies):
23.) ACKNOWLEDGEMENT

THE ABOVE INFORMATION IS CORRECT AND COMPLETE AND I HEREBY AUTHORIZE VERIFICATION AS REQUIRED BY THE SCHOOL.

23.) ACKNOWLEDGEMENT

THE ABOVE INFORMATION IS CORRECT AND COMPLETE AND I HEREBY AUTHORIZE VERIFICATION AS REQUIRED BY THE SCHOOL. I, the above named applicant, have been informed that I must agree to the service obligation associated with the Nurse Faculty Loan Program in order to be eligible to receive a loan under this program.
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date / MM / DD YYYY