Forms

Title Description Type
Class of 2020 Cover Letter Overview of the IUSM financial aid process for the Class of 2020 PDF
Class of 2020 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

Student Loan Management

The National Student Loan Data System (NSLDS) is the Department’s central database that stores information on all loans and grants made through the Department’s federal student aid programs. The information displayed below includes all your federal student loans as reported to NSLDS. You must contact your specific loan servicer for more detailed information on your loan(s).

Title Description Type
NSLDS National Student Loan Data Service (Access your financial aid records.) Ext
FedLoan Servicing (PHEAA) - Public Service Loan Forgiveness   1-800-699-2908  The Department of Education's contracted servicer to monitor the Public Service Loan Forgiveness (PSLF)  
Great Lakes Educational Loan Services, Inc. 1-800-236-4300  
Nelnet 1-888-486-4722  
Sallie Mae 1-800-722-1300  

General Budget Adjustment Form for International and Away Rotations/Electives, Child Care Expenses, Computer Purchases, and ERAS Expenses

Title Description Type

Professional Judgment Appeal Form or Budget Adjustment Appeal Form (2016-2017)

Request professional judgment for special financial aid circumstances. Remember that you must turn this form into IUSM Student Financial Services via Fesler Hall 224 or as a scanned document to jnzieman@iu.edu or jespada@iu.edu or fax 317-278-2691. PDF

Budget Adjustment Forms for Interview Expenses

These forms were designed to assist medical studenst with recovering expenses due to Interviewing.  Additionally, allowing students to turn in single or multiple forms will assist in the student minimizing any cash-flow issues.  If you have any questions, please contact Jose Espada at jespada@iu.edu

Title Description Type

Professional Judgment Appeal Form
(October 2016)
Interview Expenses Budget Adjustment Form

Request professional judgment for interview expenses. Remember that you must turn this form into IUSM Student Financial Services via Fesler Hall 224 or as a scanned document to jnzieman@iu.edu or jespada@iu.edu or fax 317-278-2691. PDF

Professional Judgment Appeal Form
(November 2016)
Interview Expenses Budget Adjustment Form

Request professional judgment for interview expenses. Remember that you must turn this form into IUSM Student Financial Services via Fesler Hall 224 or as a scanned document to jnzieman@iu.edu or jespada@iu.edu or fax 317-278-2691. PDF

Professional Judgment Appeal Form
(December 2016)
Interview Expenses Budget Adjustment Form

Request professional judgment for interview expenses. Remember that you must turn this form into IUSM Student Financial Services via Fesler Hall 224 or as a scanned document to jnzieman@iu.edu or jespada@iu.edu or fax 317-278-2691. PDF

Professional Judgment Appeal Form
(January 2017)
Interview Expenses Budget Adjustment Form

Request professional judgment for interview expenses. Remember that you must turn this form into IUSM Student Financial Services via Fesler Hall 224 or as a scanned document to jnzieman@iu.edu or jespada@iu.edu or fax 317-278-2691. PDF

Professional Judgment Appeal Form
(February 2017)
Interview Expenses Budget Adjustment Form

Request professional judgment for interview expenses. Remember that you must turn this form into IUSM Student Financial Services via Fesler Hall 224 or as a scanned document to jnzieman@iu.edu or jespada@iu.edu or fax 317-278-2691. PDF

Residency Interviewing and Relocation Loans

Fourth-year medical students have a variety of expenses that may not be included in the standard student Cost of Attendance. Some of these expenses may include residency moving expenses, securing residency housing, etc.  All of these items cost money and some students may need to consider taking out a residency and relocation loan to help cover the additional expenses.

It’s helpful to itemize your anticipated expenses to determine if your need for this loan is legitimate or just a “nice cushion to have.” One of the costliest mistakes medical students make is to borrow funds they don’t really need

Caution: Unlike federal student loans, Residency and Relocation Loans are referred to as private (or alternative) loans. Taking out this loan is strictly between you (the borrower) and the lender.  

Be discriminating when you choose these loans and compare all information before making a decision. It’s important to know what you’re getting into – remember this is money that you will have to pay back, and typically, private loans can cost you more than other loans.

For information, click here.  Cheat Sheet (Word) | Cheat Sheet (PDF)

Title Description Type
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.  Cheat Sheet (Word) | Cheat Sheet (PDF) 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.   Cheat Sheet (Word) | Cheat Sheet (PDF) 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.  Cheat Sheet (Word) | Cheat Sheet (PDF) Ext
Discover Residency Relocation Loan

Get a loan with zero fees for your post-graduate medical residency and internship expenses. Cheat Sheet (Word) | Cheat Sheet (PDF)

 
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.  Cheat Sheet (Word) | Cheat Sheet (PDF) Ext
Residency Interviewing & Relocation Loan-
---Fifth Third Bank---
A private loan for interviewing and relocation to a residency program. Maximum amount is $15,000.  Cheat Sheet (Word) | Cheat Sheet (PDF) Ext

Master Promissory Notes

Title Description Type
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 IUPU-Indianapolis - 001813 Ext
Primary Care Loan (PCL), Loans to Disadvantaged Students (LDS) and School-based Promissory Notes (You may also view existing signed promissory notes through the IU Student Loan Administration.) Ext

Other Links or forms for the programs indicated below 

Title Description Type
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
AnnualCreditReport.com Check your credit reports once a year from each of the three reporting agencies 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.
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