Section 24.04. Application process.

 

(1)  Applications shall be in such form as the Board of Regents may require and shall contain the following information:

(a) Evidence of health or dental care professional educational program attendance.

(b) Evidence of licensure or certification as a nurse-midwife, nurse practitioner, dental hygienist or physician assistant.

(c) Evidence of educational loan indebtedness and educational loan outstanding balance.

(d) The location of the applicant's current or proposed practice.

(e) Evidence that the provider practices or will practice primary care in an eligible practice area.

(f) The length of time the health care provider has practiced in the eligible practice area.

(g) Information about the likelihood that the applicant will remain in the eligible practice area after the loan repayment period.

(h) Any other information the Board of Regents may require to make a determination in accordance with the provisions of s. 36.61 , Stats., and this chapter.

(2)  The Board of Regents shall prepare application materials that it may update as necessary.

History: Cr. Register, June, 1998, No. 510 , eff. 6-1-98; CR 01-157 : am. (1) (a) and (b), Register June 2002 No. 558 , eff. 7-1-02; correction in (1) (intro.), (h), (2) made under s. 13.92 (4) (b) 6. , 7. , Stats., Register October 2011 No. 670 ; 2015 Wis. Act 330 s. 20 : am. (1) (intro.), (h), (2) Register April 2016 No. 724 , eff. 5-1-16.