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Please complete the application in order to be considered for the South Carolina Behavioral Health Loan Repayment Program. All application materials must be submitted through the online portal by April 19, 2023 at 4:00 pm EDT to be considered. We will not accept any applications or documents via email, mail or fax. In order for your application to be considered complete, you must upload all required materials to your application in Submittable.

Required Documentation:

Proof of U.S. citizenship or U.S. national status:

  • U.S. birth certificate issued by a city, county or state agency of the U.S., identification page of unexpired U.S. passport, Certificate of Citizenship, or Naturalization Certificate (Note: state driver’s license, state identification cards, residence cards and Social Security cards are not acceptable proof.)
  • Site and Employment Verification Form 
  • Loan Eligibility Document (an account statement of loan debt from lender)
  • Completed Attestation Form
  • Participant CV

You will have the opportunity to revisit your application and continue to update it through April 19, 2023 at 4:00 pm EDT. Applicants will receive confirmation after submitting their application and can view application status at any time in their Submittable account. If you have any questions about the program or application, please contact Kristin Cochran, South Carolina AHEC Director of Recruitment and Retention Programs, at cochrak@musc.edu.

Application Steps:

  1. Complete eligibility form.
  2. If eligible, you will be routed to the full application. If not eligible, please contact Kristin Cochran to discuss. 
  3. Please complete application. You can save as a draft and return to submit when completed. 


We use Submittable to accept and review our submissions.