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
(c) Evidence of
educational loan indebtedness and educational loan outstanding
(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
(h) Any other information
the Board of Regents may require to make a determination in accordance with the
provisions of s.
Stats., and this chapter.
(2) The Board of Regents shall prepare
application materials that it may update as necessary.
Wis. Admin. Code Board of Regents of the University of Wisconsin System § UWS 24.04
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.
(b) 6, 7., Stats., Register October 2011 No.
2015 Wis. Act 330 s. 20: am. (1) (intro.), (h), (2)
April 2016 No. 724, eff.5/1/2016