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Application for Financial Assistance

The form requests information for financial support that is not collected through the FAFSA or through the Indiana University School of Medicine MD Admissions process. Information is used to identify medical students who may qualify for an IU School of Medicine scholarship with specific criteria.




County and State

The Office of MD Admissions and Student Financial Services communicates heavily through e-mail. Please provide an email address that you check regularly to receive important communications. After matriculation, IU School of Medicine uses students' email address.

Scholarship Information

Indicate if you have applied for and/or have been awarded any scholarships from outside the medical school or non-school organizations to be applied toward your medical school education for this academic year. Have you applied for the following opportunities?

(e.g., church or fraternal organizations, community foundations)

In some situations, scholarships have donor specificity where the information provided above is needed to identify scholarship eligibility.

Undergraduate or Non-Medical Graduate Loans

List total amounts of any undergraduate or non-medical graduate educational loans disbursed to you BEFORE matriculating to the Indiana University School of Medicine.

For a history of your Federal student loan information use National Student Loan Data System (NSLDS).

I affirm that the information submitted is complete and correct. I agree to report any additions or changes in this information to MSE-STUDENT FINANCIAL SERVICES.By entering my name below, I hereby give my permission to MSE-STUDENT FINANCIAL SERVICES to release information on this application, academic records, recommendations, and financial aid data to non-University groups for the purpose of additional financial aid or scholarship considerations.

My Full Name *