Application for Financial Assistance

This application is primarily used for Indiana University School of Medicine (IUSM) scholarship considerations. Medical students applying for federal aid considerations (i.e., Direct Loan Federal Unsubsidized Stafford Loans and the Direct Loan Graduate PLUS Loan) will be required to additionally submit the Free Application for Federal Student Aid (FAFSA). The FAFSA with parental information is also required for medical students who wish to be considered for IUSM financial need-based scholarships. Many of these considerations are made in late June separate from the merit or recruitment scholarships determined during the admissions process December thru May.

The receipt of any IUSM scholarships is contingent upon: (1) the student application when required, (2) the criteria of the scholarship award, and (3) the student maintaining good academic standing during the entire preceding academic year. The definition of good academic standing, as used by the IUSM Scholarship Committee, is a student who is not on academic probation for any reason.

Questions? Email jespada@iu.edu

Note: All fields marked * are required

  • Our office communicates exclusively through e-mail. Please designate the e-mail address where you wish to receive important communications. We will later communicate through the IUSM Class lists constructed specifically for your class.

  • If applicable, 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 the 2014-2014 academic year. Have you applied for the following opportunities?

  • Name of Scholarship Did You Apply? Amount Granted
    Armed Forces Health Professions Scholarship Program Yes $
    National Health Service Corp/Indian Health Service Yes $
    Other (e.g., church or fraternal organizations, community foundations) Yes $

    If other, please provide names(s) of the outside organization(s) or scholarship(s) and their specific amounts:

  • In some situations, IUSM scholarships have donor specificity where the information below will be needed and used in identifying scholarship eligibility or a pool of candidates.

  • Are you of Croatian Ancestry? Yes No
    Are you of Jordanian, Palestinian, Lebanese or Syrian descent? Yes No
    Are you LGBT? Yes No
    Have you demonstrated positive LGBT support through active membership in Gay Straight Alliances or affiliation with the Human Rights Campaign or other similar groups supportive of LGBT individuals? Yes No
    Do you have any physical disabilities? Yes No
    Are you a member of Delta Gamma or Phi Gamma Delta? Yes No
    Are you a member of the Lutheran Church Missouri Synod? Yes No
    Are you a resident of New Harmony Township in Posey County? Yes No
    Did you play Division I Sports at Indiana University-Bloomington? Yes No
    Are your parents/grandparents wartime veterans (killed, wounded or served)? Yes No
    Are you married or will be married within the next two years? Yes No
  • 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 www.nslds.ed.gov.

    Federal Perkins Student Loan $
    Federal Subsidized Stafford Loan (Direct Loans) $
    Federal Unsubsidized Stafford Loan (Direct Loans) $
    Other (Outside-funded) Private School Loans $
    Federal Graduate PLUS Loan $
    Total:
  • I affirm that the information submitted is complete and correct. I agree to report any additions or changes in this information to MSA-STUDENT FINANCIAL SERVICES.

    I, *, hereby give my permission to MSA-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.

  • Priority Date: May 31, 2016

    Questions? Contact Jose Espada.