Student Loan Application

Note: At the bottom of this page you are able to save your application and continue it later. All required questions must have drafted responses.

Mission
The mission of the Wisconsin Medical Society Foundation is to advance the health of the people of Wisconsin by supporting medical and health education.

Purpose
The Wisconsin Medical Society Foundation Student Loan Program is designed to address a portion of the unmet need in a medical student’s budget after aid has been received from other sources. Awards are limited to $10,000 per year for a maximum of three years or $30,000. Students entering their first year of medical school are not eligible.

Applications must be submitted annually to the financial aid office where the medical student is enrolled. Wisconsin Medical Society Foundation staff will notify loan recipients of approval no later than April 15. All loan proceeds are paid directly to the school in two equal installments.

Learn more about Foundation student loans here.

Loans from the Wisconsin Medical Society Foundation Student Loan Program, which encompasses all loan funds administered by the Foundation, shall be operated under the following rules and regulations effective November 1, 2026:

I have read and downloaded the Wisconsin Medical Society Foundation Education Loan Application and Solicitation Disclosure found at https://foundation.wismed.org/studentloans

I reside in the state of Wisconsin as deemed by the Higher Education Aids Board of the State of Wisconsin?

I am currently enrolled on a full-time basis in good standing at:

I will be enrolled on a full time basis at the indicated medical school in the next academic year.

My expected year of graduation is:

My school ID used by my financial aid office is:

I meet the eligibility requirements of the Federal Student Aid program. (If you are unsure of the eligibility requirements please visit https://studentaid.gov/understand-aid/eligibility/requirements.)

I plan to borrow more than $20,000 in Federal Direct Student Loans for the next school year.

I have an unmet financial need of at least $10,000 for the next school year.

I have never defaulted on any education loan or shown an unwillingness to pay any educational loan and I do not owe any refund on a grant or loan.

Name

First NameMiddle NameLast Name

School Email

example@example.com

Personal Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Current Address

Street Address

Street Address Line 2

CityState

Zip Code

Permanent Address (If different from above)

Street Address

Street Address Line 2

CityState

Zip Code

Date of Birth

Date

County I graduated high school in (Relevant for some specific loan funds)

Please list the specialties your are considering (Relevant for some specific loan funds)

Marital Status

If married, spouse's full name:

First NameMiddle NameLast Name

How many dependents under the age of 18 are you responsible for in your household?

Name of a parent or close family member

First NameMiddle NameLast Name

Address of a parent or close family member

Street Address

Street Address Line 2

CityState

Zip Code

What is your total debt including all outstanding student loans for both undergraduate and graduate school including Federal Direct, Unsubsidized, Perkins, Grad Plus Loans, School Loans, previous Wisconsin Medical Society Foundation Loans or other private lender loans?

Biographical Narrative: Please compose a brief state addressing your professional goals, need for financial support, leadership, community service, and any unusual circumstances that should be taken into consideration.

Third Party Authorization

I also hereby authorize the Wisconsin Medical Society Foundation (“Foundation”) to release any information related to my application for; award, servicing and repayment of; or otherwise related to this loan, and for no other purpose, including but not limited to information in this application, to University Accounting Services (UAS) and any other individual or entity as necessary to evaluate, administer or service this loan unless or until such authorization is revoked by me in writing.

Certification

Would you like to save and continue later? After clicking Submit, a link to your responses will appear on the screen. Save this link to continue your responses later. Note: all required questions must have a drafted response before clicking Submit.

Please verify that you are human

You are not eligible for a Foundation student loan at this time.

Student Loan Application

Application and Disclosure Form

Section One: Eligibility

Section Two: Demographics

Section Three: Certification

Terms of Loan and General Information