• Welcome to the Healthcare Workforce Enhancement Program (HWEP)!

    We’re so glad you’re here. By applying to HWEP, you’re taking an incredible step toward improving healthcare access in underserved and rural areas of Alaska. This program exists because of professionals like you who are passionate about making a difference.

    Before starting your application, please take some time to read the Healthcare Professional Reference Guide. It’s a helpful resource that explains what’s expected and how the program supports you as you serve. Accurate and complete information will make sure your application is processed as smoothly as possible.

    If you have questions during this process, visit HWEP Info or contact program support at oha.wi.info@alaska.gov. 

  • Healthcare Professional Application

    Healthcare Professional Application

    Healthcare Workforce Enhancement Program (HWEP)

  • Personal Information

  • Format: 000-000-0000.

  • Demographic Information

  • Gender*
  • Race: (select all that apply)*
  • Ethnicity*
  • Are you a US Citizen or legal permanent resident?*
  • Are you currently domiciled in the State of Alaska?*
  • Veteran status*
  • Are you from a rural residential background?*
  • Are you from a disadvantaged background?*

  • Service Obligations

  • Do you currently have any service obligations?*
  • Select the service obligation(s)
  • Have you ever breached a prior service obligation to a federal/state/local government or other entity?*
  • Have you ever had any federal or non-federal debt written off as uncollectable or received a waiver of any federal service or payment obligation?*

  • Professional Information

  • Discipline: (select one)*
  • 0/300
  • Do you hold a substance use disorder treatment license or certification?*
  • Do you provide Medication Assisted Treatment (MAT) Services?*
  • If yes, select from the following:

  • Employer Information

  • Employment Start Date*
     - -
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  • Employer Sponsorship Form

    This form must be completed and signed by your employer's authorized representative to be accepted.

     

  • Incentive

  • Select the incentive type you are applying for:*

  • For each loan, attach the following information

    Recent Account Statement: Must be dated within 30 days of submission, showing loan balance and account details.

    Loan Disbursement Report: Must show the original loan amount, loan purpose, and loan issue date.

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  • Signature

  • I certify that the information provided in this application is accurate and complete to the best of my knowledge.  I understand that providing false or misleading information may result in disqualification from the program or the requirement to repay funds disbursed.

  • Date*
     - -
  • Should be Empty: