Loan Application - The Anesthesia Foundation
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WELLNESS LOAN APPLICATION

(for individuals completing training less than 5 years ago)

The Anesthesia Foundation endeavors to assist anesthesiologists in practice experiencing a recent personal, medical, or practice hardship through its “Anesthesiology Wellness Loan Program” (AWLP). Please read more about this special program and to download an application.

RESIDENT/ FELLOW LOAN APPLICATION

(for individuals still in training)

The Anesthesia Foundation is chartered to provide low interest loans to anesthesiology residents. Generally the loan amount is $500 per month for a total of $6,000 for one years support. The individual must be in an approved training program (anesthesia residency or fellowship) for this 12 month time to receive the entire loan amount.

If you would like a copy of the application sent to you as an email then please fill in the following form. The information will be sent as an Acrobat PDF file. The free acrobat reader can be found at www.acrobat.com. Information will be sent the next working day.

Name:

Email:

Training Institution:

Home Phone:

Work Phone: