Give Back, Get Back Education Loan Repayment Program

• Public Health Government or non-government entities
• Clinics/Community Health Centers (funding for population-level staff, not direct patient care)
• Environmental Health Agencies
• Health Insurance Companies (roles such as Patient Navigator, Health Educator, Community Health Worker/Community Health Outreach Worker)
• Hospitals (funding for population-level health staff, not direct patient care)
• Human Services Providers (including faith-based organizations, food banks, transportation services)
• Laboratories
• Mental Health Organizations
• Nursing Homes
• Public Health Community-Based Organizations
• Public Safety Agencies
• State or local health department

The following documents must be submitted for an application to be considered complete:

1. Completed Application, including all parts.
2. Educational Debt Reporting Form, Part F of the application.
3. Copy of current lender statement dated within one month of application submission to be included in the loan repayment request. The lender statement must include the:
   1. Applicant’s Name: applicant name and statement name must match
   2. Current Loan Balance: within the last 30 days of application submission
   3. Account Number:  to be referenced on check payment to lender
   4. Lender Check Payment Remittance Mailing Address
   5. Please see the approved examples below. If you do not submit the proper documentation, your application will  be considered incomplete.
4. Completed Employment Verification Form, signed by the applicant and their supervisor.
5. Copy of a valid government-issued photo identification (such as passport or driver’s license)

Please see below examples of loan statements we approve as part of your application. The sections we have highlighted must be visible in the copy (copies) of education loan balance statements you upload.

• MOHELA
• AidVantage
• EdFinancial
• Nelnet
• CRI

This list is meant to provide examples of the information we are seeking. These are not the only education lender institutions we accept. We accept private lender institutions that pay for education such as Sallie Mae, SoFi, Earnest, etc. We will not accept statements of personal and consumer loans such as credit card statements, mortgages, and home equity loans.

Prior to releasing your award, requirements are to submit an updated student loan balance statement to confirm your current loan amount. 

Ensure the statement issued by your loan service provider includes the following: 

• Applicant’s Name: applicant name and statement name must match
• Current Loan Balance: within the last 30 days of statement submission
• Account Number: to be referenced on check payment to lender
• Lender Check Payment Remittance Mailing Address

Please note if your remaining loan balance is lower than your remaining award amount, only the loan balance amount will be paid out. 

If you have changed your employer since receiving your award back in December 2025, you are also required to submit an updated Employer Verification Form. As a program requirement, you must be working for a qualified public health employer for two years to be eligible for an award. 

All required documentation must be submitted to studentloan@hiphi.org no later than Wednesday, September 30, 2026 at 5PM (HST)

Should you have questions regarding acceptable documentation or other issues, please feel free to reach out via email or phone at (808) 591-6508 x 28.

It is the responsibility of the applicant and/or loan payment recipient to update HIPHI when their information changes (i.e., name, relocation outside of Hawaiʻi, employment, lender company).  An up-to-date Give Back, Get Back Employment Verification Form is required if you change employers during the program period. 

To ensure HIPHI has your most current information on file, please complete the Give Back, Get Back Program – Profile Update Form. 

Failure to update HIPHI with your information may result in a delay of your award payment or disqualification from the program.

Application portal is CLOSED.