(1) Written documentation that the applicant complies with the provisions of section 97730 if applying for a scholarship, or section 97740 if applying for a loan repayment commitment;

(2) The dollar amount requested for scholarship expenses, with justification for the amount requested, or the dollar amount requested for loan repayment assistance, with details on outstanding educational loans including the current outstanding loan balances;

(3) An official copy of college transcripts for all postsecondary institutions attended;

(4) The applicant's work experience (if any);

(5) Community background, including any residence in a medically underserved area;

(6) The applicant's career goals;

(7) Financial need;

(8) Length of time before the applicant would be available to provide services in a medically underserved area;

(9) The medically underserved area where the applicant would propose to practice, and potential employers from whom the applicant would seek employment;

(10) Community involvement, including extra curricular activities;

(11) A personal statement by the applicant indicating any other qualifications, attributes or characteristics which would increase the likelihood the applicant will continue to practice in a medically underserved area after the service obligation has ended;

(12) A signed Letter of Understanding, which is an acknowledgement by the applicant that financial assistance requires a binding commitment from those applicants selected for a scholarship or loan repayment commitment to practice their health professions in a medically underserved area of the state for a specified period of time;

(13) Health care license number (if applicable); and

(14) Any other information the applicant believes is relevant.