This depends. Yes, amounts beyond just tuition and fees will have to be refunded. This is a federal regulation that your school must abide by in order to be able to distribute federal loans (more below). The amount you get to keep after all the NHSC funds are dispersed and your loans are refunded depends on what your school’s official “cost of attendance” is. Federal regulations limit the amount of aid any student can receive (3rd party scholarships/NHSC included) to equal no more than the cost of attendance. If the loans/fees/stipend does not reach your school’s cost of attendance, you can take out/keep loans to make up the difference. If it goes over, you will not be able to keep any loans at all (but you may be able to keep the money from your other sources). It can be really confusing, but it is best to try and keep track of all of this to know how much money you actually have. You will have a LOT of money suddenly appear in your bank account in a couple months. If you aren’t careful, you’ll find yourself in a situation where your school suddenly asks you for thousands of dollars to be paid back to them and you won’t have it.