PC-4 | HRSA EHBs

PC-4 - Entering Enrollment Information

Warning

Multiple steps are required to complete this portion of the subform. Please read instructions carefully.

Warning

You must report every individual that received direct financial support from the GPE-funded grant (e.g., stipend), and all non-GPE-funded trainees who participated in the same cohort of an internship as any GPE-funded trainee.

Enter Total # Enrolled (whether funded by BHW or not)	Enter Total # Enrolled (whether funded by BHW or not)	Enter Total # Enrolled (whether funded by BHW or not)
Total	URM	Disadvantaged Background and not URM
(4) Block 3	(5) Block 3a	(6) Block 3b

Figure 1. PC-4 - Entering Enrollment Information

Enter Total # Enrolled (whether funded by BHW or not): Total: In Column 4 (Block 3), enter the total number of students who participated in each internship program during the current reporting period. Count all students who participated in the internship program, regardless of whether or not the student directly received a BHW-funded financial award (i.e., stipend).Enter Total # Enrolled (whether funded by BHW or not): URM: In Column 5 (Block 3a), enter the number of students who participated in the internship program during the current reporting period who were underrepresented minorities.Enter Total # Enrolled (whether funded by BHW or not): Disadvantaged Background and not URM: In Column 6 (Block 3b), enter the number of students from disadvantaged backgrounds who were not underrepresented minorities who participated in the internship program during the current reporting period.

Note
Blocks 3a and 3b are subsets of Block 3.

Note
Students who permanently left their internship before completion (i.e. dropped out) will be counted separately in Column 9 (Block 9).

Reference
Refer to the glossary - https://bhw.hrsa.gov/glossary for the definition of underrepresented minority (URM) and disadvantaged background.

Example:

Example: The John Doe Internship Program had a total of 27 students enrolled. BHW funds provided stipends to 3 out of the 27 students in the program during the annual reporting period. During this period, 2 students permanently left the internship program before completion. In Column 4 of this form, you would enter 25. Among the 25 students enrolled in this internship program, a total of 10 are from disadvantaged backgrounds. Six (6) out of the 10 students from a disadvantaged background are also underrepresented minorities. You would enter 4 in Column 5 and enter 6 in Column 6.

PC-4 - Entering Graduate Information

Warning

Multiple steps are required to complete this portion of the subform. Please read instructions carefully.

Warning

On PC-4, an individual is a graduate when they complete their internship.

Enter Total # Graduated/Completed (whether funded by BHW or not)	Enter Total # Graduated/Completed (whether funded by BHW or not)
Total	URM
(7) Block 8	(8) Block 8a

Figure 2. PC-4 - Entering Graduate Information

Enter Total # Graduated/Completed (whether funded by BHW or not): Total: In Column 7 (Block 8), enter the total number of students who completed all internship requirements during the current reporting period. Count all students who completed the internship program, regardless of whether or not the student directly received a BHW-funded financial award (i.e., stipend).Enter Total # Graduated/Completed (whether funded by BHW or not): URM: In Column 8 (Block 8a), enter the number of students who completed all internship requirements during the current reporting period who were underrepresented minorities.

Note
Block 8 is a subset of Block 3; Block 8a is a subset of Block 8.

Note
Students who permanently left their internship before completion (i.e. dropped out) will be counted separately in Column 9 (Block 9).

Reference
Refer to the glossary - https://bhw.hrsa.gov/glossary for the definition of underrepresented minority (URM).

Example:

Example: The John Doe Internship Program had a total of 27 students enrolled. BHW funds provided stipends to 3 out of the 27 students in the program during the annual reporting period. During this period, 2 students permanently left the internship program before completion and a total of 8 students completed their internship. In Column 7 of this form, you would enter 8.

PC-4 - Entering Dropout Information

Warning

Multiple steps are required to complete this portion of the subform. Please read instructions carefully.

Enter Total # Who left the Program Before Completion (whether funded by BHW or not)	Enter Total # Who left the Program Before Completion (whether funded by BHW or not)
Total	URM
(9) Block 9	(10) Block 9a

Figure 3. PC-4 - Entering Dropout Information

Enter Total # Who left the Program Before Completion (whether funded by BHW or not): Total: In Column 9 (Block 9), enter the total number of students who permanently left their internships before completion during the current reporting period. Count all students who permanently left their internship regardless of whether or not the student directly received a BHW-funded financial award (i.e., stipend).Enter Total # Who left the Program Before Completion (whether funded by BHW or not): URM: In Column 10 (Block 9a), enter the number of students who permanently left their internships before completion during the current reporting period who were underrepresented minorities.

Note
Block 9a is a subset of Block 9. The total entered in Block 9 is exclusive of the total number of enrollees (Block 3).

Reference
Refer to the glossary - https://bhw.hrsa.gov/glossary for the definition of underrepresented minority (URM).

Example:

Example: The John Doe Internship Program had a total of 27 students enrolled. BHW funds provided stipends to 3 out of the 27 students in the program during the annual reporting period. During this period, 2 students permanently left the internship program before completion and a total of 8 students completed their internship. In Column 9 of this form, you would enter 2.

To Complete the Form: Click on the “Save and Validate” button located on the bottom right corner of your screen. If no errors are found, the BPMH system will automatically route you to the next required subform.

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PC-4: Program Characteristics – Internship Programs

PC-4 - Entering Enrollment Information

PC-4 - Entering Enrollment Information

PC-4 - Entering Graduate Information

PC-4 - Entering Graduate Information

PC-4 - Entering Dropout Information

PC-4 - Entering Dropout Information

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