Grayed fields are provided here for identification purposes only.
Select the Individual’s Current Employment/Training Status - PY: Select whether current employment data are available for each resident who received a BHW-funded financial award and completed their residency one year prior to this report by clicking on the drop-down menu in Column 13 (Block 23) and choosing
one of the following options:
- Employed
- Completing additional education or training
- Seeking employment or unemployed
- Status unavailable
Select the individual’s current training/employment status by clicking on the drop-down menu in Column 14 and selecting all the options that apply below. If employment data are not available for the individual, select “N/A.”
- Addressing nutritional health
- Applying for a teaching or faculty or preceptor position
- Applying for National Health Service Corps (NHSC) Loan Repayment
- Employed as a full-time nurse faculty member at an accredited school of nursing
- Employed as a full-time preceptor within an academic-practice partnership framework
- Employed in multiple part-time nurse faculty or preceptor positions that equate to full-time employment
- Individual meets criteria for deferment status
- Providing behavioral health services
- Serving individuals with chronic disease
- Serving individuals with substance use disorders (SUD) or opioid use disorders (OUD)
- Transitioning to a non-health care field
- None of the above
- N/A
If ‘Yes’ was selected in column 13, enter the zip code (5 digits) of the employment site.
If ‘No’ was selected, leave column 18a blank.
18b INDGEN-PY City:
City PY: Employment City (column 18b) will auto-populate based on Employment Location Zip Code (column 18c) after you save and validate the form.
State PY: Employment State (column 18c) will auto-populate based on Employment Location Zip Code (column 18a) after you save and validate the form.
Select Employment Type - PY: Select the type of employment location where the individual was hired following training program completion by clicking on the drop-down menu under Column 18 and choosing one of the options below. If employment data are not available for the individual, select “N/A.”
- Academic Institution
- Academic Medical Center
- Area Health Education Center
- Certified Community Behavioral Health Clinic (CCBHC)
- Community Behavioral Health/Mental Health Center
- Community Health Center (CHC)
- Critical Access Hospital
- Federal Government
- FQHC or Look-Alike
- Health Department (local/state/tribal)
- Hospital (non-academic)
- Indian Health Service (IHS)/Tribal/Urban Indian Health Center
- Nursing Home
- Other Clinical Health Setting
- Other Community-Based Organization
- Other Long-term Care Facility
- Other Specialty Clinic
- Private Industry
- Private Practice
- Residential Living Facility (including independent and assisted living)
- Rural Health Clinic
- School-based Clinic
- State or Local Government
- US Armed Forces
- Veterans Affairs Healthcare (e.g. VA hospital or clinic)
- N/A
- Medically Underserved Community
- National Health Service Corps (NHSC)-Approved Site
- Primary Care Setting
- Rural Area
- None of the Above
- N/A
If current training/employment data are available, select the individual's type of faculty appointment by clicking on the drop-down menu under Column 15 and selecting one of the options below. If current training/employment data are not available, select 'N/A' in Column 15.
- Graduate level - Doctorate
- Graduate level - Masters
- Nursing Diploma School
- Two-year College
- Undergraduate level
- None of the above
- N/A
Reference
Deferment status: NFLP borrowers are eligible for deferment for up to three years, (1) when the borrower is ordered to active duty as a member of a uniformed service of the United States (Army, Navy, Marine Corps, Air Force, Coast Guard, the National Oceanic and Atmospheric Administration Corps, or the U.S. Public Health Service Commissioned Corps); a borrower who voluntarily joins a uniformed service is NOT eligible for deferment, nor is a borrower who is employed by one of the uniformed services in a civilian capacity, or (2) when the borrower who graduates and is employed, and decides to return to a graduate nursing education program to pursue a doctoral degree to further their preparation as nurse faculty.
