Grayed fields are provided here for identification purposes only.
Select whether status/employment data are available for the individual 1-year post graduation/completion: 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:
Select Individual's Current Training/Employment Status: 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.”
- Individual is not currently employed
- Individual is currently employed or is pursuing further training in a medically underserved community
- Individual is currently employed or is pursuing further training in a primary care setting
- Individual is currently employed or is pursuing further training in a rural setting
- Individual is employed at a NHSC-approved site
- Individual is providing behavioral health services
- Individual is providing maternal health care
- Individual is serving individuals with OUD/SUD
- N/A
- None of the above
- Individual has applied to full-time faculty vacancies and has not obtained a full-time appointment
- Individual has applied to full-time faculty vacancies and has obtained a part-time appointment
- Individual has applied to full-time faculty vacancies and has obtained a part-time faculty position in combination with a clinical preceptor/educator position
- Individual has applied to full-time faculty vacancies and has obtained more than one part-time faculty position
- Individual has obtained a full-time faculty appointment
- Individual is currently serving as a preceptor
- Individual meets criteria for deferment status
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
Select whether your organization hired this individual following training program completion by clicking on the drop-down menu under Column 16 and choosing one of the options below. If employment data are not available for the individual, select “N/A.”
Select Whether a Partner Organization Hired this Individual - PY: Select whether a partner organization hired this individual following training program completion by clicking on the drop-down menu under Column 17 and choosing one of the options below. If employment data are not available for the individual, select “N/A.”
Select Employment Location - 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)
- Pursuing Additional Education or Training
- Not Currently Employed
- 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.
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.
