INDGEN-PY: Individual Prior Year

INDGEN-PY - Entering Employment Data 1-year Post Graduation/Completion

Select the Individual’s Current Employment/Training Status - PY	Select Individual's Current Employment/Training Activities - PY	Enter Zip Code PY	City PY	State PY	Select Employment Type - PY	Select Individuals Employment Location Settings - PY
(13) Block 23	(14) Block 23a	(14a)	(14b)	(14c)	(14d)	(14e)

Figure 1. INDGEN-PY - Entering Employment Data 1-year Post Graduation/Completion

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 Individual's Current Employment/Training Activities - PY:

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.”

None of the above
N/A

Enter Zip Code PY: City PY: State PY: 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

Select Individuals Employment Location Settings - PY :

Medically Underserved Community
National Health Service Corps (NHSC)-Approved Site
Primary Care Setting
Rural Area
None of the Above
N/A

Warning
For Column 14, “None of the above” and “N/A” cannot be selected in combination with any other option.

Note
If a participant has multiple employment or training/education locations, please select the one at which the participant spends most of their time) to respond to Columns 18 and 18a.

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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INDGEN-PY: Individual Prior Year

INDGEN-PY - Entering Employment Data 1-year Post Graduation/Completion

INDGEN-PY - Entering Employment Data 1-year Post Graduation/Completion

INDGEN-PY - Selecting Individual's Hiring Organization

INDGEN-PY - Selecting Individual's Hiring Organization

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