INDGEN-PY: Individual Prior Year

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

Warning

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

Warning

If an individual is preparing for a professional licensing/certifying exam, select "Completing additional education or training" in Column 13 and "Preparing for a professional licensing/certifying exam" in Column 14.

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

Grayed fields are provided here for identification purposes only.

Select the Individual’s Current Employment/Training Status - PY: Select the individual's current employment or training status by clicking the drop-down menu 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:

If "Employed" or "Completing Additional Education or Training" was selected in Column 14, select the individual’s current employment and training activities in Column 14. Select all that apply.
If "Status Unavailable," "Seeking Employment or Unemployed," or "N/A" was selected, select 'N/A' in Column 14.

Addressing nutritional health
Applying for National Health Service Corps (NHSC) Loan Repayment
Became professionally licensed/certified
Preparing for a professional licensing/certifying exam
Providing behavioral health services
Providing telehealth 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
Working in a teaching or faculty or preceptor position
None of the above
N/A

Enter Zip Code PY:

If"Employed" or "Completing Additional Education or Training" was selected in Column 13, enter a 5-digit zip code for the individual's primary employment/training setting in Column 14a. -If employment is outside of USA, enter "88888" as the zip code.
If "Status Unavailable," "Seeking Employment or Unemployed," or "N/A" was selected in Column 13, leave zip code blank.

City PY: City will auto-populate based on the zip code entered in Column 14a after you save and validate the form."
State PY: State will auto-populate based on the zip code entered in Column 14a after you save and validate the form.
Select Employment Type - PY:

If "Employed" was selected in Column 14, identify the individual’s type of employment by clicking on the drop-down menu and selecting the best option among those listed below in Column 14d.
If "Completing Additional Education or Training," "Status Unavailable," "Seeking Employment or Unemployed," or "N/A" was selected, select 'N/A' in Column 14d.

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 and 14e, “None of the above” cannot be selected in combination with any other option.

Warning
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 14-24

Note
If employment is outside of USA, enter "88888" as the zip code.

Note
if an individual is 'completing additional education or training' in addition to 'seeking employment or [being] unemployed', please select 'completing additional education or training' from the drop-down menu

Reference

Refer to the glossary - https://bhw.hrsa.gov/glossary for definitions of primary care settings, medically underserved communities, and rural areas.

Reference
Refer to https://nhsc.hrsa.gov/sites/current-sites for more information on National Health Service Corps (NHSC) approved sites.

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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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