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HRSA Electronic Handbooks

National Health Service Corps- State Loan Repayment Program (NHSC-SLRP)

pdf
  • Health Resources and Services Administration
  • Academic Year: 2022-2023
  • Bureau of Health Workforce
  • OMB Number: 0915-0061
  • Annual Performance Report
  • OMB Expiration Date: 01/31/2025

IND-GEN: Individual Characteristics

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IND-GEN - Setup

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IND-GEN - Excel Upload (optional)

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IND-GEN - Entering Trainee Unique ID

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IND-GEN - Entering NPI Number

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IND-GEN - Selecting Individual's Enrollment/Employment Status

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IND-GEN - Selecting Individuals Gender

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IND-GEN - Entering Year of Birth

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IND-GEN - Selecting Individual's Ethnicity

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IND-GEN - Selecting Individual's Race

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IND-GEN - Selecting if Individual is from a Rural Residential Background

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IND-GEN - Selecting if Individual is from a Disadvantaged Background

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IND-GEN - Selecting Individual's Veteran Status

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IND-GEN - Selecting Whether Individual Received HRSA/BHW Financial Award

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IND-GEN - Entering Individual's Financial Award Amount

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IND-GEN - Entering Original Qualifying Educational Loan Amount

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IND-GEN - Entering Individual's Primary Discipline & Specialty

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IND-GEN - Selecting Any Key Services Provided by Individual

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IND-GEN - Selecting Whether Individual Graduated/Completed the Program

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IND-GEN - Selecting Whether Individual is a First Time Participant

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IND-GEN - Selecting Whether this is a Continuation Award

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IND-GEN - Selecting Whether Provider is in Default of Service Obligation

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IND-GEN - Entering Service Obligation Dates

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IND-GEN - Selecting Any HRSA/BHW program Individual Participated In Prior to Entering NHSC SLRP

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IND-GEN - Selecting Medication Assisted Treatment Services Provided

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IND-GEN - Selecting If Individual Holds a Substance Use Disorder License or Certificate

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IND-GEN - Selecting Site Name(s)

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