Program Name: Program Name:
1.  Enter the name of each new structured faculty development program coordinated and/or supported through the grant during the current reporting period.
2.  Select "Add Record."
3.  Repeat this process as necessary to enter each new structured faculty development program that was coordinate and/or supported through the grant during the current reporting period. 

Select Program Status in the Current Reporting Period: Select Program Status in the Current Reporting Period: Select the status of each structured faculty development program at the end of the current reporting period by clicking on the drop-down menu under Block 1a and choosing one of the following options:

Select Whether this was a Degree Bearing Program: Select whether each structured faculty development program that was supported through the grant during the current reporting period culminates in awarding participants with a professional certificate or academic degree by clicking on the drop-down menu and choosing one of the following options:


For Degree-bearing Programs: Select Type of Degree Offered: 1.  If you selected "Yes" in Column 2 (Block 2), select the type of degree that participants will earn when completing each program by clicking on the drop-down menu in Column 3 (Block 2a) and choosing one of the options below.
2.  If you selected "No" in Column 2 (Block 2), select "N/A" in Column 3 (Block 2a). 


For Degree-bearing Programs: Select Primary Focus Area: For Degree-bearing Programs: Select Primary Focus Area:
1.  If you selected "No" in Column 2 (Block 2), select "N/A" in Column 4 (Block 2b).
2.  If you selected "Yes" in Column 2 (Block 2), select the primary focus area of the degree-bearing structured faculty development program by clicking on the drop-down menu in Column 4 (Block 2b) and choosing one of the options below. 


For Non-Degree Bearing Program, Enter Length of Training Program in Clock Hours: For Non-Degree-Bearing Program, Enter Length of Training Program in Clock Hours:
1.  If you selected "Yes" in Column 2 (Block 2), enter a zero ("0") in Column 5 (Block 3).
2.  If you selected "No" in Column 2 (Block 2), enter the length of each non-degree bearing structured faculty development program in clock hours in the textbox in Column 5 (Block 3). 

Enter the % of Time Spent Developing Competencies for the Following Roles: Clinician: Enter the percentage of time spent in each structured faculty development program developing competencies associated with 'Clinician' in Column 6. 


Enter the % of Time Spent Developing Competencies for the Following Roles: Administrator: Enter the percentage of time spent in each faculty development program developing competencies associated with the 'Administrator' role in Column 7.


Enter the % of Time Spent Developing Competencies for the Following Roles: Educator: Enter the percentage of time spent in each faculty development program developing competencies associated with the 'Educator' role in Column 8.


Enter the % of Time Spent Developing Competencies for the Following Roles: Researcher: Enter the percentage of time spent in each faculty development program developing competencies associated with the 'Researcher' role in Column 9.

Enter # of Faculty Who Completed the Program: Enter # of Faculty Who Completed the Program:
If you marked a program as "Complete" in Column 1a, enter the number of faculty who completed each faculty development program during the current reporting period in the textbox in Column 10 (Block 6).
If you selected "Ongoing" in Column 1a, enter a zero ("0") in the textbox in Column 10 (Block 6). 

Select whether any Faculty Received any type of BHW-Funded Financial Award during the Training Program: Select whether any Faculty Received any type of BHW-Funded Financial Award during the Training Program: Select whether any faculty who participated in a structured faculty development program and received any type of BHW-funded financial award during the current reporting period by clicking on the drop-down menu in Column 11 (Block 7) and choosing from the following options:

Was Supplement Funding Used?: If you received COVID-19 supplemental funding and it was used to support this activity, please select yes. If you did not receive COVID-19 supplemental funding or if the COVID-19 supplemental funding was not used in support of this activity, please select no.