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This form is required for fellows to indicate their start date and other relevant information for the Ruth L. Kirschstein National Research Service Award. It must be completed for each year of fellowship,
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How to fill out phs 416-5 - dartmouth
How to fill out PHS 416-5
01
Begin by downloading the PHS 416-5 form from the official website.
02
Fill in your personal information in the designated sections, including your name, address, and contact details.
03
Provide information about your educational background, ensuring all relevant degrees and certifications are listed.
04
Detail your work experience, including job titles, employers, and dates of employment.
05
Indicate your references, including their names, contact information, and relationship to you.
06
Review the information for accuracy and completeness before submission.
07
Sign and date the form as required.
Who needs PHS 416-5?
01
The PHS 416-5 form is required for individuals applying for positions within the Public Health Service.
02
It is necessary for candidates seeking financial support for health-related professions.
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What is PHS 416-5?
PHS 416-5 is a public health service form used to collect data on the demographics, health status, and health care needs of individuals served by certain health programs.
Who is required to file PHS 416-5?
Organizations that receive funding from the Health Resources and Services Administration (HRSA) and operate programs that provide health services are required to file PHS 416-5.
How to fill out PHS 416-5?
PHS 416-5 should be filled out by accurately entering information regarding clients served, including demographic details, service utilization, and health outcomes in the designated sections of the form.
What is the purpose of PHS 416-5?
The purpose of PHS 416-5 is to gather consistent and reliable data to evaluate the effectiveness of health programs and ensure compliance with federal reporting requirements.
What information must be reported on PHS 416-5?
Information that must be reported includes client demographics (such as age, gender, and ethnicity), health conditions, types of services provided, and health outcomes achieved.
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