The following forms (pdf format or a link to the government website) are required supporting documentation for submission
with your application. Download or reference the IHS Scholarship Program Application Handbook for instructions on submitting complete and eligible
supporting documentation.
The following is a list of forms (pdf format) that are either required* or should be submitted to your IHS Scholarship
Program analyst documenting an academic problem or change in status during the academic year. Download the IHS Scholarship Program Student Handbook
for instructions.
The following forms are required when entering your final year as a Health Professions scholarship recipient, attending a
post-graduate clinical training program or when fulfilling your service obligation. Download or reference the IHS Scholarship Program Student Handbook
for instructions.
The following forms are required when applying for an IHS externship. Download or reference the IHS Scholarship Program
Student Handbook for instructions.
The following forms are required when reporting a missing stipend payment, requesting additional academic support or
updating your personal information on file at IHS Scholarship Program Headquarters. Download or reference the IHS Scholarship Program Student Handbook
for instructions.
Lost Stipend Payment (IHS-856-19) (PDF - 86KB) Due: Notify the Grants Scholarship Coordinator, Division of Grants Operations (DGO) after the seventh day of the subsequent month from the month missed
Request for Credit Validation (IHS-856-23) (PDF - 78KB) Due: To your IHS Scholarship Program analyst granting release of pertinent information from your file to a credit card company,
bank, department store, etc. for the purpose of securing a lease for an apartment, home loan or other financial need
Continuation Application
The following forms (pdf format or link to government Web site) are required supporting documentation for submission
with your continuation application. Download or reference the IHS Scholarship Program Student Handbook for instructions on submitting complete and
eligible supporting documentation.
