Preparatory and Pre-Graduate Scholarships

1. Preparatory and Pre-Graduate Scholarships Recipient Orientation Forms and Documentation

2. Mailing Address Send all forms and documentation to the program office via email (scholarship@ihs.gov) or to the following address: Indian Health ServiceScholarship Program5600 Fishers LaneMail Stop: OHR (11E53A)Rockville, MD 20857

3. Required Forms and Documentation Recipient’s Initial Program Progress Report (IHS-856-8) • Must be submitted within 30 days of the beginning of each academic term. • Your advisor or the registrar’s office must sign the form to confirm your full- or part-time enrollment for the current academic term.

4. Required Forms and Documentation (cont.) Official Transcripts • Must be received within 30 days of the end of each academic term. • Must be sent by secure electronic transcript service or postal service. • Envelopes must have an official seal and/or the registrar’s signature. • Envelopes should not be opened or tampered with. • You must submit an official grade report or documentation of grades signed by your instructors and your advisor if an official transcript will not be ready within 30 days.

5. Additional Forms and Documentation Notification of Academic Problem (IHS-856-9) • Used to notify your Program Analyst of any academic problems, including: • Poor grades resulting in a reduction in enrollment status. • Canceled course. • Academic probation. • Withdrawal from school. • Dismissal from school. • Submit to your Program Analyst immediately. • Do not withdraw from a course or school without first consulting your Program Analyst.

6. Additional Forms and Documentation (cont.) Change of Status (IHS-856-10) • Used to notify your Program Analyst of a change in your enrollment status including: • Transferring schools or seeking dual enrollment. • Change in graduation date. • Requesting a leave of absence. • Submit to your Program Analyst immediately.

7. Additional Forms and Documentation (cont.) Summer School Request (IHS-856-21) • Used to request approval of payment for summer school courses, regardless of whether you are enrolled in a year-round program of study or not. • The form must: • Be submitted by April 22. • Be signed by your school advisor. • Include an attached Curriculum for Major. • Include documentation of summer school tuition and fees.

8. Additional Forms and Documentation (cont.) Summer School Request (IHS-856-21) • The following types of courses are approved to receive financial assistance: • Required courses toward your health profession degree program. • Required courses that must be repeated due to poor academic performance.

9. Additional Forms and Documentation (cont.) Lost Stipend Payment (IHS-856-19) • Submit to the program office after the seventh day of the month following the month missed (for example, submit after September 7 if you did not receive your August stipend). Change of Name or Address (IHS-856-22) • Submit to the program office immediately. Request for Credit Validation (IHS-856-23) • Submit to the program office immediately. Note: Contact your Program Analyst immediately if you are changing your preferred email address. A form does not need to be submitted, but notification will avoid delay in or loss of communication with the program.

10. Support Staff • IHS Scholarship Program Analyst — www.ihs.gov/scholarship/contact/programanalysts • Area Scholarship Coordinator — www.ihs.gov/scholarship/contact/areascholarshipcoordinators • IHS Discipline Chief — www.ihs.gov/scholarship/contact/disciplinechiefs For additional information: • Visit www.ihs.gov/scholarship. • Consult your Student Handbook, which can be found on our website. • Visit us on Facebook at Indian Health Service Scholarship Program.