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Indian Health Service The Federal Health Program for American Indians and Alaska Natives

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Human Resources (HR) Forms:

Supplemental Qualifications Statement Form [PDF - 70KB]
The purpose of this form is to have applicant specify his/her Internship, Residency Training, Fellowship and other Graduate Education relative to their application. It also requires that they specify their Board Certification. This information is necessary for the purpose of reviewing their qualifications for the position.