Skip to site content

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

Scroll To Top

Applicant Forms

Find Us On Facebook link graphic

Native-American man smiling

New Applicants

Application Handbook

Reference this handbook for detailed information about our three scholarships, financial aid and application instructions.

Application Handbook Coming Soon

Required Forms and Documents

You are required to submit additional documentation in support of your online application. Below are links to sample documents and program forms for your reference or use when compiling your supporting documentation. Reference the Application Handbook for instructions.

  • Letter of Acceptance [PDF - 595 KB]/Letter of Application [PDF - 548 KB] — Either letter must be on official school letterhead. A letter of acceptance must clearly state that you were accepted (or admitted) to the college/university and include a semester or start date. Proof of application must include language that shows the college/university received your application and when the school expects to begin accepting new students. Reference our sample letters to ensure your document fulfills all program requirements.
  • Official Transcripts [PDF - 1 MB] — You are required to send transcripts from every college/university that indicate a minimum of 24 credit hours of college coursework to be completed by June 1, 2018. You are required to send official transcripts from every college/university attended within the last 7 years.

    Graduate Level: Must submit official transcript from last degree obtained and current coursework/transcript, if presently enrolled.

    • BIA-4432 Exit Disclaimer: You Are Leaving www.ihs.gov 
    • Curriculum for Major [PDF - 739 KB] — This document can be found in your school’s course catalog and supports the Course Curriculum Verification form you submitted as part of your online application. It cannot be used in place of completing that form. Reference our sample form to ensure your document fulfills all program requirements.

    The following forms must be submitted via the online system:

    • Faculty/Employer Evaluation (IHS-856-3)
    • Delinquent Federal Debt (IHS-856-5)
    • Course Curriculum Verification (IHS-856-6)

    Scholarship Extension Applicants

    Student Handbook

    Reference this handbook for detailed information about your responsibilities as a scholarship recipient, including academic and reporting requirements, continuation application instructions and service commitment information.

    Student Handbook [PDF - 3.9 MB]

    Required Forms and Documents

    You are required to submit additional documentation in support of your online application. Below are links to sample documents and program forms for your reference or use when compiling your supporting documentation. Reference the Student Handbook for application and form/document instructions.

    The following forms/documents are required if you are transferring/seeking dual enrollment or progressing from a Preparatory/Pre-Graduate scholarship to a Health Professions scholarship:

    • Letter of Acceptance [PDF - 595 KB]/Letter of Application [PDF - 548 KB] — Either letter must be on official school letterhead. A letter of acceptance must clearly state that you were accepted (or admitted) to the college/university and include a semester or start date. Proof of application must include language that shows the college/university received your application and when the school expects to begin accepting new students. Reference our sample letters to ensure your document fulfills all program requirements.
    • Curriculum for Major [PDF - 739 KB] — You can find this document in your school’s course catalog. This document supports the Course Curriculum Verification form you submitted as part of your online application. It cannot be used in place of completing that form. Reference our sample form to ensure your document fulfills all program requirements.

    The following form is required if you are transferring, seeking dual enrollment, requesting a change in your graduation date or requesting a leave of absence:

    The following forms must be submitted via the online system:

    • Faculty/Employer Evaluation (IHS-856-3)
    • Delinquent Federal Debt (IHS-856-5)
    • Course Curriculum Verification (IHS-856-6)