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

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Applicant Forms

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New Applicants

Application Handbook

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

Application Handbook [PDF - 6.5 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 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 or high school (if you have less than 30 college/university credit hours) attended. Official transcripts must arrive via a secure e-file delivery or in a sealed envelope with the institutional seal and/or the signature of the registrar. Reference our sample transcript to ensure your document fulfills all program requirements.
  • Documentation of American Indian Tribal or Alaska Native Village Membership [PDF - 4.3 MB]
  • 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 are only required if not submitted via the online system:

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 are only required if not submitted via the online system: