Med navy milPortals62NAVY HPSP ACADEMIC YEAR STATEMENT (AYS): Fill out & sign online

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Click ‘Get Form’ to open it in the editor.
Begin by entering your personal information in the designated fields, including your Last, First, and Middle names, Last Four of SSN, E-mail Address, and Phone Number.
Review the disclosure agreement carefully. Ensure you understand that by signing, you authorize your university to release academic information to the Navy Medicine Accessions Department.
Select your program type (Medical, Dental, Podiatry, Optometry) and enter the date of completion for your signature.
Fill in the school details accurately: School name, address, exact beginning date of the current academic year, anticipated degree conferral date, and whether you are considered a state resident for tuition purposes.
Complete the Registrar's section by providing their contact information and obtaining their printed name and signature. Make sure all fields are filled out completely to avoid delays.

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