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Click ‘Get Form’ to open the NAVY HPSP ACADEMIC YEAR STATEMENT in the editor.
Begin by filling out the 'Student Information' section. Enter your last four digits of your Social Security Number, full name, and select your program (Medical, Dental, Optometry, Podiatry, or Clinical Psychology).
Provide your email address and complete the school name and address fields accurately. Ensure all information is printed clearly to avoid any processing delays.
In the authorization section, confirm that you allow your university to release academic information to the Navy Medicine Accessions Department by signing and dating the form.
Next, move to the 'School Registrar Information' section. The registrar must enter precise dates for the beginning of the academic year and graduation date. Ensure these dates are correct to prevent any issues with benefits.
Indicate whether you are considered a state resident for tuition purposes by checking 'YES' or 'NO'. The registrar should then print their name, sign, date, and provide contact details.
Once completed, review all fields for accuracy before submitting via email to USN.OHSTUDENT@MAIL.MIL.
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