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ACADEMIC YEAR STATEMENT - med navy

ACADEMIC YEAR STATEMENT - med navy 2025

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The document is an Academic Year Statement form required for students participating in the Armed Forces Health Professions Scholarship Program (HPSP) and related programs. It outlines the necessary information to establish a benefit start date, including student details, school information, and academic dates. The form must be completed accurately to avoid delays in tuition and benefit payments, and it includes sections for both student and registrar signatures.

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Click ‘Get Form’ to open the ACADEMIC YEAR STATEMENT in the editor.
Begin by entering your Full Name and the Last Four of your Social Security Number. Ensure that these details are accurate as they are crucial for processing.
Fill in your E-mail Address and select your Program from the options provided: Medical, Dental, Optometry, PA, Podiatry, NADDS, or FAP.
Complete the School Information section by entering the School Name and School Address (Street, City, State, Zip).
In the School Registrar Information section, carefully input the Exact beginning date of your current academic year and Exact graduation date. Double-check these dates to avoid any errors.
Answer whether you are considered a state resident for tuition purposes by circling YES or NO.
Indicate the amount of Tuition/mandatory fees paid and specify if it is per year, semester, trimester, or quarter.
If applicable, provide the cost of the mandatory dental kit for dental students.
Ensure that both you and your registrar sign where indicated. Include their printed name and contact information.
Finally, review all entries for completeness before scanning and emailing the completed form to USN.OHSTUDENT@MAIL.MIL.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (215 Votes)
2015	4.7 Satisfied (63 Votes)
2015	4.2 Satisfied (51 Votes)

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