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Click ‘Get Form’ to open the HHS Form 6A in our platform's editor.
Begin by updating the pre-populated list of board members. Ensure you have a minimum of 9 and a maximum of 25 current board members listed.
For each board member, fill in their office position held (e.g., Chair, Treasurer) and specify their area of expertise (e.g., finance, education).
Indicate if more than 10% of each non-patient board member’s income comes from the health industry by selecting 'Yes' or 'No'.
Mark whether each board member is a health center patient. A patient is defined as someone who has received services within the last 24 months.
Specify if each board member lives or works in the service area and if they represent a special population, providing details where necessary.
Finally, ensure that you accurately report the total gender, ethnicity, and race of board members who are patients of the health center.

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Versions	Form popularity	Fillable & printable
2019	4.7 Satisfied (36 Votes)
2016	3.9 Satisfied (37 Votes)

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What is HRSA certification?

What Is Human Resources Certification? HR certification is, at its core, a recognition of your professional experience, skills, and knowledge. To earn any of the multiple HR certifications, you must have experience working in HR and pass a test to demonstrate your knowledge of HR topics and tasks.

What is the HRSA award determination?

Award Determination During this step, we use the grant reviewers recommendations to determine who will receive funding. We review the selected applications to ensure they comply with HRSA program requirements and your financial viability. We then make our final decisions on who receives funding.

What is hrsa form 6A?

This document provides the characteristics required for health center board member applications. It includes fields for board member details, public burden statements, and specific patient characteristics. Ideal for health centers applying for HRSA funds.

Where can I get form 6A?

The up to date version of it can be found on the Government website: . Once you have opened the template form on the Government website, you should save a copy to a location of your choice and then you can complete that copy.

What is HRSA form 5A?

The Form 5A service descriptors outline the general elements for all services, both Required and Additional, to assist in accurate recording of the approved Health Center Program scope of project.