Health corps program 2026

1. Click ‘Get Form’ to open the health corps program document in the editor.
2. Begin by entering the student’s name and the last four digits of their Social Security Number in the designated fields.
3. The Financial Aid Official must check either 'is' or 'is NOT' from a disadvantaged background based on the criteria provided. Ensure this is completed accurately.
4. If applicable, provide details regarding the student's background that qualifies them as disadvantaged, referencing the examples listed for clarity.
5. The Financial Aid Official should then sign and date the form, along with providing their printed name, phone number, email address, and school name.
6. Once all fields are filled out correctly, scan and upload this document to your NHSC LRP application via our platform before submission.

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