Get Indiana State University Rural Health Program Form

Completing the Indiana State University Rural Health Program Form online is a straightforward process designed to gather important information about applicants interested in pursuing a career in rural healthcare. This guide provides step-by-step instructions to assist users in accurately filling out the form to meet application requirements.

Follow the steps to complete the form successfully.

1. Click the ‘Get Form’ button to retrieve the form and open it for editing.
2. Enter your date. This should reflect the date you are filling out the application.
3. Provide your high school GPA. Ensure you enter this accurately based on a 4.0 scale.
4. Fill in your SAT critical reading, math, and writing scores or your ACT composite score, indicating which test scores are provided.
5. Complete your class rank by indicating your position among your peers, along with the total number of students in your class.
6. Input your last name, first name, and middle name in the respective fields.
7. Indicate your gender in the designated section.
8. Fill out your address, including city, zip code, and county accurately.
9. Provide your phone number and email address for communication.
10. Complete the family profile section by providing your parents' or guardians' names, occupations, and education background.
11. List your siblings, including their names and ages.
12. Input the name and address of your high school, along with your guidance counselor’s contact information.
13. Detail your extracurricular and community activities, highlighting your involvement.
14. Outline your employment record, including employer names, positions, and responsibilities.
15. Review your entries for accuracy before finalizing your form.
16. Once completed, save changes and choose to download, print, or share the form as needed.

Complete your application for the Indiana State University Rural Health Program online today.