Get School/rotation Information - Nys Ahec System

This guide provides thorough instructions on how to complete the SCHOOL/ROTATION INFORMATION form for the New York State Area Health Education Center System. By following these steps, you can ensure your application is filled out accurately and submitted correctly for consideration in the SEARCH Program.

Follow the steps to effectively complete the form.

1. Press the ‘Get Form’ button to access the form and open it in the editor.
2. Begin by filling in your student information, including your name, date of birth, address, and contact details. Ensure all details are accurate and clearly entered.
3. Indicate whether you are currently a health professions student or enrolled in a residency program by selecting 'Yes' or 'No'. Fill in the name of your current school or program as well as the state where it is located.
4. Select your area of study from the provided options, ensuring to choose the one that accurately represents your educational focus.
5. Specify the requested discipline for your rotation from the list. Note that certain disciplines may not be available in all regions.
6. Indicate your year in the program and whether you are receiving school credits for this rotation.
7. Fill out the anticipated graduation date, advisor contact information, and their phone number and email.
8. Answer the Experience and Interests questions on a separate typed document and include it with your application, detailing your motivation for participating in the program and your experience with underserved populations.
9. Indicate your rotation preferences by filling in your desired start and end dates, as well as the type of experience you prefer (rural or urban). Be sure to select only one reimbursement option.
10. Select your preferred geographic location for the rotation, noting any specific areas if applicable.
11. Review the Terms and Responsibilities section, ensuring you check each block to certify your understanding.
12. Finally, compile the application checklist, including the completed form, answers to the Experience and Interests questions, updated immunization records, and a letter from your university or training program.
13. Submit the completed application and supporting documents by email, fax, or regular mail, ensuring they are sent at least three months prior to your desired rotation start date.

Get started on completing your SCHOOL/ROTATION INFORMATION form online today.