Program |
Legislative Purpose and/or Required Grant Activity |
Form |
Applicable Blocks |
Area Health Education Centers (AHEC) |
Health Careers Recruitment |
Grant Purpose Form |
Block 1 |
Program Characteristics Form |
Unstructured Training Programs
Block 1 Block 1a Block 1a1 Block 1b Block 1c Block 2
Structured Training Programs
Block 1 Block 1d Block 1d1 Block 1e Block 1f Block 1h Block 1i Block 2 |
||
LR-1 |
All Programs
Block 1 Block 5 Block 6 Block 6a
Interprofessional Programs Only
Block 7 Block 7a |
||
LR-2 |
All Programs
Blocks 1 through 12 Blocks 49 through 60 |
||
DV-1 |
All Programs
Blocks 1 through 7 Blocks 29 through 42 Blocks 64 through 70 |
||
DV-2 |
All Programs
Block 1 Block 2 Block 9 Block 10 |
||
DV-3 |
All Programs
Block 1 Block 5 |
||
Community-based training and education with emphasis on primary care |
Grant Purpose Form |
Block 1 |
|
Program Characteristics Form |
Block 1 Block 1l Block 2 Block 3 Block 3a Block 3b Block 8 Block 8a Block 9 Block 9a |
||
IND-GEN |
Blocks 1 through 10 Blocks 15 through 19a Block 21 Block 22 Block 22b
1-year Follow-up:
Block 23 Block 23a |
||
EXP-1 |
All Programs
Block 1 Block 1a Block 2 Block 3 Block 4
Clinical Programs Only
Block 8 |
||
Continuing Education |
Grant Purpose Form |
Block 1 |
|
LR-1 |
Block 8 |
||
Continuing Education Form |
Blocks 1 through 11a |
||
Public Health Careers Exposure to Youth |
Grant Purpose Form |
Block 1 |
|
Program Characteristics Form |
Unstructured Training Programs
Block 1 Block 1a Block 1a1 Block 1b Block 1c Block 2
Structured Training Programs
Block 1 Block 1d Block 1d1 Block 1e Block 1f Block 1g Block 1h Block 1i Block 2 |
||
LR-1 |
All Programs
Block 1 Block 5 Block 6 Block 6a
Interprofessional Programs Only
Block 7 Block 7a |
||
LR-2 |
All Programs
Blocks 1 through 12 Block 49 through 60 |
||
DV-1 |
All Programs
Blocks 1 through 7 Block 29 through 42 Block 64 through 70 |
||
DV-2 |
All Programs
Block 1 Block 2 Block 9 Block 10 |
||
DV-3 |
All Programs
Block 1 Block 5 |
||
Centers of Excellence (COE) |
Increase the competitive applicant pool |
Grant Purpose Form |
Block 1 |
Program Characteristics Form |
Structured Training Programs
Block 1 Block 1d Block 1d1 Block 1e Block 1f Block 1i Block 2 |
||
LR-1 |
All Programs
Block 1 Block 5 Block 6 Block 6a
Interprofessional Programs Only
Block 7 Block 7a |
||
LR-2 |
All Programs
Blocks 1 through 12 Block 49 through 60 |
||
DV-1 |
All Programs
Blocks 1 through 7 Block 29 through 42 Block 64 through 70 |
||
DV-2 |
All Programs
Block 1 Block 2 Block 9 Block 10 |
||
DV-3 |
All Programs
Block 1 Block 5 |
||
IND-GEN |
Blocks 1 through 12 Blocks 15 through 19a Block 21 Block 22 Block 22b
1-year Follow-up:
Block 23 Block 23a |
||
Enhance Student Performance |
Grant Purpose Form |
Block 1 |
|
Program Characteristics Form |
Structured Training Programs
Block 1 Block 1d Block 1d1 Block 1e Block 1f Block 1i Block 2 |
||
LR-1 |
All Programs
Block 1 Block 5 Block 6 Block 6a
Interprofessional Programs Only
Block 7 Block 7a |
||
LR-2 |
All Programs
Blocks 1 through 12 Block 49 through 60 |
||
DV-1 |
All Programs
Blocks 1 through 7 Block 29 through 42 Block 64 through 70 |
||
DV-2 |
All Programs
Block 1 Block 2 Block 9 Block 10 |
||
DV-3 |
All Programs
Block 1 Block 5 |
||
IND-GEN |
Blocks 1 through 12 Blocks 15 through 19a Block 21 Block 22 Block 22b
1-year Follow-up:
Block 23 Block 23a |
||
Improve Capacity for Faculty Development |
Grant Purpose Form |
Block 1 |
|
Faculty Development, Instruction & Recruitment Form |
Unstructured Programs
Block 1 Blocks 8 through 12
Structured Programs
Blocks 1 through 7 |
||
Facilitate Faculty-Student research |
Grant Purpose Form |
Block 1 |
|
Faculty Development, Instruction & Recruitment Form |
Block 1 Blocks 13 through 16 |
||
Carry out student training in providing healthcare services |
Grant Purpose Form |
Block 1 |
|
Program Characteristics Form |
Structured Training Programs
Block 1 Block 1d Block 1d1 Block 1e Block 1f Block 1g Block 1h Block 1i Block 2 |
||
LR-1 |
All Programs
Block 1 Block 5 Block 6 Block 6a
Interprofessional Programs Only
Block 7 Block 7a |
||
LR-2 |
All Programs
Blocks 1 through 12 Block 49 through 60 |
||
DV-1 |
All Programs
Blocks 1 through 7 Block 29 through 42 Block 64 through 70 |
||
DV-2 |
All Programs
Block 1 Block 2 Block 9 Block 10 |
||
DV-3 |
All Programs
Block 1 Block 5 |
||
IND-GEN |
Blocks 1 through 12 Blocks 15 through 19a Block 21 Block 22 Block 22b
1-year Follow-up:
Block 23 Block 23a |
||
EXP-1 |
All Programs
Block 1 Block 1a Block 2 Block 3 Block 4
Clinical Programs Only
Block 8 |
||
Geriatric Education Centers (GEC) |
Develop and disseminate curricula relating to the treatment of health problems of elderly individuals |
Curriculum Development & Enhancement Form |
Block 1 Block 2 |
Support the training and retraining of faculty to provide instructions in geriatrics |
Faculty Development Form |
Unstructured Programs
Block 1 Blocks 8 through 12
Structured Programs
Blocks 1 through 7 |
|
Support continuing education of health professionals who provide geriatric care |
LR-1 |
Block 8 |
|
Continuing Education Form |
Blocks 1 through 11a Block 14 |
||
Provide students with clinical training in geriatric nursing homes, chronic and acute disease hospitals, ambulatory care centers, and senior centers |
Program Characteristics Form |
Block 1 Block 1l Block 2 |
|
LR-1 |
All Programs
Block 1 Block 5 Block 6 Block 6a
Interprofessional Programs Only
Block 7 Block 7a |
||
LR-2 |
All Programs
Blocks 1 through 12 Block 49 through 60 |
||
DV-1 |
All Programs
Blocks 1 through 7 Block 29 through 42 Block 64 through 70 |
||
DV-2 |
All Programs
Block 1 Block 2 Block 9 Block 10 |
||
DV-3 |
All Programs
Block 1 Block 5 |
||
EXP-1 |
All Programs
Blocks 1 through 4
Clinical Programs Only
Block 8 |
||
Geriatric Academic Career Awards (GACA) |
To provide training in clinical geriatrics, including the training of interdisciplinary teams of health professionals |
IND-GEN |
Blocks 1 through 12 Blocks 15 and 16 |
Faculty Development, Instruction & Recruitment Form |
Block 1 Blocks 17 through 22 |
||
Geriatric Training for Physicians, Dentists, and Behavioral and Mental Health Providers (GTPD) |
To provide training in geriatrics and exposure to the physical and mental disabilities of elderly individuals through a variety of service rotations, such as geriatric consultation services, acute care services, dental services, geriatric behavioral or mental health units, day and home care programs, rehabilitation services, extended care facilities, geriatric ambulatory care and comprehensive evaluation units, and community care programs for elderly mentally retarded individuals |
Grant Purpose Form |
Block 1 |
Program Characteristics Forms |
Block 1 Block 1l Block 2 Block 3 Block 3a Block 3b Block 8 Block 8a Block 9 Block 9a |
||
IND-GEN |
Blocks 1 through 12 Blocks 15 through 19a Block 21 Block 22 Block 22b
1-year Follow-up:
Block 23 Block 23a |
||
Faculty Development, Instruction & Recruitment Form |
Block 1 Blocks 17 through 22 |
||
EXP-1 |
All Programs
Blocks 1 through 4
Clinical Programs Only
Block 8 |
||
Comprehensive Geriatric Education Program (CGEP) |
Develop and disseminate curricula related to the treatment of the health problems of elderly individuals |
Grant Purpose Form |
Block 1 |
Curriculum Development and Enhancement Form |
Block 1 Block 2 |
||
Train faculty members in geriatrics |
Grant Purpose Form |
Block 1 |
|
Faculty Development Form |
Unstructured Programs
Block 1 Blocks 8 through 12
Structured Programs
Blocks 1 through 7 |
||
Provide continuing education to individuals who provide geriatric care |
Grant Purpose Form |
Block 1 |
|
LR-1 |
Block 8 |
||
Continuing Education Form |
Blocks 1 through 11a |
||
Establish Traineeships for individuals who are preparing for advanced nursing degrees in geriatric nursing, long-term care, gero-psychiatric nursing or other nursing areas that specialize in the care of the elderly population |
Grant Purpose Form |
Block 1 |
|
Program Characteristics Forms |
Block 1 Block 1l Block 2 Block 3 Block 3a Block 3b Block 8 Block 8a Block 9 Block 9a |
||
IND-GEN |
Blocks 1 through 12 Blocks 15 through 22b
1-year Follow-up:
Block 23 Block 23a |
||
EXP-1 |
Blocks 1 through 4
Clinical Programs Only
Block 8 |
||
Public Health Training Centers (PHTC) |
Strengthen Field Placements |
Program Characteristics Forms |
Block 1 Block 1l Block 2 Block 3 Block 3a Block 3b Block 8 Block 8a Block 9 Block 9a |
IND-GEN |
Blocks 1 through 12 Blocks 15 through 19a Block 21 Block 22 Block 22b
1-year Follow-up:
Block 23 Block 23a |
||
EXP-1 |
Blocks 1 through 5a |
||
Faculty-Student Collaboration Projects |
Faculty Development Form |
Block 1 Blocks 13 through 16 |
|
Needs Assessment |
Needs Assessment Form |
Blocks 1 through 3b |
|
Continuing Education of Public Health Professionals |
LR-1 |
Block 8 |
|
Continuing Education Form |
Blocks 1 through 13 |
||
Public Health Traineeships (PHT) |
To provide traineeships to eligible individuals enrolled in an accredited graduate-level public health degree program. |
Program Characteristics Forms |
Block 1 Block 1j Block 1k Block 1k1 Block 2 Block 3 Block 3a Block 3b Block 8 Block 8a Block 9 Block 9a |
IND-GEN |
Blocks 1 through 12 Blocks 15 through 19a Blocks 21 through 22b
1-year Follow-up:
Block 23 Block 23a |
||
EXP-1 |
Blocks 1 through 4 |
||
Preventive Medicine Residency (PMR) |
Support Resident Costs |
Grant Purpose Form |
Block 1 |
Program Characteristics Forms |
Block 1 Block 1l Block 2 Block 4 Block 5 Block 6 Block 8 Block 8a Block 9 Block 9a |
||
IND-GEN |
Blocks 1 through 12 Blocks 15 through 19a Block 21 Block 22 Block 22b
1-year Follow-up:
Block 23 Block 23a |
||
EXP-1 |
All Programs
Blocks 1 through 4
Clinical Programs Only
Block 8 |
||
Faculty Development Activities |
Grant Purpose Form |
Block 1 |
|
Faculty Development, Instruction & Recruitment Form |
Unstructured Programs
Block 1 Blocks 8 through 12
Structured Programs
Blocks 1 through 7 |
||
Integrative Medicine Program (IMP) |
Incorporate evidence-based integrative medicine content into existing preventive medicine residency programs |
Grant Purpose Form |
Block 1 |
Curriculum Development & Enhancement Form |
Block 1 Block 2 |
||
Provide faculty development to improve clinical teaching in both preventive and evidence-based integrative medicine |
Grant Purpose Form |
Block 1 |
|
Faculty Development, Instruction & Recruitment Form |
Unstructured Programs
Block 1 Blocks 8 through 12
Structured Programs
Blocks 1 through 7 |
||
Facilitate delivery of related information that will be measured through competency development and assessment of the residents. |
Grant Purpose Form |
Block 1 |
|
Program Characteristics Forms |
Block 1 Block 1l Block 2 Block 4 Block 5 Block 6 Block 8 Block 8a Block 9 Block 9a |
||
IND-GEN |
Blocks 1 through 12 Blocks 15 through 19a Block 21 Block 22 Block 22b
1-year Follow-up:
Block 23 Block 23a |
||
Health Careers Opportunity Program (HCOP) |
Recruitment |
Program Characteristics Form |
Unstructured Programs
Block 1 Block 1a Block 1a1 Block 1b Block 1c Block 2
Structured Programs
Block 1 Block 1d Block 1d1 Block 1e Block 1f Block 1g Block 1h Block 1i Block 2 |
LR-1 |
All Programs
Block 1 Block 5 Block 6 Block 6a
Interprofessional Programs Only
Block 7 Block 7a |
||
LR-2 |
All Programs
Blocks 1 through 12 Blocks 49 through 60 |
||
DV-1 |
All Programs
Blocks 1 through 7 Blocks 29 through 42 Blocks 64 through 70 |
||
DV-2 |
All Programs
Block 1 Block 2 Block 9 Block 10 |
||
DV-3 |
All Programs
Block 1 Block 5 |
||
IND-GEN |
Blocks 1 through 12 Blocks 15 through 19a Block 21 Block 22 Block 22b
1-year Follow-up:
Block 23 Block 23a |
||
EXP-1 |
All Programs
Blocks 1 through 4
Clinical Programs Only
Block 8 |
||
Facilitating Entry |
Program Characteristics Form |
Unstructured Programs
Block 1 Block 1a Block 1a1 Block 1b Block 1c Block 2
Structured Programs
Block 1 Block 1d Block 1d1 Block 1e Block 1f Block 1g Block 1h Block 1i Block 2 |
|
LR-1 |
All Programs
Block 1 Block 5 Block 6 Block 6a
Interprofessional Programs Only
Block 7 Block 7a |
||
LR-2 |
All Programs
Blocks 1 through 12 Blocks 49 through 60 |
||
DV-1 |
All Programs
Blocks 1 through 7 Blocks 29 through 42 Blocks 64 through 70 |
||
DV-2 |
All Programs
Block 1 Block 2 Block 9 Block 10 |
||
DV-3 |
All Programs
Block 1 Block 5 |
||
IND-GEN |
Blocks 1 through 12 Blocks 15 through 19a Block 21 Block 22 Block 22b
1-year Follow-up:
Block 23 Block 23a |
||
EXP-1 |
All Programs
Blocks 1 through 4
Clinical Programs Only
Block 8 |
||
Counseling, Mentoring and Other Services |
Program Characteristics Form |
Unstructured Programs
Block 1 Block 1a Block 1a1 Block 1b Block 1c Block 2
Structured Programs
Block 1 Block 1d Block 1d1 Block 1e Block 1f Block 1g Block 1h Block 1i Block 2 |
|
LR-1 |
All Programs
Block 1 Block 5 Block 6 Block 6a
Interprofessional Programs Only
Block 7 Block 7a |
||
LR-2 |
All Programs
Blocks 1 through 12 Blocks 49 through 60 |
||
DV-1 |
All Programs
Blocks 1 through 7 Blocks 29 through 42 Blocks 64 through 70 |
||
DV-2 |
All Programs
Block 1 Block 2 Block 9 Block 10 |
||
DV-3 |
All Programs
Block 1 Block 5 |
||
IND-GEN |
Blocks 1 through 12 Blocks 15 through 19a Block 21 Block 22 Block 22b
1-year Follow-up:
Block 23 Block 23a |
||
EXP-1 |
All Programs
Blocks 1 through 4
Clinical Programs Only
Block 8 |
||
Preliminary Education and Health Research Training |
Program Characteristics Form |
Unstructured Programs
Block 1 Block 1a Block 1a1 Block 1b Block 1c Block 2
Structured Programs
Block 1 Block 1d Block 1d1 Block 1e Block 1f Block 1g Block 1h Block 1i Block 2 |
|
LR-2 |
All Programs
Blocks 1 through 12 Blocks 49 through 60 |
||
DV-1 |
All Programs
Blocks 1 through 7 Blocks 29 through 42 Blocks 64 through 70 |
||
DV-2 |
All Programs
Block 1 Block 2 Block 9 Block 10 |
||
DV-3 |
All Programs
Block 1 Block 5 |
||
LR-2 |
All Programs
Blocks 1 through 12 Blocks 49 through 60 |
||
IND-GEN |
Blocks 1 through 12 Blocks 15 through 19a Block 21 Block 22 Block 22b
1-year Follow-up:
Block 23 Block 23a |
||
EXP-1 |
All Programs
Blocks 1 through 4
Clinical Programs Only
Block 8 |
||
Financial Aid Information Dissemination |
Program Characteristics Form |
Unstructured Programs
Block 1 Block 1a Block 1a1 Block 1b Block 1c Block 2
Structured Programs
Block 1 Block 1d Block 1d1 Block 1e Block 1f Block 1g Block 1h Block 1i Block 2 |
|
LR-1 |
All Programs
Block 1 Block 5 Block 6 Block 6a
Interprofessional Programs Only
Block 7 Block 7a |
||
LR-2 |
All Programs
Blocks 1 through 12 Blocks 49 through 60 |
||
DV-1 |
All Programs
Blocks 1 through 7 Blocks 29 through 42 Blocks 64 through 70 |
||
DV-2 |
All Programs
Block 1 Block 2 Block 9 Block 10 |
||
DV-3 |
All Programs
Block 1 Block 5 |
||
IND-GEN |
Blocks 1 through 12 Blocks 15 through 19a Block 21 Block 22 Block 22b
1-year Follow-up:
Block 23 Block 23a |
||
EXP-1 |
All Programs
Blocks 1 through 4
Clinical Programs Only
Block 8 |
||
Primary Care Exposure Activities |
Program Characteristics Form |
Unstructured Programs
Block 1 Block 1a Block 1a1 Block 1b Block 1c Block 2
Structured Programs
Block 1 Block 1d Block 1d1 Block 1e Block 1f Block 1g Block 1h Block 1i Block 2 |
|
LR-1 |
All Programs
Block 1 Block 5 Block 6 Block 6a
Interprofessional Programs Only
Block 7 Block 7a |
||
LR-2 |
All Programs
Blocks 1 through 12 Blocks 49 through 60 |
||
DV-1 |
All Programs
Blocks 1 through 7 Blocks 29 through 42 Blocks 64 through 70 |
||
DV-2 |
All Programs
Block 1 Block 2 Block 9 Block 10 |
||
DV-3 |
All Programs
Block 1 Block 5 |
||
IND-GEN |
Blocks 1 through 12 Blocks 15 through 19a Block 21 Block 22 Block 22b
1-year Follow-up:
Block 23 Block 23a |
||
EXP-1 |
All Programs
Blocks 1 through 4
Clinical Programs Only
Block 8 |
||
Development of a More Competitive Applicant Pool |
Program Characteristics Form |
Unstructured Programs
Block 1 Block 1a Block 1a1 Block 1b Block 1c Block 2
Structured Programs
Block 1 Block 1d Block 1d1 Block 1e Block 1f Block 1g Block 1h Block 1i Block 2 |
|
LR-1 |
All Programs
Block 1 Block 5 Block 6 Block 6a
Interprofessional Programs Only
Block 7 Block 7a |
||
LR-2 |
All Programs
Blocks 1 through 12 Blocks 49 through 60 |
||
DV-1 |
All Programs
Blocks 1 through 7 Blocks 29 through 42 Blocks 64 through 70 |
||
DV-2 |
All Programs
Block 1 Block 2 Block 9 Block 10 |
||
DV-3 |
All Programs
Block 1 Block 5 |
||
IND-GEN |
Blocks 1 through 12 Blocks 15 through 19a Block 21 Block 22 Block 22b
1-year Follow-up:
Block 23 Block 23a |
||
EXP-1 |
All Programs
Blocks 1 through 4
Clinical Programs Only
Block 8 |
||
Graduate Psychology Education (GPE) |
Program Content Enhancement/Program Infrastructure Development |
Grant Purpose Form |
Block 1 |
Curriculum Development and Enhancement Form |
Block 1 Block 2 |
||
Curriculum and Instructional Design |
Grant Purpose Form |
Block 1 |
|
Curriculum Development and Enhancement Form |
Block 1 Block 2 |
||
Faculty Development |
Grant Purpose Form |
Block 1 |
|
Faculty Development Form |
Unstructured Programs
Blocks 1 Blocks 8 through 12
Structured Programs
Blocks 1 through 7 |
||
Practicum/Internships |
Grant Purpose Form |
Block 1 |
|
Program Characteristics Forms |
Block 1 Block 1l Block 2 Block 3 Block 3a Block 3b Block 8 Block 8a Block 9 Block 9a |
||
IND-GEN |
Blocks 1 through 12 Blocks 15 through 19a Block 21 Block 22 Block 22b
1-year Follow-up:
Block 23 Block 23a |
||
EXP-1 |
All Programs
Blocks 1 through 4
Clinical Programs Only
Block 8 |
||
Mental and Behavioral Education and Training (MBHET) |
Develop and implement interdisciplinary training |
Curriculum Development & Enhancement Form |
Block 1 Block 2 |
Add to existing, expand, and/or foster the development of new pre-degree internships slots for psychology doctoral students (PhD/PsyD) or field placements for Masters of Social Work (MSW) students and provide stipend support for such placements
|
Program Characteristics Forms |
Block 1 Block 1l Block 2 Block 3 Block 3a Block 3b Block 8 Block 8a Block 9 Block 9a |
|
IND-GEN |
Blocks 1 through 12 Blocks 15 through 19a Block 21 Block 22 Block 22b
1-year Follow-up:
Block 23 Block 23a |
||
EXP-1 |
All Programs
Blocks 1 through 4
Clinical Programs Only
Block 8 |
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Windows User |
File Modified | 0000-00-00 |
File Created | 2021-01-29 |