1B Rural Underserve or PH settings graduates supported with

Table 1B - AENT: - Rural, Underserved, or Public Health Practice Settings Data

Graduates Supported by Traineeship from 7/01/20XX to 6/30/20XX

Practice Settings	PC-NP	PNMC	NMW Certificate	NMW Master’s	NMW Post- BSN to Doctoral	Grand Total
Community Health Centers
Migrant Health Centers
Health Care for the Homeless Grantees
Rural Health Clinics
National Health Service Corps Sites
Indian Health Service / Tribal Health Sites
Federally Qualified Health Centers
State or Local Health Departments
Ambulatory Practice Sites Designated by State Governors
Health Professional Shortage Areas (HPSAs)
Rural Populations / Settings
Underserved Populations / Settings
1. Total Number of Graduates Supported by Traineeship Employed in these settings (from 07/01/20XX – 06/30/20XX)
2. Total Number of Graduates (from 07/01/20XX – 06/30/20XX) 07/01/20XX – 06/30/20XX)
3. Percentage of Graduates Supported by Traineeship Employed in these Settings (Number 1 divided by Number 2)
4. Percentage of Graduates Supported by Traineeship Employed in HPSAs (Total Number of HPSAs divided by Total Number of Graduates from 07/01/XX-06/30/XX)

0/13)ow above divided by Total Number of GraduateGraduates form 07/01/14 - 06/nd Statutory Funding PreferenceSpecial Considerat

OMB No. 0915-XXXX EXP: XX/XX/20XX

Instructions for Completing Table 1B. – AENT: Rural, Underserved, or Public Health Practice Settings Data - Graduates Supported by Traineeship from 7/01/20XX to 6/30/20XX

Data on Table 1B should reflect graduates supported by traineeship totals for the Master’s and Post-Nursing Master’s Certificate Primary Care Nurse Practitioner, Nurse-Midwifery Certificate, Nurse-Midwifery Master’s, and Nurse-Midwifery Post-BSN to Doctoral students who completed program/degree requirements and were supported by the AENT Program between 07/01/20XX and 6/30/20XX.

Complete Table 1B, as appropriate, providing data on the number of graduates supported by traineeship in academic year 7/1/20XX-6/30/20XX who spend at least 50 percent of their employment in clinical practice sites substantially benefiting rural or underserved populations, or in State or local health departments. Each graduate is to be counted only once. Table 1B is for data analysis and reporting; thus, all applicant institutions must complete Table 1B.

In the “Total Number of Graduates Supported by Traineeship Employed in these Settings (from 07/01/20XX to 06/30/20XX)” row, the system will automatically calculate the the total number of graduates who received traineeship support and completed degree requirements between 7/01/2012 and 6/30/2013 and worked in the identified setting. The Grand Total will be system generated. This is a subset of “Total Number of Graduates”.

In the “Total Number of Graduates (from 07/01/20xx-06/30/20xx)” row, the system will prepopoulate data entered on Table 1A.

In the “Percentage of Graduates Supported By Traineeship Employed in these Settings” row, the system will automatically calculate this figure. Percentage of Graduates Supported By Traineeship Employed in these Settings = Total Number of Graduates Supported by Traineeship Employed in these Settings (from 07/01/20XX – 06/30/20XX) divided by Total Number of Graduates (from 07/01/20XX – 06/30/20XX).

In the “Percentage of Graduates Supported By Traineeship Employed in HPSAs” row, the system will automatically calculate this figure. Percentage of Graduates Supported By Traineeship Employed in HPSAs = Total Number of HPSAs divided by Total Number of Graduates (from 07/01/20XX-06/30/20XX).

HRSA-14-067