Form 4-2 NHHSP Instructions - Letters of Recommendation

OMB Number: 0915-0146
Expiration Date: XX/XX/20XX

Letter of Recommendation Advisory
Applicant:
Two letters of recommendation are required for your application. A letter from an Academic
Faculty or Advisor is mandatory. This letter should speak to your academic progress and
commitment to your chosen profession. If you are employed, the second letter of
recommendation must come from your employer. A second letter of recommendation
addressing your work ethics and behavior is required from your employer. If you are not
employed, then the letter of recommendation may come from a community organization which
you volunteered for. It is the applicant’s responsibility to ensure that your letters of
recommendation are completed and returned by the due date.
Letters of recommendation should be returned
Via email (preferred) [email protected] or
Mailed to:

Native Hawaiian Health Scholarship Program
ATTN: NHHSP Administrative Assistant
894 Queen Street
Honolulu HI 96813

NOTE: The Academic Faculty/Advisor letter of recommendation is MANDATORY
If you have any questions, contact the NHHSP Administrative Assistant at (808) 597-6550
ext.203 or email [email protected]
Mail required documents to:

Native Hawaiian Health Scholarship Program
ATTN: NHHSP Administrative Assistant
894 Queen Street
Honolulu HI 96813

Due no later than March 15, 2020
2020-2021 Application Year
Instructions: letters of recommendation

Public Burden Statement: The purpose of the NHSC SP, NHSC S2S LRP, and the NHHSP is to provide scholarships or loan repayment to qualified
students who are pursuing primary care health professions education and training. In return, students agree to provide primary health care
services at approved facilities located in designated Health Professional Shortage Areas (HPSAs) once they are fully trained and licensed health
professionals. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a
currently valid OMB control number. The OMB control number for this information collection is 0915-0146 and it is valid until XX/XX/202X. This
information collection is required to obtain or retain a benefit (NHSC SP: Section 338A of the PHS Act and Section 338C-H of PHS Act; NHSC S2S LRP:
Section 338B of the PHS Act and Section 331(i) of the PHS Act; NHHSP: The Native Hawaiian Health Care Improvement Act of 1992, as amended [42
U.S.C. 11709]. Public reporting burden for this collection of information is estimated to average xx hours per response, including the time for
reviewing instructions, searching existing data sources, and completing and reviewing the collection of information. Send comments regarding this
burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to HRSA Reports Clearance
Officer, 5600 Fishers Lane, Room 14N136B, Rockville, Maryland, 20857 or [email protected].