Addendum: Commissioned Corps Personal Statement

DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service Commissioned Corps PERSONAL STATEMENT Application Supplement	OMB No. 0937-0025 Expiration: 12/31/2019
Name	Date

Address the following three questions in numbered format in the space provided and sign (any additional sheets will be discarded).

1. Describe why you have decided to pursue an opportunity to serve in the Public Health Service Commissioned Corps.

2. Of the four Commissioned Corps core values: leadership, integrity, service, and excellence, which is most meaningful to you and why?

3. 
   Explain how your professional background and experience have prepared you to serve underserved and/or vulnerable populations.

Signature

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