Indian Health Services Scholarship

To apply for the Indian health Services Scholarship, please download these forms, fill them out and mail them to:

John Chaney, Ph.D.
Director, AIIP Scholarship Application
109 Psychology Building
Oklahoma State University
Stillwater, OK 74078

The following forms (pdf format or a link to the government website) are required supporting documentation for submission with your application. Download or reference the IHS Scholarship Program Application Handbook for instructions on submitting complete and eligible supporting documentation.

• Application Checklist (IHS-856-2)
• Faculty/Employer Evaluation (IHS-856-3)
• Narrative Statements (IHS-856-4)
• Delinquent Federal Debt (IHS-856-5)
• Course Curriculum Verification (IHS-856-6)
• Documentation for American Indian/Alaska Native Eligibility (Form BIA-4432)