Health Disparities Fellows Documents
- Academic Requirements
- Health Disparities Certificate Program Course Requirements
- Additional Support for Fellows
- Experiential Learning Placement Overview
- Experiential Learning Placement Opportunities
- Experiential Learning Placement Approval Form
- Experiential Learning Placement Final Report Form
- Task Forces Information for 2023-2024
Health Disparities Mentor Documents
Forms and Documentation
NIH Fellows
- Employee Appointment
- Address/Emergency Contact
- W-4 (Federal Employee's Withholding Allowance Certificate)
- NYS Employee's Withholding Allowance Certificate (IT-2104)
- Direct Deposit of Salary Enrollment Form
- Employment Application
- Job Description
- Employment Eligibility Verification (Form I-9)
- RF Telecommuting Agreement (if working remotely)
Hearst Fellows
- EMP-2 Form
- HRM-4 Form
- W-4 (Federal Employee's Withholding Allowance Certificate)
- NYS Employee's Withholding Allowance Certificate (IT-2104)
- Direct Deposit of Salary Enrollment Form
- Employee Work Schedule
- Job Description
- Employment Eligibility Verification (Form I-9)
- Instructions for Form I-9
- Hearst Fellows Oath Form
- SEHP Enrollment Form
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