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How do I fill this out?
To fill out this form, start by gathering the names of current board members. Proceed to enter their office positions and areas of expertise as required. Ensure that patient board member characteristics are noted for all applicable members.
How to fill out the Current Board Member Characteristics Form 6A?
1
Gather the names of current board members.
2
Fill in their office positions and areas of expertise.
3
Include patient board member characteristics if applicable.
4
Provide any necessary co-applicant information.
5
Review all entries for accuracy before submission.
Who needs the Current Board Member Characteristics Form 6A?
1
Health center administrators who need to apply for HRSA funding.
2
Board members who need to ensure their characteristics are accurately represented.
3
Compliance officers tasked with submitting required documentation.
4
Patients wishing to see representation on health center boards.
5
Grant writers preparing applications for federal funding assistance.
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1
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What are the instructions for submitting this form?
To submit this form, send it via email to paperwork@hrsa.gov or fax it to (301) 443-1191. You can also mail it to HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 14N136B, Rockville, Maryland, 20857. Ensure that all sections are thoroughly completed to prevent processing delays.
What are the important dates for this form in 2024 and 2025?
This form is actively used until the expiration date of 04/30/2026. Important submission deadlines may arise based on the specific funding cycles of HRSA. Ensure all details are submitted on time to avoid issues.
What is the purpose of this form?
The purpose of the Current Board Member Characteristics Form 6A is to facilitate the collection of necessary information regarding current board members of health centers. This form assists health centers in their applications for grants under the HRSA. Accurate filling of this form is crucial for compliance and approval.
Tell me about this form and its components and fields line-by-line.
- 1. Name: The full name of the board member.
- 2. Current Board Office Position Held: The official title of the member's position.
- 3. Area of Expertise: The board member's area of professional expertise.
- 4. Gender: Indicate the gender representation of the board member.
- 5. Ethnicity: Specify the ethnicity of the member.
- 6. Race: Select the race category applicable to the board member.
What happens if I fail to submit this form?
Failure to submit this form in a timely manner can lead to delays in funding or compliance issues with HRSA. Health centers may face challenges in maintaining necessary grant funding without completed member information. It is imperative to ensure thorough completion and submission of this form.
- Funding Delays: Without timely submission, health centers might experience delays in receiving necessary grant funds.
- Compliance Issues: Incomplete forms can lead to compliance challenges with HRSA regulations.
- Representation Gaps: Failure to accurately represent board members may result in scrutiny during application reviews.
How do I know when to use this form?
- 1. HRSA Grant Applications: Essential for health centers seeking grants from HRSA.
- 2. Board Member Reporting: Utilized for documenting board member demographics.
- 3. Funding Compliance Check: Needed to confirm eligibility for continued funding.
Frequently Asked Questions
How do I fill out this form?
Gather the necessary board member information and enter it in the respective fields.
Can I edit this PDF once downloaded?
Yes, the PDF can be edited using the PrintFriendly editor before downloading.
What if I need help while filling the form?
You can refer to the guidelines provided within the form for assistance.
How do I share the completed form?
Utilize the share option in PrintFriendly to email or post your form.
Is it possible to view previous versions of the form?
Currently, you can only download the latest version after editing.
Can patients fill out this form?
Yes, patients can assist in ensuring their representation by filling out their characteristics.
What should I include in the board member details?
Include names, positions, and areas of expertise for all board members.
Are there requirements for patient board members?
Yes, specific characteristics must be included only for patient board members.
What is the minimum age to be a board member?
The eligibility requirements generally depend on organizational guidelines.
How can I contact support for further questions?
You can reach out to our support team via the contact form available on the website.
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