HUMAN RESOURCES DIRECTORATE
GHANA HEALTH SERVICE
PRIVATE MAIL BAG
MINISTRIES-ACCRA
APPLICATION FORM FOR
UPGRADING/CONVERSION
Central
Name of Issuing Region: …………………………………………………………………………….
Serial No: …………………….
The Director
Human Resource Development Directorate
Ghana Health Service
APPLICATION FOR UPGRADING/CONVERSION
I wish to apply for upgrading/conversion from …………………………………………………………………………………….
to the grade of ……………………………………………………………........................................................................... in the
GHS.
SECTION A: BACKGROUND
Date of 1st appointment: ….……/..……/……… Date of last upgrading/conversion:
….……/…..……./…………
No. of years served before pursuing further studies: ……………….…… Duration of study
……………………….
School attended: ………………………………………………………………………………………………..………………………………….
Programme of study: …………………………………………………………………………………………..…………………………………
Mode of study: Full Time Part Time/sandwich/weekend/Distance
Study Leave Without Pay
Date of Resumption of duty if Full Time/Study Leave Without Pay
……………………………………………………
SECTION B: DOCUMENTATION
In support of my application, I have attached copies of required documents (refer to Section
“E”)
1 ………………………………………………………………… 2 ……………………………………………………………………….……
3 ………………………………………………………………… 4 ………………………………………………………………….…………
5 …………………………………………………………………
Name of applicant: ……………………………………………………… Employee Number: …………………………………
Contact No: …………………………………. Signature: …………………………………. Date: ………………………………
Instructions to Applicant
After you have filled the form and attached photocopies of REQUIRED documents submit to your head of facility for
endorsement.
SECTION C - ENDORSEMENT
(Medical Supt. is responsible for completing this form if applicant’s facility is Hospital and DDHS if
District/Subdistrict)
Having satisfied conditions for upgrading/conversion, I recommend the applicant for
consideration.
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Name of Officer…………………………………………………………………. Position …………………………………………..….
Signature …………………………………………………… Date ……………………………. Stamp ……………………………….
Instruction to HR officer of applicant’s facility
After endorsement by the Medical Superintendent/District Director of Health Service kindly ensure that the completed form
is delivered at the Regional HR Directorate as early as possible. IT IS NOT THE DUTY OF THE APPLICANT TO DO THIS
SECTION D – VALIDATION AND CONFIRMATION OF VACANCY
(To be completed by The Regional Director OR The Deputy Director - Human Resources)
I ……………………………………………………………………………………………………………………………. have gone through
this
(Name of officer validating this form)
application and hereby confirm that the form has been properly completed and copies of all required
documents as indicated in section “E” have been attached to the form. I also wish to confirm that there is a
vacancy for the applicant at …………………………………………………….………………………………………………………………
(Location of vacancy)
Signature of validating officer …………………………………..…………. Contact No
……………………………………………
SECTION “E” – REQUIRED SUPPORTING DOCUMENTS
Applicants are to ensure that only photocopies of documents specified are attached to their application forms
before submitting same to their heads of facilities. Failure to attach the required documents will mean that
HRD cannot process their requests.
A. PHYSICIAN ASSISTANT (MEDICAL, ORAL HEALTH, ANAESTHESIA)
S/N Required Attachments
1 Certificate awarded by the training institution
2 Certificate of full registration from the Medical and Dental Council (MDC)
3 Letter indicating completion of mandatory internship and Letter indicating date of resumption of duty after
mandatory internship
4 Approval for further studies
5 Copy of 1st appointment letter, Upgrading/Conversion letter (If any) & recent pay slip (not more than three
months old)
B. NURSING OFFICER (GENERAL AND ALL SPECIALIZATIONS)
S/N Required Attachments
1 Result slip from the Nurses and Midwives Council and School Certificate
2 Letter indicating completion of mandatory internship/National Service
3 Letter indicating date of resumption of duty after completion of internship
4 Approval for further studies
5 Copy of 1st appointment letter, Upgrading/Conversion letter (If any) & recent pay slip (not more than three
months old)
6 Pin
C. DIPLOMA, REGISTERED GENERAL NURSING & MIDWIFERY
S/N Required Attachments
1 Result slip from the Nurses and Midwives Council
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2 Letter indicating completion of mandatory one year rotation
3 Letter indicating date of resumption of duty after completion of rotation
4 Approval for further studies
5 Copy of 1st appointment letter, Upgrading/Conversion letter (If any) & recent pay slip (not more than three
months old)
6 Pin
D. POST BASIC MIDWIFERY
S/N Required Attachments
1 Result slip from the Nurses and midwives Council
2 Letter indicating completion of mandatory rotation
3 Letter indicating date of resumption of duty after completion of rotation
4 Approval for further studies
5 Copy of 1st appointment letter, Upgrading/Conversion letter (If any) & recent pay slip (not more than three
months old)
6 Pin
E. PUBLIC HEALTH/TECHNICAL OFFICERS (Community Psychiatry, Nutrition, Disease Control, Health Promotion/Information )
S/N Required Attachments
1 Certificate from Training Institution
2 Letter indicating completion of National Service and National Service Certificate
3 Approval for further studies
4 Letter indicating date of resumption of duty after completion of National Service
5 Copy of 1st appointment letter, Upgrading/Conversion letter (If any) & recent pay slip (not more than three
months old)
6 Allied Health Professions Council Pin
F. ALLIED HEALTH OFFICERS (Radiography, Medical Laboratory etc.)
S/N Required Attachments
1 Certificate awarded by training institution
2 Allied Health Professions Council Pin
3 Letter indicating completion of National Service and National Service Certificate
4 Letter indicating date of resumption of duty after completion of National Service
5 Approval for further studies
6 Copy of 1st appointment letter, Upgrading/Conversion letter (If any) & recent pay slip (not more than three
months old)
G. OTHER DEGREE, HND OR DIPLOMA PROGRAMS IN THE SUPPORT CLASS
S/N Required Attachments
1 Certificate awarded by training institution
2 Letter indicating completion of National Service and National Service Certificate
3 Letter indicating date of resumption of duty after completion of National Service
4 Approval for further studies
5 Copy of 1st appointment letter, Upgrading/Conversion letter (If any) & recent pay slip (not more than three
months old)
H. SPECIALISTS
S/N Required Attachments
1 Certificate awarded by training institution
2 Evidence of registration by regulatory body
3 Letter indicating date of resumption of duty after completion of program
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4 Approval for further studies
5 Copy of 1st appointment letter, Upgrading/Conversion letter (If any) & recent pay slip (not more than three
months old)
I. PHARMACISTS
S/N Required Attachments
1 Certificate awarded by training institution
2 Evidence of registration with the Pharmacy Council/ Evidence of good standing
3 Assumption of duty after licensure
4 Approval for further studies
5 Copy of 1st appointment letter, Upgrading/Conversion letter (If any) & recent pay slip (not more than three
months old)
NB:
In all applications affecting officers in the support class, there must be an indication of availability of vacancy.
Officers on the Category “C” Diploma/HND post (e.g. Finance Officer) and applying for upgrading to Category “C”
Degree post (e.g. Accountant) will generally not be required to go through interview. However, in cases of limited
vacancies, eligible applicants must undergo interview for the selection of the best and most suitable ones for
consideration.
Applicants in the Categories “D” & “E” (e.g. Enrolled Nurse) applying for upgrading or conversion to any position in
the Category “C” Degree post (e.g. Nursing Officer) must necessarily be interviewed and a report on the interview
attached to this application.
There must also be an interview in all cases of conversion within the support class (e.g. conversion from
Biostatistics Assistant to Supply Officer).
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