Individual Fellowship Application Guide - UCLA School of Nursing

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PHS SF424 (R&R) Individual Fellowship Application GuideField Name19. ResponsibleConduct ofResearchInstructionsNote: No award will be made if an application lacks this component.Every fellow must receive instruction in the responsible conduct of research((http://grants.nih.gov/grants/guide/notice-files/NOT-OD-10-019.html) appropriateto the career stage of the applicant. The section must document prior participation orinstruction in responsible conduct of research during the applicant's current careerstage (including the date instruction was last completed) and propose a plan to eitherreceive instruction in responsible conduct of research or participate as a courselecturer, etc., depending on the applicant's career stage. Applications must include adescription, limited to no more than one page, of the sponsoring institution’s plansto provide, and the fellowship applicant’s plans for obtaining, instruction in theresponsible conduct of research, including the format, subject matter, facultyparticipation, duration and frequency of instruction. The plan should be tailored tothe needs of the fellow, and may go beyond formal institutional courses and provideopportunities for the individual to develop their own scholarly understanding of theethical issues associated with their research activities and their impact on society.The role of the sponsor in the instruction in responsible conduct of research must bedescribed.Responsible Conduct of Research is limited to one page.See Part III, 1.16 for additional information.Save this information in a single file in a location you remember. Click AddAttachment, browse to where you saved the file, select the file, and then clickOpen.C. AdditionalInformation1. HumanEmbryonicStem CellsIndicate “Yes” if the proposed research involves human embryonic stem cells. Seehttp://stemcells.nih.gov/index.asp for a definition of human embryonic stem cells. Ifthe proposed project involves human embryonic stem cells, list in this section the 4-digit NIH Registration Number of the specific cell line(s) from the NIH HumanEmbryonic Stem Cell Registry found at:http://grants.nih.gov/stem_cells/registry/current.htm. If a specific stem cell linecannot be referenced at the time of application submission, check the box providedto indicate that one from the registry will be used.FellowshipApplicant2. AlternatePhone NumberEnter an alternate phone number (e.g., cell phone) where the fellowship applicantcan be reached on matters relating to this application for fellowship support. Thisshould be a different number than provided in the PD/PI contact information in theCover Component.Part I: Instructions for Preparing and Submitting an Application I-94
PHS SF424 (R&R) Individual Fellowship Application GuideField Name3. DegreeSought DuringProposedAward4. Field ofTraining forCurrentProposal5. Current orPriorKirschstein-NRSA Support?InstructionsComplete if applicable. Completion of the degree requirements should becoordinated with the sponsor. The fellowship applicant must select the degree fromthe drop down menu and also enter the month and year of the expected completiondate. If the degree is not on the drop down menu, please mark “Other” and indicatethe type of degree in the space provided.Indicate the proposed area of research training according to the Fields of Training(FOT) codes listed in the drop down menu. Provide the FOT code that bestdescribes the proposed area of research training from the FOT codes listed in theinstructions. Select the subcategory descriptor, unless the broader category (in bolduppercase) fits best. If the FOT listing does not provide a good descriptor, select“Other.” (This information is used for reporting purposes only and is not used forstudy section assignments.)If “Yes”, identify the current and/or prior Kirschstein-NRSA support from the dropdown menu, up to four entries. Define level of support as either predoctoral orpostdoctoral level (not the level of experience). The type of support is eitherindividual fellowship or institutional research training grant indicated on the dropdown menu. Enter the start and end dates (if known) of the support (month, day, andyear) and the grant number (if known) of the current and/or prior support (e.g., T32GM123456 or F31 HL345678).An individual cannot receive more than 5 years of cumulative predoctoralKirschstein-NRSA support and 3 years cumulative postdoctoral Kirschstein-NRSAsupport (the total of Institutional Grants and Individual Fellowships) without awaiver from the NIH IC. The NIH ICs have different policies on waiving thestatutory limits on support. Therefore, the fellowship applicant must request awaiver from the probable funding IC before requesting a period of support thatwould exceed these limits. The fellow’s sponsor and a sponsoring institution officialmust endorse the request, and it must include justification and specify the amount ofadditional support for which approval is sought. Individuals seeking additionalsupport beyond the third year of postdoctoral support are strongly advised to consultwith their awarding IC Program Officer before submitting a waiver request. It isimportant to read carefully the applicable FOA that may have an overall approval toexceed these limits (e.g., the F30 combined M.D./Ph.D. program allows for up to 6years of predoctoral support).Promptly report to the NIH IC to which this application is assigned any additionalNRSA support received while this application is pending.Part I: Instructions for Preparing and Submitting an Application I-95
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Individual Fellowship Application Guide - UCLA School of Nursing

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