Individual Fellowship Application Guide - UCLA School of Nursing

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PHS SF424 (R&R) Individual Fellowship Application GuideField NameStreet2CityCounty/ParishStateProvinceInstructionsEnter the second line of the street address for the AuthorizedRepresentative in the “Street2” field. This field is optional.City for address of the Authorized Representative. This field is required.Enter the county or parish for address of the Authorized Representative.Enter the state where the Authorized Representative is located. This fieldis required if the Authorized Representative is located in the UnitedStates.Enter the province for the Authorized Representative.If “Country” is not Canada, please leave blank.CountryZIP/Postal CodePhone NumberFax NumberEmailSignature of AuthorizedRepresentativeDate SignedSelect the country for the Authorized Representative address.Enter the nine-digit postal code (e.g., ZIP code) of the AuthorizedRepresentative. This field is required if the Authorized Representative islocated in the United States.Enter the daytime phone number for the Authorized Representative. Thisfield is required.Enter the fax number for the Authorized Representative.Enter the email address for the Authorized Representative. This field isrequired.It is the organization’s responsibility to assure that only properlyauthorized individuals sign in this capacity and/or submit the applicationto Grants.gov. If this application is submitted through Grants.gov, leaveblank. If a hard copy is submitted, the AOR must sign this block.If this application is submitted through Grants.gov, the system willgenerate this date. If submitting a hard copy, enter the date the AORsigned the application.20. Pre-ApplicationIf you are submitting a pre-application, provide a summary description of the project in accordance withthe announcement and/or agency specific instructions, and save the file in a location you remember. ClickAdd Attachment, browse to where you saved the file, select the file, and then click Open.Unless specifically noted in a program announcement, NIH and other PHS agencies do not usePre-applications.Not applicable for NIH and AHRQ Fellowships. Leave blank.Part I: Instructions for Preparing and Submitting an Application I-52
PHS SF424 (R&R) Individual Fellowship Application GuideOnce all data have been entered use the scroll bar to scroll up. You will be returned to the GrantApplication Package screen. To remove a document from the Submission box, click the document nameto select it and then click the Move Form to Delete button. This will return the document to theMandatory Documents Submission List or Optional Documents Submission List.4.3 Project/Performance Site Locations ComponentIndicate the primary site where the work will be performed. If a portion of the project will be performedat any other site(s), identify the site location(s) in the blocks provided.Part I: Instructions for Preparing and Submitting an Application I-53
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PART IInstructions for Preparing an
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PART IIIPolicies, Assurances, Defin
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Individual Fellowship Application Guide - UCLA School of Nursing

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