Individual Fellowship Application Guide - UCLA School of Nursing

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PHS SF424 (R&R) Individual Fellowship Application GuideThis section will be unnecessary for the majority of fellowship applications. This component provides theability to collect structured data for up to 40 Senior/Key Persons. Data must be entered for the first 40individuals (PD/PI + 39 others) before the Additional Senior/Key Person Form Attachments sectionbecomes available. The information for the PD/PI continues to be pre-populated from the SF424 (R&R)Cover component. See instructions in Section 4.2 Cover Component if these fields are empty.Starting with the PD/PI (Fellowship applicant), provide a profile for each Senior/Key Person proposed.Unless otherwise specified in an agency announcement, Senior/Key Personnel are defined as allindividuals who contribute in a substantive, meaningful way to the scientific development or execution ofthe project, whether or not salaries are requested. Consultants should be included if they meet thisdefinition.Profile – Program Director/Principal Investigator (PD/PI) – Fellowship ApplicantField NamePrefixFirst NameMiddle NameLast NameSuffixPosition/TitleDepartmentOrganization NameDivisionStreet1Street2InstructionsThis field is automatically populated from the SF424 (R&R). It is theprefix (e.g., Mr., Mrs., Rev.) for the name of the PD/PI.This field is automatically populated from the SF424 (R&R). It is thefirst (given) name of the PD/PI. This field is required.This field is automatically populated from the SF424 (R&R). It is themiddle name of the PD/PI.This field is automatically populated from the SF424 (R&R). It is thelast (family) name of the PD/PI. This field is required.This field is automatically populated from the SF424 (R&R). It is thesuffix (e.g., Jr., Sr., PhD) for the name of the PD/PI.This field is automatically populated from the SF424 (R&R). It is thetitle of the PD/PI.This field is automatically populated from the SF424 (R&R). It is thename of primary organizational department, service, laboratory, orequivalent level within the organization of the PD/PI.This field is automatically populated from the SF424 (R&R). It is thename of the organization of the PD/PI.This field is automatically populated from the SF424 (R&R). It is thename of primary organizational division, office, or major subdivision ofthe PD/PI.This field is automatically populated from the SF424 (R&R). It is thefirst line of the street address of the PD/PI. This field is required.This field is automatically populated from the SF424 (R&R). It is thesecond line of the street address of the PD/PI, if applicable. This field isoptional.Part I: Instructions for Preparing and Submitting an Application I-68
PHS SF424 (R&R) Individual Fellowship Application GuideField NameCityCounty/ParishStateProvinceInstructionsThis field is automatically populated from the SF424 (R&R). It is thecity for the address of the PD/PI.This field is automatically populated from the SF424 (R&R). It is thecounty or parish for the address of the PD/PI.This field is automatically populated from the SF424 (R&R). It is thestate where the PD/PI is located. This field is required if the PD/PI islocated in the United States.This field is automatically populated from the SF424 (R&R). It is theprovince where the PD/PI is located.If “Country” is not Canada, this will be leave blank.CountryZIP CodePhone NumberFax NumberEmailCredential, e.g., agencyloginProject RoleThis field is automatically populated from the SF424 (R&R). It is thecountry for the PD/PI address.This field is automatically populated from the SF424 (R&R). The ninedigitPostal Code (e.g., ZIP Code) of the PD/PI. This field is required ifthe PD/PI is located in the United States.This field is automatically populated from the SF424 (R&R). It is thedaytime phone number for the PD/PI. This field is required.This field is automatically populated from the SF424 (R&R). It is the faxnumber for the PD/PI.This field is automatically populated from the SF424 (R&R). It is theemail address for the PD/PI. This field is required for the PD/PI.If you are submitting to an agency (e.g., NIH) where you have anestablished personal profile, enter the agency ID. If not, leave blank.For NIH and AHRQ, registration in the eRA Commons for allPD/PIs is required. The assigned Commons UserName (theunique name used to log into the system) for anyone assignedthe PD/PI role must be entered here. This is a required field forapplications submitted to NIH and other PHS agencies.Applications will not pass agency validation requirementswithout this field.Select one. Use "Other" if a category is not listed in the pick list.Select Program Director/Principal Investigator for the Fellowshipapplicant.Part I: Instructions for Preparing and Submitting an Application I-69
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PART IInstructions for Preparing an
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Individual Fellowship Application Guide - UCLA School of Nursing

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