Individual Fellowship Application Guide - UCLA School of Nursing

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PHS SF424 (R&R) Individual Fellowship Application GuideField NameOther Project Role CategoryDegree TypeDegree YearAttach Biographical SketchInstructionsComplete if you selected “Other Professional” or “Other” as a projectrole; e.g., Engineer, Chemist.Enter the highest academic or professional degree or other credentials(e.g., RN). This is optional information.Enter the year the highest degree or other credential was obtained. Thisis optional information.Provide a biographical sketch for the PD/PI (Fellowship Applicant).Recommended information includes: Education and Training, Researchand Professional Experience, Collaborators and Affiliations (for conflictsof interest), Publications and Synergistic Activities. Save the informationin a single file and attach. This is required information.For Fellowship applications, the PD/PI is the Fellowshipapplicant. Biographical sketches should follow the formatdescribed below.PD/PI (Fellowship applicant) Biographical Sketch (MS Word)The Fellowship Applicant Biographical Sketch Format Page is availableonly in MS Word format.The biographical sketch for you, the Fellowship applicant, is very similarto the traditional biographical sketch format used by your sponsor.However, there are notable differences so follow these specialinstructions and use the special sample format provided.If you are applying for a predoctoral or postdoctoral fellowship, use thiscustom biographical sketch format page.If you are applying for a Senior Fellowship, use the traditionalBiographical Sketch Format Page.The Fellowship Applicant Biographical Sketch for all fellowship levelsmay not exceed four pages per person. This 4-page limit includes thetable at the top of the first page. See a sample of a completedBiographical Sketch.Complete the information at the top of the form. Include the assignedeRA Commons User Name for the Fellowship applicant (PD/PI), asrequired in Part I, Section 2.2.2.2. This data item is the same as providedin the Credential field on the Senior/Key Person Profile form and isrequired for the Fellowship applicant.Education/TrainingList all degree programs beginning with baccalaureate or other initialprofessional education and licensure, such as nursing (RN). Include alldates (month (mm) and year (yyyy)) of degrees received or expected, inaddition to other information requested.A. Personal StatementPart I: Instructions for Preparing and Submitting an Application I-70
PHS SF424 (R&R) Individual Fellowship Application GuideField NameInstructionsBriefly describe why your experience and qualifications make youparticularly well-suited for your role as a Fellowship applicant.B. Positions and HonorsList in chronological order all non-degree training, includingpostdoctoral research training, all employment after college, and anymilitary service. Clinicians should include information on internship,residency and specialty board certification (actual and anticipated withdates) in addition to other information requested. This information isused in reviewing the application and in determining the stipend level forPostdoctoral Fellowships. State the Activity/Occupation and includebeginning/end dates, field, name of institution/company, and the name ofyour supervisor/employer.List any academic and professional honors that would reflect upon yourpotential for a research career and qualifications for an IndividualFellowship. Include all scholarships, traineeships, fellowships, anddevelopment awards other than Kirschstein-NRSA. Indicate sources ofawards, dates, and grant or award numbers. List current memberships inprofessional societies, if applicable.C. PublicationsList your entire bibliography, separating research papers, abstracts, bookchapters, and reviews. Within each subsection the list should bechronological. If the list of publications cannot be accommodated withinthe four-page biosketch limit, select only the most pertinent publicationsor limit the list to no more than 15 publications. For each publication,list the authors in published sequence, full title of article, journal, volumenumber, page numbers, and year of publication. Indicate if youpreviously used another name that is reflected in any of the citations.URLs or NIH PubMed Central (PMC) submission identificationnumbers may be included along with the full reference. While there is nolimit to the number of URLs or PMC submission identification numbersthat can be cited, applicants should be both judicious and concise.Manuscripts listed as “pending publication” or “in preparation” shouldbe included and identified.D. Scholastic PerformancePredoctoral applicants: Using the chart provided, list by institution andyear all undergraduate and graduate courses with grades.In addition, in the space following the chart, explain any marking systemif other than 1-100, A, B, C, D, F, or 0-4.0 if applicable. Show levelsrequired for a passing grade. At the bottom of the page, Predoctoralapplicants must also type in their scores for the Graduate RecordExamination (GRE), if available; and M.D./Ph.D. applicants should typein their MCAT scores, if available.Postdoctoral applicants: Using the chart provided, list by institution andyear all undergraduate courses and graduate scientific and/orPart I: Instructions for Preparing and Submitting an Application I-71
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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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