Individual Fellowship Application Guide - UCLA School of Nursing

PHS SF424 (R&R) Individual Fellowship Application GuideField NamePhone NumberFax NumberEmailCredential, e.g., agencyloginProject RoleOther Project RoleCategoryDegree TypeDegree YearAttach Biographical SketchInstructionsEnter the daytime telephone number for the Senior/Key Person. This fieldis required.Enter the fax number for the Senior/Key Person.Enter the email address for the Senior/Key Person. This field is requiredfor the Senior/Key Person.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 isrequired for all Fellowship applicants (PD/PIs), but is optional forthe sponsor and co-sponsor(s). The assigned CommonsUserName (the unique name used to log into the system) foranyone assigned the PD/PI role must be entered here. This isa required field for applications submitted to NIH andAHRQ. Applications will not pass agency validationrequirements without this field.Select one. Use "Other" if a category is not listed in the pick list.Sponsors, Co-sponsors and doctoral dissertation advisors shoulduse the “Other” category and indicate the appropriate role (e.g.Sponsor) as the role in the “Other Project Role Category.”Complete if you selected “Other Professional” or “Other” as a projectrole; e.g., Engineer, Chemist.For Fellowships, enter Sponsor, Co-sponsor, DissertationAdvisor(s), Statisticians, and other consultants, as applicable.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. This isoptional information.Provide a biographical sketch for the Senior/Key Person. Recommendedinformation includes: Education and Training, Research and ProfessionalExperience, Collaborators and Affiliations (for conflicts of interest),Publications and Synergistic Activities. Save the information in a singlefile and attach here. This field is required.Use for Sponsor, Co-sponsor and other Senior/Key Personnelfollowing the format described below.Part I: Instructions for Preparing and Submitting an Application I-74