Table 1. Membership of Participating
Departments/Programs
(Alphabetically)
Participating Department/ |
Number of |
Number of Trainees |
Number of Trainees |
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Total in Department or Program |
Participating in this Application |
Total in Department or Program (Supported by any NIH Training Grant) |
With Participating A/B/C |
For Renewal Applications, Support by this Training Grant (TGE) A/B/C |
Total in Department or Program |
With A/B/C |
For Renewal Applications, Support by this Training Grant A/B/C |
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Table 2. Participating Faculty Members
(Alphabetically
by Faculty Member)
Name/Degree(s) |
Rank |
Primary (& Secondary) Appointment (s) |
Role in Program |
Research Interest |
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Table 3. Institutional Training Grant Support Available to Participating Faculty Members, Department(s), or Program(s)
Title of Training Grant |
Funding Source |
Active or Pending |
Program Director |
Number of Trainees (Pre/Post) Supported This Year |
Total # of Participating Faculty |
Names of Overlapping Faculty |
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Table 4. Grant and Contract Support of the Participating
Faculty Members
(Alphabetically by
Faculty Member)
Faculty Member |
Source of Support and |
Grant Title |
Project Period |
Current Year Direct Costs |
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Table 5. Pre- and Postdoctoral Trainees of Participating
Faculty Members
(Alphabetically by
Faculty Member for the Past Ten Years)
Faculty Member |
Pre |
Training Period |
Prior Academic Degree |
Title of Research Project |
Current Position (past trainees) |
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Degree(s) |
Year(s) |
Institutions(s) |
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Table 6. Publications of Research Completed by Trainees (or
Potential Trainees)
(List
Pre/Postdoctoral and Past/Current Trainees Separately and
Alphabetically in Each Group)
Predoctoral Trainees:
Past Trainees:
Name of Trainee |
Mentor(s) |
Publication (Authors, Year, Title, Journal) |
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Current Trainees:
Name of Trainee |
Mentor(s) |
Publication (Authors, Year, Title, Journal) |
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Postdoctoral Trainees:
Past Trainees:
Name of Trainee |
Mentor(s) |
Publication (Authors, Year, Title, Journal) |
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Current Trainees:
Name of Trainee |
Mentor(s) |
Publication (Authors, Year, Title, Journal) |
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Table 7A. Admissions and Completion Records for the Participating Departments and Programs During the Past Five Years (Predoctoral Applicants)
Department |
Numbers of Applicants |
Outcomes of Those Who Enrolled |
Reason for Leaving Program |
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Applied (TGE) A/B/C |
Accepted (TGE) A/B/C |
Enrolled |
Still |
Degree Earned for those who Completed Program or Left Program |
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PhD or (TGE) A/B/C |
Other Degree Earned (TGE) A/B/C |
Left Program (TGE) A/B/C |
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Table 7B. Admissions and Completion Records for the Participating Departments and Programs During the Past Five Years (Postdoctoral Applicants)
Department or Program |
Numbers of Applicants |
Outcomes of Those Who Entered Program |
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Degree Type |
Applied |
Accepted (TGE) A/B/C |
Entered Program |
Still in |
Completed Training |
Left Program |
Reason for Leaving Program |
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Table 8A. Qualifications of Recent Predoctoral Applicants
Year |
Previous Institution |
Degree(s) & Year(s) |
GRE Scores |
Undergrad. |
Interviewed (Y/N) |
Accepted (Y/N) |
Enrolled (Y/N) |
Support from this Grant |
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Table 8B. Qualifications of Recent Postdoctoral Applicants
Year |
Previous Institution(s) |
Degree(s) & Year(s) Awarded |
Doctoral Thesis or Other Research Experience &
Research Advisor |
Residency Training Institution PGY |
Offered Position |
Entered Program |
Support from this Grant |
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Table 9A. Qualifications of the Current Predoctoral Trainees Clearly Associated with the Training Program
Trainee (List by Number) Department |
Previous Institution(s) |
Degree(s) & Year(s) |
GRE Scores/ |
Under- |
Current Research Mentor |
Years in Program |
Calendar Years Appointed to this Grant |
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Table 9B. Qualifications of the Current Postdoctoral Trainees Clearly Associated with the Training Program
Trainee (List by Number) |
Previous Institution(s) |
Degree(s) & Year(s) |
Doctoral Thesis or Other Previous Research Experience & Research Advisor (If Relevant) |
Residency Training Institution |
Current Research Mentor |
Years in Program |
Calendar Years Appointed to this Grant |
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Table 10: Admissions and Completion Records for Underrepresented Minority (URM) Trainees, Trainees with Disabilities, and Trainees from Disadvantaged Backgrounds Clearly Associated with the Training Program
URM Trainee (List by Number) |
Entering Year (Pre/Post) |
Department/program |
Source of Support and if Support by NRSA grant |
Status of those who entered the program |
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In Training |
Completed Training |
Left Without Completing Training |
Current Status |
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Trainees with Disabilities |
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Trainees from Disadvantaged Background |
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Table 11. Appointments to the Training Grant For Each Year of the Past Award (Renewal Applications Only)
Year |
Degree/Level (Postdoctoral Trainees Only) |
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Number of Predoctoral Positions Awarded (Months of Support) |
N/A |
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Number of Predoctoral Trainees Appointed (Months of Support Used) |
N/A |
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Number Appointed (Months of Support) URM Trainees Trainees with Disabilities Trainees from Disadvantaged Background |
N/A |
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Number of Postdoctoral Positions Awarded (Months of Support) |
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Number of Postdoctoral Trainees Appointed by Degree |
MD MD/PHD PHD Other |
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Number of Postdoctoral Trainees Appointed (Months of Support Used) |
Total |
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Number Appointed (Months of Support) URM Trainees Trainees with Disabilities Trainees from Disadvantaged Background |
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Table 12A. Predoctoral Trainees Supported by this Training Grant (Renewal Applications Only)
Predoctoral (and MSTP) Trainees (Listed sequentially by Entering Class):
Trainee, Year of Entry Prior Degree & Institution (Mentor - Department/program) |
Source(s) of Support Each |
Title of Research Project or Research Topic |
Degree(s) Received (Year) |
Current Position and Institution (grant support obtained) |
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-01 |
-02 |
-03 |
-04 |
-05 |
-06 |
-07 |
-08 |
-09 |
-10 |
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Table 12B. Postdoctoral Trainees Supported by this Training Grant (Renewal Applications Only)
Postdoctoral Trainees (Listed Sequentially by Year of Entry)
Trainee, Year of Entry Prior Degree & Institution (Mentor - Department/Program) |
Source(s) of Support Each |
Title of Research Project or Research Topic |
Degree or Certification (Year) or other Relevant Outcome |
Current Position and Institution (grant support obtained) |
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-01 |
-02 |
-03 |
-04 |
-05 |
-06 |
-07 |
-08 |
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-10 |
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File Type | application/msword |
Author | preuschp |
Last Modified By | curriem |
File Modified | 2007-09-14 |
File Created | 2007-09-14 |