PHS 398 Career Development

PHS 398 Career Development.doc

PHS Applications and Pre-award Related Reporting (OD)

PHS 398 Career Development

OMB: 0925-0001

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PHS 398 Career Development Award Supplement Form

Please attach applicable sections, below OMB Number: 0925-0001

Introduction (if applicable)

1. Introduction to Application

(for RESUBMISSION applications only)

Candidate Information

2. Candidate’s Background

3. Career Goals and Objectives

4. Candidate’s Plan for Career Development/ Training Activities During Award Period

5. Training in the Responsible Conduct of Research

6. Candidate’s Plan to Provide Mentoring (as applicable)

Statements and Letters of Support

7. Plans and Statements of Mentor and Co-mentor(s)

8. Letters of Support from Collaborators, Contributors, and Consultants

Environment and Institutional Commitment to Candidate

9. Description of Institutional Environment

10.Institutional Commitment to Candidate’s Research Career Development

Research Plan

11.Specific Aims

12.*Research Strategy

13.Progress Report Publication List

(for RENEWAL applications only)

Human Subjects Sections

14.Protection of Human Subjects

15.Inclusion of Women and Minorities

16.Inclusion of Children

Other Research Plan Sections

17.Vertebrate Animals

18.Select Agent Research

19.Consortium/ Contractual Arrangements

20.Resource Sharing Plan(s)

Appendix (if applicable)

21.Appendix

Citizenship

U.S. Citizen or noncitizen national


Permanent Resident of U.S.

(If a permanent resident of the U.S., a notarized statement must be provided by the time of award)

Permanent Resident of U.S. Pending


Non-U.S. Citizen with temporary U.S. visa





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