Table 1 Membership of Participating Departments/Programs (New Applications)
Table 1 Membership of Participating Departments/Programs (Renewal/Revision Applications)
Table 2 Participating Faculty Members
Table 3 Institutional Training Grant Support Available to Participating Faculty Members, Departments, or Programs
Table 4 Grant and Contract Support of the Participating Faculty Members
Table 5A Predoctoral Trainees of Participating Faculty Members
Table 5B Postdoctoral Trainees of Participating Faculty Members
Table 6A Publications of Research Completed by Predoctoral Trainees (New Applications)
Table 6B Publications of Research Completed by Postdoctoral Trainees (New Applications)
Table 6A Publications of Research Completed by Predoctoral Trainees (Renewal Applications)
Table 6B Publications of Research Completed by Postdoctoral Trainees (Renewal Applications)
Table 7A Admissions and Completion Records for the Participating Departments and Programs During the Past Five Years (Predoctoral Applicants)
Table 7B Admissions and Completion Records for the Participating Departments and Programs During the Past Five Years (Postdoctoral Applicants)
Table 8A Qualifications of Recent Predoctoral Applicants
Table 8B Qualifications of Recent Postdoctoral Applicants
Table 9A Qualifications of the Current Predoctoral Trainees Clearly Associated with the Training Program (New Applications)
Table 9B Qualifications of the Current Postdoctoral Trainees Clearly Associated with the Training Program (New Applications)
Table 9A Qualifications of the Current Predoctoral Trainees Clearly Associated with the Training Program (Renewal/Revision Applications)
Table 9B Qualifications of the Current Postdoctoral Trainees Clearly Associated with the Training Program (Renewal/Revision Applications)
Table 10 Admissions and Completion Records for Underrepresented Minority (URM), Trainees with Disabilities, and Trainees from Disadvantaged Backgrounds Clearly Associated with the Training Program (Renewal Applications, Optional for New Applications)
Table 11 Appointments to the Training Grant For Each Year of the Past Award (Renewal Applications Only)
Table 12A Predoctoral Trainees Supported by this Training Grant (Renewal Applications Only)
Table 12B Postdoctoral Trainees Supported by this Training Grant (Renewal Applications Only)
Participating Department or Program |
Faculty Members
In Department or Program |
Faculty Members
Participating in This Application |
Predoctoral Trainees in Department or Program [Supported by Any NIH Training Grant] |
Predoctoral Trainees
With Participating
Faculty A/B/C |
Leave Column Blank |
Postdoctoral Trainees in Department or
Program |
Postdoctoral Trainees
With
Participating Faculty |
Leave Column Blank |
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|
Totals |
Need not sum |
Need not sum |
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|
Participating Department or Program |
Faculty Members
In Department or Program |
Faculty Members
Participating in This Application |
Predoctoral Trainees in Department or Program [Supported by Any NIH Training Grant] |
Predoctoral Trainees
With Participating
Faculty A/B/C |
Predoctoral Trainees
Supported
by This Training Grant |
Postdoctoral Trainees in Department or
Program |
Postdoctoral Trainees
With
Participating Faculty |
Postdoctoral Trainees
Supported
by This Training Grant |
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Totals |
Need not sum |
Need not sum |
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|
Name/Degree(s) |
Rank |
Primary (& Secondary) Appointment(s) |
Role in Program |
Research Interest |
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|
Title of Training Grant |
Funding Source Including Identifying Number |
Active or Pending Project Period |
Program
Director |
Predoctoral Trainees Supported This Year |
Postdoctoral Trainees Supported This Year |
Short-Term Trainees Supported This Year |
Total No. of Participating Faculty (Number Overlapping) |
Names of Overlapping Faculty |
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Totals |
N/A |
N/A |
N/A |
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|
N/A |
N/A |
Faculty Member |
Faculty Member Role on Project and Grant Title |
Source of Support Grant Number and Status |
Project Period |
Current Year Direct
Costs Awarded |
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Faculty Member |
Past / Current Trainee |
Trainee Name |
Training Period (Degree) |
Prior Academic
Degree |
Prior Academic Degree(s) |
Prior Academic
Degree |
Title of Research Project |
Current Position of
Past Trainees / |
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Faculty Member |
Past / Current Trainee |
Trainee Name |
Postdoc Research Training Period |
Prior Academic Degree(s) |
Prior Academic
Degree |
Prior Academic
Degree |
Title of Research Project |
Current Position of
Past Trainees / |
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Mentor(s) |
Past / Current |
Name of Trainee |
Publication (Authors, Year, Title, Journal, PMCID) |
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|
Mentor(s) |
Past / Current |
Name of Trainee |
Publication (Authors, Year, Title, Journal, PMCID) |
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|
Name of Trainee |
Past / Current |
Mentor(s) |
Publication (Authors, Year, Title, Journal, PMCID) |
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|
Name of Trainee |
Past / Current |
Mentor(s) |
Publication (Authors, Year, Title, Journal, PMCID) |
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Department / |
Entering |
Applicants Applied
(TGE) |
Applicants Accepted
(TGE) |
Applicants
Enrolled |
Trainees Still
in |
Trainees Completed
Program |
Trainees Left
Program |
Trainees Left Program
Without Degree |
Reason for Leaving
Program |
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||
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||
Total All Programs |
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Sums all Years |
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||
Average all Years |
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Department / |
Entering |
Previous Degree Type |
Applicants
Applied |
Applicants Accepted
(TGE) |
Applicants Entered
Program |
Trainees Still
in |
Trainees Completed
Program |
Trainees Left
Program |
Reason for Leaving
Program |
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Total All Programs |
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Sums |
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Averages |
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Year |
Department / Program |
Applicant (List by Number) |
Previous Institution(s) |
Degree(s) & Year(s) |
Undergrad |
GRE Scores |
Interviewed |
Accepted |
Enrolled |
Support from this
Grant |
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Program Statistics
Total Number of Applicants |
Number of TGE Applicants |
Applicants Interviewed |
Applicants Accepted |
Applicants Enrolled |
Applicants Supported By This Grant |
Average GRE and/or |
Average GPA |
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Year |
Department/ Program |
Applicant (List by Number) |
Previous Institution |
Degree(s) & Year(s) |
Doctoral Thesis or
Other Research Experience & Research Advisor |
Residency Training Institution PGY |
Offered Position |
Entered Program |
Support from this
Grant |
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Department / Program |
Trainee |
Previous Institution(s) |
Degree(s) & Year(s) |
Undergraduate |
GRE Scores (Percentiles) |
Current Research Mentor |
Years in Program |
Leave Column Blank |
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Program Statistics
Total Number of Trainees |
Number of TGE Trainees |
Average GPA |
Average GRE / |
|
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|
|
Department / Program |
Trainee |
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 |
Leave Column Blank |
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|
Program Statistics
Total Number of Trainees |
Number of TGE Trainees |
|
|
Department / Program |
Trainee |
Previous Institution(s) |
Degree(s) & Year(s) |
Undergraduate |
GRE Scores /
(Percentiles) |
Current Research Mentor |
Years in Program |
Calendar Years Appointed to This Grant |
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Program Statistics
Total Number of Trainees |
Number of TGE Trainees |
Average GPA |
Average GRE / |
|
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|
|
Department / Program |
Trainee |
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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Program Statistics
Total Number of Trainees |
Number of TGE Trainees |
|
|
Diversity Recruitment Group |
Trainee |
Entering
Year |
Department / Program |
Source of Support and if Support by NRSA Grant |
In Training |
Completed Training |
Left Without Completing Training |
Current Status |
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Grant Year |
yyyy-yyyy |
yyyy-yyyy |
yyyy-yyyy |
yyyy-yyyy |
yyyy-yyyy |
Predoctoral Positions Awarded (Months of Support) |
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Predoctoral Trainees Appointed (Months of Support Used) |
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|
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Predoctoral URM Trainees Appointed (Months of Support) |
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|
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Predoctoral Trainees with Disabilities Appointed (Months of Support) |
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|
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Predoctoral Trainees
from Disadvantaged Background Appointed |
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|
|
Postdoctoral Positions Awarded (Months of Support) |
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|
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Postdoctoral Trainees With MD Appointed |
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|
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Postdoctoral Trainees With MD/PhD Appointed |
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Postdoctoral Trainees With PhD Appointed |
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Postdoctoral Trainees With Other Degree Appointed |
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|
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Postdoctoral Trainees Appointed (Months of Support Used) |
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|
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Postdoctoral URM Trainees Appointed (Months of Support) |
|
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|
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Postdoctoral Trainees with Disabilities Appointed (Months of Support) |
|
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|
|
Postdoctoral Trainees
from Disadvantaged Background Appointed |
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|
|
Predoctoral (and MSTP) Trainees
(Listed Sequentially by Entering Class)
Enter Source(s) of
Support and Academic Year for Each Grant Year
Trainee, Year of Entry, Prior Degree & Institution (Mentor – Department / Program) |
Grant Year |
Grant Year |
Grant Year |
Grant Year |
Grant Year |
Grant Year |
Grant Year |
Grant Year |
Grant Year |
Grant Year |
Title of Research Project or Research Topic |
Degree(s) Received (Year) |
Current Position and Institution (Grant Support Obtained) |
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Program Statistics
Percentage of T32 Appointees Entering Graduate School 10 Years Ago That Completed Ph.D.s |
Average Time to Ph.D.
for T32 Appointees in the Last 10 Years |
|
|
Postdoctoral Trainees (Listed
Sequentially by Year of Entry)
Enter Source(s) of Support and
Academic Year for Each Grant Year
Trainee, Year of Entry, Prior Degree & Institution (Mentor – Department / Program) |
Grant Year |
Grant Year |
Grant Year |
Grant Year |
Grant Year |
Grant Year |
Grant Year |
Grant Year |
Grant Year |
Grant Year |
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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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | U.S. DHHS Public Health Service Grant Application, Blank Data Tables |
Subject | U.S. DHHS Public Health Service Grant Application, Blank Data Tables |
Author | Office of Extramural Programs, OER, NIH |
File Modified | 0000-00-00 |
File Created | 2021-01-26 |