Proposed Fellowship Applicant Biosketch form with new isntructions

OMB No. 0925-0001 (Rev. 08/12 Approved Through 8/31/2015)

APPLICANT BIOGRAPHICAL SKETCH Use only for individual predoctoral and postdoctoral fellowships, dissertation research grants (R36), and for Research Supplements to Promote Diversity in Health-Related Research (Admin Suppl). DO NOT EXCEED FIVE PAGES.
NAME OF APPLICANT			POSITION TITLE
eRA COMMONS USER NAME (credential, e.g., agency login)
EDUCATION/TRAINING: (Most applicants will begin with baccalaureate or other initial professional education, such as nursing. Include postdoctoral training and residency training if applicable. High school students should list their current institution and associated information.)
INSTITUTION AND LOCATION	DEGREE (if applicable)	START DATE MM/YYYY		END DATE (or expected end date) MM/YYYY	FIELD OF STUDY

NOTE: The Biographical Sketch may not exceed five pages. Follow the formats and instructions below.

1. Personal Statement

Briefly describe why you are well-suited to receive the award for which you are applying. The relevant factors may include aspects of your training; your previous experimental work on this specific topic or related topics; your technical expertise; your collaborators or scientific environment; and your past performance in this or related fields (you may mention specific contributions to science that are not included in Section C). Also, you may identify up to four peer-reviewed publications that specifically highlight your experience and qualifications for this project. If you wish to explain impediments to your past productivity, you may include a description of factors such as family care responsibilities, illness, disability, and active duty military service.

• R36 Applicants (PD/PI) Only:

In addition to the information outlined above, include in the personal statement a description of your career goals and intended career trajectory, as well as your interest in the specific areas of research designated in the FOA.

• Diversity Supplement Candidates Only:

In addition to the information outlined above, include in the personal statement a description of your general scientific achievements and/or interests, as well as your specific research objectives and career goals. Indicate any source(s) of current funding.

B. Positions and Honors

List in chronological order all non-degree training, including postdoctoral research training, all employment after college, and any military service. High school students and undergraduates may include any previous positions. Clinicians should include information on internship, residency, and specialty board certification (actual and anticipated with dates) in addition to other information requested. This information is used in reviewing the application and in determining the stipend level for Postdoctoral Fellowships. State the Activity/Occupation and include start/end dates, field, name of institution/company, and the name of your supervisor/employer. If you are not currently located at the applicant organization, include your projected position at the applicant organization asorganization as well.

ACTIVITY/OCCUPATION	START DATE (MM/YYYY)	END DATE (MM/YYYY)	FIELD	INSTITUTION/COMPANY	SUPERVISOR/ EMPLOYER

Academic and Professional Honors

List any academic and professional honors that would reflect upon your potential for a research career and qualifications. Include all scholarships, traineeships, fellowships, and development awards. Indicate sources of awards, dates, and grant or award numbers. List current memberships in professional societies, if applicable.

C. Contributions to Science (for predoctoral students and more advanced candidates only; high school students, undergraduates, and postbaccalaureates should skip this section)

Considering your level of experience, briefly describe your most significant contributions to science. While all applicants may describe up to five contributions, graduate students and postdoctorates are encouraged to consider highlighting two or three they consider most significant. These may include research papers, abstracts, book chapters, reviews, as well as non-publication research products, such as materials, methods, models, or protocols. For each contribution, indicate the historical background that frames the scientific problem; the central finding(s); the relevance of the finding(s) to science, technology, or public health; and your specific role in the described work. For each contribution, you may reference up to four peer-reviewed publications or other non-publication research products (can list audio or video products; patents; data and research materials; databases; educational aids or curricula; instruments or equipment; models; protocols; and software or netware) that are relevant to the described contribution. The description of each contribution should be no longer than one half page including figures and citations. Please also provide a URL to a full list of your published work as found in a publicly available digital database such as SciENcv or My Bibliography, which are maintained by the US National Library of Medicine. Manuscripts listed as “pending publication” or “in preparation” should be included and identified.

D. Scholastic Performance

Using the chart provided, list the institution(s), years, and courses designated for each applicant level, with grades. In the space following the chart, explain any marking system if other than 1-100, A, B, C, D, F, or 0-4.0, if applicable. Show levels required for a passing grade.

High school applicants: List all high school courses.

Undergraduate and postbaccalaureate applicants: List all undergraduate courses.

Predoctoral applicants: List all undergraduate and graduate courses.

Postdoctoral applicants: List all undergraduate courses and graduate scientific and/or professional courses germane to the training sought under this award.

YEAR	SCIENCE COURSE TITLE	GRADE	YEAR	OTHER COURSE TITLE	GRADE