Download:
pdf |
pdf Graduate Partnership Program
2/8/13 2:04 PM
Go
home
for prospective applicants
GRADUATE PARTNERSHIP PROGRAM
OMB No. 0925-0299
Expiration Date 03/31/2014
Respondent Burden
APPLY FOR INSTITUTIONAL PARTNERSHIP(S)
MYGPP | SIGN-OFF
Instructions: Before you begin, you may want to review some helpful hints on using this electronic form and our privacy statement.
Eligibility Criteria:
You must meet the following criteria to complete the NIH Graduate Partnerships Program (GPP) Application for Admission
Consideration:
1. You are considering admission into the following NIH-University Institutional Partnerships
Boston University - Bioinformatics
Brown University - Neuroscience
George Washington University - Biomedical Sciences
Georgetown University - Biomedical Sciences
Johns Hopkins University - Cell, Molecular, Developmental Biology & Biophysics
Karolinska Institutet (Sweden) - Neuroscience
University College London (England) / NIMH & NINDS - Neuroscience
University of Maryland, College Park - Sensory and Communication Neuroscience / NIDCD
University of Oxford (England) / University of Cambridge (England) / NIH
Consortia of Universities - Intramural MD/PHD Partnership
Consortia of Universities - Molecular Pathology / NCI
Consortia of Universities - NINR-Nursing and Biobehavioral Research
2. You either have or anticipate having a bachelor degree by Fall Admission
3. You are a USA citizen or USA permanent resident
Application Tips:
This form allows you to save a partially completed application. To take advantage of this feature:
Enter as much information into the form as you would like.
Press "Save Partial Application & Quit" to save the information you have entered thus far. You will have to return later to complete
your application.
When you first submit your partial application, you will receive an e-mail message containing instructions for accessing the online
tool that allows you to review, modify, and complete your application.
Only completed applications are available for review by NIH investigators and administrators; partial applications are not accessible by
NIH investigators. Once you complete your application, press "Preview Completed Application." You will be taken to a page displaying
the information you have provided. To submit your completed application, you must select the "Save" button on the Preview
page.
IMPORTANT NOTE: The GPP Application deadline is December 15, 2013 (11:59pm ET). Applications that are incomplete after the
https://training-test.od.nih.gov/apps/publicForms/gpp/forms/instLongApp.aspx
Page 1 of 8
Graduate Partnership Program
2/8/13 2:04 PM
December 15 deadline will not receive further consideration.
1. Please read the "Graduate Partnership Program page" before beginning your online application.
2. Be sure that the e-mail addresses you provide is accurate. Incorrect e-mail addresses will delay the processing of your registration.
3. Please note that this form accepts plain text inputs only. This means that special characters and formatting such as bullets, "smart
quotes," bold or italic fonts, Greek letters, etc., will be lost or altered. To ensure your data appear as you intend, compose your
inputs to the longer fields on this form using a plain text editor (e.g., Notepad for PC users or TextEdit for Mac users). In place of
special formatting, you will need to rely on the use of capital letters, white space, asterisks, and other standard keyboard
characters.
4. Proofread your registration thoroughly for accuracy and completeness; false or inaccurate information may be grounds for denying
your candidacy or removing you from the program.
5. Complete your application as early as possible to ensure that your references submit their letters promptly using our online system.
6. Letters of recommendation are due no later than December 31, 2013, at 11:30pm ET. We will not accept letters after that time.
Indicates a required field.
Indicates a help button.
Partnership Selection:
Select all the partnerships you wish to be considered for admission in your preferred order. Before making your selection, be sure to
read all partnership descriptions because have additional eligibility requirements for admission consideration.
Boston University - Bioinformatics
Brown University - Neuroscience
George Washington University - Biomedical Sciences
Georgetown University - Biomedical Sciences
Johns Hopkins University - Cell, Molecular, Developmental Biology & Biophysics
Karolinska Institutet (Sweden) - Neuroscience
University College London (England) / NIMH & NINDS - Neuroscience
University of Maryland, College Park - Sensory and Communication Neuroscience / NIDCD
University of Oxford (England) / University of Cambridge (England) / NIH
Consortia of Universities - Intramural MD/PHD Partnership
Consortia of Universities - Molecular Pathology / NCI
Consortia of Universities - NINR-Nursing and Biobehavioral Research
Selected Partnership(s): (In order of preference)
Move Up
Move Down
Remove
Clear All
Academic Information
Indicate which degree program information you will be reporting in your application. Be sure to include all of your educational
history. Failure to do so may be grounds for dismissal.
PhD degree program
MD or DDS or DVM or RN degree program
Master degree program
https://training-test.od.nih.gov/apps/publicForms/gpp/forms/instLongApp.aspx
Page 2 of 8
Graduate Partnership Program
2/8/13 2:04 PM
Master degree program
Bachelor degree program
Associate degree program
Non-degree program
PhD Degree Academic Information
College/University Name:
Major Field of Study:
Start Date:
Jan
2010
(month/year)
Anticipated Graduation Date:
Jan
2010
(month/year)
Current Cumulative GPA:
GPA Scale (Maximum Value):
Coursework and Grades:
MD or DDS or DVM or RN Degree Academic Information
This section is required if you indicated above that you an MD or DDS or DVM or RN degree.
Degree Program:
College or University Name:
Major Field of Study:
Start Date:
Jan
2010
(month/year)
Anticipated Graduation Date:
Jan
2010
(month/year)
Cumulative GPA:
GPA Scale (Maximum Value):
AAMC Number (if applicable):
MD or DDS or DVM or RN
Coursework and Grades:
Master Academic Information
College/University Name:
Major Field of Study:
https://training-test.od.nih.gov/apps/publicForms/gpp/forms/instLongApp.aspx
Page 3 of 8
Graduate Partnership Program
2/8/13 2:04 PM
Major Field of Study:
Start Date:
Jan
2010
(month/year)
Anticipated Graduation Date:
Jan
2010
(month/year)
Start Date:
Jan
2010
(month/year)
Anticipated Graduation Date:
Jan
2010
(month/year)
Start Date:
Jan
2010
(month/year)
Anticipated Graduation Date:
Jan
2010
(month/year)
Current Cumulative GPA:
GPA Scale (Maximum Value):
Coursework and Grades:
Bachelor Academic Information
College/University Name:
Major Field of Study:
Current Cumulative GPA:
GPA Scale (Maximum Value):
Coursework and Grades:
Associates Degree Academic Information
College/University Name:
Major Field of Study:
Current Cumulative GPA:
GPA Scale (Maximum Value):
Coursework and Grades:
https://training-test.od.nih.gov/apps/publicForms/gpp/forms/instLongApp.aspx
Page 4 of 8
Graduate Partnership Program
2/8/13 2:04 PM
Non-Degree Academic Information
College/University Name:
Major Field of Study:
Start Date:
Jan
2010
(month/year)
Anticipated Graduation Date:
Jan
2010
(month/year)
Current Cumulative GPA:
GPA Scale (Maximum Value):
Coursework and Grades:
Standardized Examinations
Graduate Record Examination (GRE)
Examination Date:
Jan
2010
(month/year)
Verbal Reasoning:
/
(Score/Percentile)
Quantitative Reasoning:
/
(Score/Percentile)
Analytical Writing:
/
(Score/Percentile)
GRE Subject Examination (if applicable)
Examination Date:
Jan
2010
(month/year)
Examination Taken:
Subject Score:
/
(Score/Percentile)
Medical College Admission Test (MCAT)
Examination Date:
Jan
2010
(month/year)
Verbal Reasoning:
/
(Score/Percentile)
Physical Sciences:
/
(Score/Percentile)
Biological Sciences:
/
(Score/Percentile)
Writing Sample:
/
(Score/Percentile)
CV/Resume Sections
Copy and paste a plain text version of your curriculum vitae or resume into the sections below. Some reformatting may be necessary.
Brief Description of Your Research Interests: (Up to 600 characters)
https://training-test.od.nih.gov/apps/publicForms/gpp/forms/instLongApp.aspx
Page 5 of 8
Graduate Partnership Program
2/8/13 2:04 PM
Research Experience: (Up to 6000 characters)
Publications and Presentations: (Up to 6000 characters)
Awards & Honors: (Up to 3000 characters)
Extracurricular Activities: (Up to 3000 characters)
Personal Statement: (Up to 9000 characters)
Additional Information: (Up to 1500 characters)
References
Under the Family Educational Rights and Privacy Act of 1974, as amended (P.L. 93-380), you have the right to access the information
contained within a letter of recommendation unless you have waived such access. The National Institutes of Health (NIH) does not
require you to waive your permission as a condition of admission. For each reference, your response about waiving access to each
letter of recommendation is required. Your references will be given your response in the recommendation request message sent by
email. See Family Educational Rights & Privacy Act.
Once you submit your completed application, an e-mail request for a letter of recommendation will automatically be sent to each of
the following individuals:
Reference 1:
Name:
Mr.
Prefix
First
E-mail:
Waive Access:
Last
Format: [email protected]
Yes
No
https://training-test.od.nih.gov/apps/publicForms/gpp/forms/instLongApp.aspx
Page 6 of 8
Graduate Partnership Program
2/8/13 2:04 PM
Waive Access:
Yes
No
Reference 2:
Mr.
Name:
Prefix
First
Last
E-mail:
Format: [email protected]
Waive Access:
Yes
No
Reference 3:
Mr.
Name:
Prefix
First
E-mail:
Last
Format: [email protected]
Waive Access:
Yes
No
How did you hear about this program? (Please select all that apply.)
Ad in a scientific journal (Nature, Science); please specify:
Ad in a student journal; please specify:
Ad in a meeting program
Exhibit at a meeting; please specify:
Career development/opportunities workshop
Flier
Poster
From a mentor or advisor
From an alumnus/alumna of the program
NIH representative visited school
Web search
Other; please specify:
Notice to all applicants:
It is your responsibility to ensure that all of the above information is correct. False or inaccurate information contained in this
application may be grounds for denying your candidacy or removing you from the program.
Save Partial Application & Quit
https://training-test.od.nih.gov/apps/publicForms/gpp/forms/instLongApp.aspx
Preview Completed Application
Page 7 of 8
Graduate Partnership Program
NIH Home
Privacy Notice
DHHS
2/8/13 2:04 PM
USA.gov
Disclaimers
About Us
FOIA
Site Search
Accessibility
Contact Us
https://training-test.od.nih.gov/apps/publicForms/gpp/forms/instLongApp.aspx
Page 8 of 8
Graduate Partnership Program - Reference Letter Submission
2/12/13 3:26 PM
Go
home
GRADUATE PARTNERSHIP PROGRAM
LETTER OF RECOMMENDATION FOR {VARAPPLICANTNAME}
OMB No. 0925-0299
Expiration Date 3/31/2014
Respondent Burden
Instructions:
Please complete the form and click on the button below to submit your evaluation and letter of reference.
We recommend that you compose your letter off-line and paste it into the space below. If you attempt to compose your letter while
logged on to this site, you may experience a connection timeout or some other technical problem beyond our control, which may
result in your text being irretrievably lost.
Indicates a required field.
Evaluation Form
Length:
Capacity:
How long have you known the applicant?
In what capacity have you known the applicant?
The evaluation form asks for your assessment on several aspects using the following rating system.
5 = Exceptional - Top 1%
4 = Excellent - Top 10%
3 = Above Average - Top 25%
2 = Average - Top 50%
1 = Below Average - Bottom 50%
Note:
Overall Impression:
5
4
3
2
1
Intelligence:
5
4
Writing Ability:
3
2
1
Analytical Ability:
5
4
3
4
3
4
3
2
1
Interpersonal Skills:
2
1
Research Ability:
5
5
Initiative:
5
4
3
2
1
5
4
4
3
2
1
3
2
1
Honesty:
1
Motivation:
2
5
5
4
Knowledge of Field:
3
http://training-test.od.nih.gov/apps/refForms/gpp/forms/submitLetter.aspx
2
1
5
4
3
2
1
Page 1 of 2
Graduate Partnership Program - Reference Letter Submission
Verbal Ability:
5
4
3
2/12/13 3:26 PM
Confidence:
2
1
5
4
Maturity:
3
2
1
5
4
3
2
1
Recommendation Letter
Please copy and paste your letter of reference into the boxed area below. Please include your name, academic rank, department
and institution in your signature block.
Submit
NIH Home
Privacy Notice
DHHS
USA.gov
Disclaimers
About Us
FOIA
Site Search
Accessibility
Contact Us
http://training-test.od.nih.gov/apps/refForms/gpp/forms/submitLetter.aspx
Page 2 of 2
Respondent Burden
3/6/13 3:02 PM
Go
home
RESPONDENT BURDEN
Back to Previous Page
Statement for Applicants/Registrants
Public reporting burden for this collection of information is estimated to average 60-minutes per submission, including the time for
reviewing instructions, frequently asked questions, and entering data in the form fields. An agency may not conduct or sponsor, and a
person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send
comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this
burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA 0925-0299. Do not
return the completed form to this address.
Statement for References
Public reporting burden for this collection of information is estimated to average 15-minutes per response, including the time for
reviewing instructions. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information
unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC
7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0299). Do not return the completed form to this address.
Back to Previous Page
NIH Home
Privacy Notice
DHHS
USA.gov
Disclaimers
About Us
FOIA
Site Search
Accessibility
Contact Us
http://www2.training.nih.gov/apps/messages/programs/formsV2/resburden.aspx
Page 1 of 1
Privacy Statement
3/6/13 3:03 PM
Go
home
PRIVACY ACT NOTIFICATION STATEMENT
MESSAGE
Back to Previous Page
The primary use of information collected via the Office of Intramural Training and Education (OITE) online forms is to evaluate an
applicant's qualifications for research training at the National Institutes of Health (NIH). Information may be used during admission
consideration; in preparing appointment paperwork; and to provide data for training program evaluation. Information will be disclosed
to investigators, members of advisory committees, OITE staff, and contractors working on our behalf. Additional disclosures may be
made to law enforcement agencies concerning violations of law or regulation. Application for this program is voluntary; however, in
order for the OITE to process an application, the applicant must complete the required fields.
The legal authority granted to NIH to train future biomedical scientists comes from several sources. Title 42 of the U.S. Code, Sections
241 and 282(b)(13) authorize the Director, NIH, to conduct and support research training for which fellowship support is not provided
under Part 487 of the Public Health Service (PHS) Act (i.e., National Research Service Awards), and that is not residency training of
physicians or other health professionals. Sections 405(b)(1)(C) of the PHS Act and 42 U.S.C. Sections 284(b)(1)(C) and 285-287 grant this
same authority to the Director of each of the Institutes/Centers at NIH.
Back to Previous Page
NIH Home
Privacy Notice
DHHS
USA.gov
Disclaimers
About Us
FOIA
Site Search
Accessibility
Contact Us
http://www2.training.nih.gov/apps/messages/programs/formsV2/privacy.aspx
Page 1 of 1
| File Type | application/pdf |
| File Title | Graduate Partnership Program |
| Author | Patty Wagner |
| File Modified | 2013-05-24 |
| File Created | 2013-02-08 |