Fellowship Management System - applicants

Fellowship Management System

FMS_Attachment 1_FMS Application_Example EIS App_12-13-2011

Fellowship Management System - applicants

OMB: 0920-0765

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Attachment 1 – FMS Application - Approved Data Collection


FMS Application Data Elements Document


2011

Example: EIS Application information / data collection

NOTE: Appendix B in this document includes the data elements collected from applicants of the other CDC fellowship programs.





Table of Contents

1 Introduction 6

1.1 Document Structure 6

2 Login and Registration Pages 7

2.1 Login Page 7

2.2 Registration Page 8

2.3 Forgot Your E-mail? 10

2.4 Forgot Your Password? 12

2.5 Reset Password 15

3 Application Instructions 16

4 Status Page and Application Submission 18

4.1 Authorization 19

4.2 Pre-Submission Validation 20

5 Contact Information 21

6 Education 25

6.1 High School Education 26

6.2 College/University Education 27

7 Postgraduate Training and Skills 30

7.1 Clinical Training 32

7.2 Board Certification 33

7.3 Additional Training 34

8 Work and Volunteer Experience 35

8.1 Work Experience 36

8.2 Volunteer Experience 38

9 Publications, Presentations, Grants 40

9.1 Publication 42

9.2 Presentation 43

9.3 Research Grants 44

10 Honors and Awards 45

11 Personal Statement 47

12 Applicant Survey 48

13 Letters of Recommendation 53

14 Withdraw Application 56

15 Appendix A – E-mails 57

15.1 Applicant Reset Password Information 57

15.2 Application Submission Confirmation 57

15.3 Application Submission Reminder 58

15.4 Interview Invitation for US Applicants 59

15.5 Interview Invitation for International Applicants 60

15.6 Interview Confirmation for US Applicants 61

15.7 Interview Confirmation for International Applicants 61

16 Appendix B – Changes In Other Programs 62

16.1 PHIFP Differences 62

16.1.1 Contact Infortmation 62

16.1.2 Self-Assessment of Skills 62

16.2 PHPS Differences 63

16.2.1 Self-Assessment of Skills 63

16.3 Hubert differences 64

16.3.1 Contact Information 64

16.3.2 College/University Education 64

16.3.3 Project Ranking 64

16.3.4 Self-Assessment of Skills 64

16.4 Epi elective differences 65

16.4.1 Assignment Preference 65

16.5 PEF Differences 66

16.5.1 College/University Education 66

16.5.2 Work Papers 66

16.5.3 Research experience 66

16.5.4 Assignment Overview and Ranking 66

16.5.5 Self-Assessment of Skills 66

16.6 PMRF differences 67

16.6.1 Education 67

16.6.2 College/University Education 67

16.6.3 Additional Course 67

16.6.4 Clinical Training 67

16.6.5 Work and Volunteer Experience 67

16.6.6 Work Experience 68

16.6.7 Volunteer Experience 68

16.6.8 Monographs and Reports 68

16.6.9 Personal Statement 68

16.6.10 Applicant Survey 68

16.6.11 Peer References 68

16.7 PHAP differences 69

16.7.1 Contact Information 69

17 Appendix C – List Of Values 70

17.1 Countries 70

17.2 States 72

17.3 Secret Questions 73

17.4 Visa Types 73

17.5 College Education Statuses 73

17.6 Degrees 73

17.7 Major Classifications 74

17.8 License Statuses 75

17.9 Languages 75

17.10 Proficiencies 76

17.11 Clinical Titles 76

17.12 Specialties 76

17.13 Board Statuses 78

17.14 Program Names 78

17.15 Research Roles 79

17.16 Research Grant Amounts 79

17.17 Honor Types 79

17.18 Hear About Us Options 79

17.19 Areas of Interests 80

17.20 Information Science Skills 80

17.21 Computer Science Skills 80

17.22 Information System Skills 81

17.23 Project Management Skills 81

17.24 Public Health and Health Care Skills 81

17.25 Information Tehnology Skills 81

17.26 Skill Level 81

17.27 Computer Skills 81

17.28 Transcript Analysis Types 82

17.29 Projects 82

17.30 Statistical Software Skills 82

17.31 Subject Areas 82

17.32 Projects List 83

17.33 Research Roles 83

17.34 Research Roles 83

17.35 PMRF Programs 84

17.36 Course Status Values 84

17.37 Corps Ranks 84

17.38 Work Experience Types 84

17.39 CIO 84







  1. Introduction

The purpose of this document is to list all the data elements collected online from the applicants that wish to apply for the Epidemic Intelligence Service (EIS) program. The data element differences between EIS and other CDC fellowship programs are documented in Appendix B. The data elements are grouped by the high level entities in the system.

The Fellowship Management System (FMS) online application system is a streamlined application for the Centers for Disease Control and Prevention (CDC) fellowships where the applicants can submit their information online as well as track the various statuses of the application (i.e., all materials received, whether they are invited for interview). FMS is a robust flexible framework and has been successfully tailored for the various CDC fellowships including EIS.



    1. Document Structure

This document is broken down by the major sections of the application process. The application instructions and login & registration pages are documented as the separate sections. A section has its own chapter that is further divided by subsections where applicable. Each section/subsection contains:

  • Table that lists the data elements (columns name), columns label, high level entity, list of values and the figure numbers.

  • Screen-shots to illustrate the instructions and label of the data elements.

The consolidated lists of values are documented in Appendix C.

The emails generated by system are documented in Appendix A, and the data element differences between the EIS and other programs are documented in Appendix B.





  1. Login and Registration Pages

    1. Login Page

Column Name

Column Label

Entity

Figure

List of Values

E-Mail

E-mail

Person

Figure 2.1—A

N/A

Password

Password

Person

Figure 2.1—A

N/A

Table 2.1

Figure 2.1—A



Figure 2.1—B



    1. Registration Page

Column Name

Column Label

Entity

Figure

List of Values

First Name

First Name

Person

Figure 2.2—A

N/A

Middle Name

Middle Name

Person

Figure 2.2—A

N/A

Last Name

Last Name

Person

Figure 2.2—A

N/A

E-Mail

E-mail Address

Person

Figure 2.2—A

N/A

Phone Country Code

Country Code

Person

Figure 2.2—A

Countries

Phone Number

Primary Phone

Person

Figure 2.2—A

N/A

Password

Password

Person

Figure 2.2—B

N/A

Secret Question

Secret Question

Person

Figure 2.2—B

Secret questions

Secret Answer

Secret Answer

Person

Figure 2.2—B

N/A

Table 2.2



Figure 2.2—A



Figure 2.2—B



    1. Forgot Your E-mail?

Column Name

Column Label

Entity

Figure

List of Values

First Name

First Name

Person

Figure 2.3—A

N/A

Middle Name

Middle Name

Person

Figure 2.3—D

N/A

Last Name

Last Name

Person

Figure 2.3—A

N/A

E-Mail

New E-mail

Person

Figure 2.3—D

N/A

Phone Country Code

Country Code

Person

Figure 2.3—A

Countries

Phone Number

Primary Phone Number

Person

Figure 2.3—A

N/A

Password

Password

Person

Figure 2.3—D

N/A

Secret Question

Secret Question

Person

Figure 2.3—B

Secret questions

Secret Answer

Secret Answer

Person

Figure 2.3—B

N/A

Table 2.3



Figure 2.3—A



Figure 2.3—B



Figure 2.3—C



Figure 2.3—D





    1. Forgot Your Password?

Column Name

Column Label

Entity

Figure

List of Values

First Name

First Name

Person

Figure 2.4—A

N/A

Middle Name

Middle Name

Person

Figure 2.4—D

N/A

Last Name

Last Name

Person

Figure 2.4—A

N/A

E-Mail

Login E-mail

Person

Figure 2.4—A

N/A

Phone Country Code

Country Code

Person

Figure 2.4—A

Countries

Phone Number

Primary Phone Number

Person

Figure 2.4—A

N/A

Password

Password

Person

Figure 2.4—C

N/A

Secret Question

Secret Question

Person

Figure 2.4—B

Secret questions

Secret Answer

Secret Answer

Person

Figure 2.4—B

N/A

Table 2.4



Figure 2.4—A



Figure 2.4—B



Figure 2.4—C

Figure 2.4—D



Figure 2.4—E





    1. Reset Password

Column Name

Column Label

Entity

Figure

List of Values

E-Mail

E-mail

Person

Figure 2.5—A

N/A

Password

Current Password

Person

Figure 2.5—A

N/A

Secret Question

Secret Question

Person

Figure 2.5—A

Secret questions

Secret Answer

Secret Question Answer

Person

Figure 2.5—A

N/A

Table 2.5



Figure 2.5—A



  1. Application Instructions



Figure 3—A

Figure 3—B



  1. Status Page and Application Submission



Figure 4



    1. Authorization

Column Name

Column Label

Entity

Figure

List of Values

Terms agree

I certify that all information submitted in this online EIS application and any supporting materials are complete and accurate.  I understand that my application will be rejected if the information I have provided is deemed to be false.

Application

Figure 4.1—A


N/A

Table 4.1



Figure 4.1—A







    1. Pre-Submission Validation

Column Name

Column Label

Entity

Figure

List of Values

From date

Date From

Time- gap

Figure 4.2—A

N/A

To date

To

Time- gap

Figure 4.2—A

N/A

Gap explanation

Explanation

Time- gap

Figure 4.2—B

N/A

Table 4.2



Figure 4.2—A



Figure 4.2—B



  1. Contact Information

Column Name

Column Label

Entity

Figure

List of Values

First name

First name

Person

Figure5—A

N/A

Middle name

Middle name

Person

Figure5—A

N/A

Last name

Last name

Person

Figure5—A

N/A

Suffix

Suffix

Person

Figure5—A

N/A

Other name

Any other names that appear on your academic record

Person

Figure5—A

N/A

E-Mail

E-Mail

Person

Figure5—A

N/A

Mailing address line 1

Address

Person

Figure5—A

N/A

Mailing address line 2


Person

Figure5—A

N/A

Mailing address line 3


Person

Figure5—A

N/A

Mailing address country

Country

Person

Figure5—A

Countries

Mailing address state

State

Person

Figure5—A

States

Mailing address city

City

Person

Figure5—A

N/A

Mailing address zip code

Zip/Postal code

Person

Figure5—A

N/A

Phone country code

Country code

Person

Figure 5—B

Countries

Phone number

Primary phone

Person

Figure 5—B

N/A

Work phone number

Work

Person

Figure 5—B

N/A

Alternate phone number

Alternate

Person

Figure 5—B

N/A

Citizenship

Select your country of citizenship

Person

Figure 5—B

Countries

U.S. permanent resident

Are you a U.S. permanent resident?

Person

Figure 5—C

N/A

Green card number

Green card number

Person

Figure 5—D

N/A

Green card expiration date

Expiration

Person

Figure 5—D

N/A

Currently live in the U.S

Do you currently live in the U.S?

Person

Figure 5—C

N/A

Visa type

Visa type

Person

Figure 5—C

Visa types

Visa expiration date

Expiration

Person

Figure 5—C

N/A

Emergency contact name

Name

Person

Figure 5—B

N/A

Emergency contact relationship to you

Relationship to you

Person

Figure 5—B

N/A

Emergency contact phone

Telephone

Person

Figure 5—B

N/A

Emergency contact e-mail

E-mail

Person

Figure 5—B

N/A

Table 5

Figure5—A



Figure 5—B



Figure 5—C





Figure 5—D



  1. Education



Figure 6



    1. High School Education

Column Name

Column Label

Entity

Figure

List of Values

Name

High School

High school education

Figure 6.1—A

N/A

Country

Country

High school education

Figure 6.1—A

Countries

State

State

High school education

Figure 6.1—A

States

City

City

High school education

Figure 6.1—A

N/A

From date

Attended from

High school education

Figure 6.1—A

N/A

To date

To

High school education

Figure 6.1—A

N/A

GPA

Grade Point Average

High school education

Figure 6.1—A

N/A

Academic honor

Did you receive an academic honor at this institution?

High school education

Figure 6.1—A

N/A

Academic honor type

Type

High school education

Figure 6.1—A

N/A

Table 6.1



Figure 6.1—A



    1. College/University Education

Column Name

Column Label

Entity

Figures

List of Values

Country

Country

College education

Figure 6.2—A

Countries

State

State/Province

College education

Figure 6.2—A

States

Name

College/University

College education

Figure 6.2—A

College names

From date

Attended from

College education

Figure 6.2—A

N/A

To date

To

College education

Figure 6.2—A

N/A

Status

Status

College education

Figure 6.2—A

College education statuses

Degree

Degree

College education

Figure 6.2—A

Degrees

Degree date expected

Date expected

College education

Figure 6.2—A

N/A

Major

Major

College education

Figure 6.2—A

N/A

Major classification

Major classification

College education

Figure 6.2—A

Major classifications

Minor


Minor/certificate/

specialty

College education

Figure 6.2—A

N/A

GPA

Grade Point Average

College education

Figure 6.2—A

N/A

Complete Thesis

Did you complete a thesis/dissertation/equivalent?

College education

Figure 6.2—A

N/A

Thesis

Title

College education

Figure 6.2—A

N/A

Academic honor

Did you receive an academic honor at this institution?

College education

Figure 6.2—A

N/A

Academic honor type

Type

College education

Figure 6.2—A

N/A

Degree Incomplete Reason

Reason

College education

Figure 6.2—B

N/A

Active unrestricted
U.S. license

Do you have or are you expecting an active unrestricted U.S. license to practice your specialty?

College education

Figure 6.2—A

N/A

License status

Status

License

Figure 6.2—D

Licenses statuses

Issuing state

Issuing state

License

Figure 6.2—D

States

License number

License number

License

Figure 6.2—D

N/A

Expiration date

Expiration date

License

Figure 6.2—D

N/A

Expected date

Expected date

License

Figure 6.2—D

N/A

Table 6.2

Figure 6.2—A



Figure 6.2—B



Figure 6.2—C



Figure 6.2—D



Figure 6.2—E

  1. Postgraduate Training and Skills

Column Name

Column Label

Entity

Figure

List of Values

Has clinical training

Do you have postgraduate clinical training?

Person

Figure 7—A

N/A

Is Board certified

Are you Board certified or Board eligible in the United States?

Person

Figure 7—A

N/A

Has additional training

Did you complete additional training not entered in the Education section?

Person

Figure 7—A

N/A

Language name

Secondary Language

Language

Figure 7—A

Languages

Native language

Primary Language

Language

Figure 7—A

Languages

Reading skill

Read

Language

Figure 7—A

Proficiencies

Writing skill

Write

Language

Figure 7—A

Proficiencies

Speaking skill

Speak

Language

Figure 7—A

Proficiencies

Table 7

Figure 7—A



    1. Clinical Training

Column Name

Column Label

Entity

Figure

List of Values

Title

Title

Clinical Training

Figure 7.1—A

Clinical title

Specialty

Specialty

Clinical Training

Figure 7.1—A

Specialties

Institution name

Institution name

Clinical Training

Figure 7.1—A

N/A

Country

Country

Clinical Training

Figure 7.1—A

Countries

State

State/Province

Clinical Training

Figure 7.1—A

States

City

City

Clinical Training

Figure 7.1—A

N/A

From date

Dates from

Clinical Training

Figure 7.1—A

N/A

To date

To

Clinical Training

Figure 7.1—A

N/A

Table 7.1



Figure 7.1—A



    1. Board Certification

Column Name

Column Label

Entity

Figure

List of Values

Status

Status

Board Certification

Figure 7.2—A

Board statuses

Specialty

Specialty

Board Certification

Figure 7.2—A

Specialties

Most recent issuance date

Most recent issuance date

Board Certification

Figure 7.2—A

N/A

Most recent expiration date

Most recent expiration date

Board Certification

Figure 7.2—A

N/A

Expected date

Expected date

Board Certification

Figure 7.2—B

N/A

Table 7.2



Figure 7.2—A



Figure 7.2—B



    1. Additional Training

Column Name

Column Label

Entity

Figure

List of Values

Program name

Program name

Additional Training

Figure 7.3—A

Program names

Other program name

Specify program name

Additional Training

Figure 7.3—A

N/A

Description

Description

Additional Training

Figure 7.3—A

N/A

Institution name

Institution name

Additional Training

Figure 7.3—A

N/A

Country

Country

Additional Training

Figure 7.3—A

Countries

State

State/Province

Additional Training

Figure 7.3—A

States

City

City

Additional Training

Figure 7.3—A

N/A

From date

Dates from

Additional Training

Figure 7.3—A

N/A

To date

To

Additional Training

Figure 7.3—A

N/A

Table 7.3



Figure 7.3—A





  1. Work and Volunteer Experience

Column Name

Column Label

Entity

Figure

List of Values

Has work experience

Do you have work experience?

Person

Figure 8—A

N/A

Has volunteer experience

Do you have community or volunteer service experience?

Person

Figure 8—A

N/A

Table 8



Figure 8—A





    1. Work Experience

Column Name

Column Label

Entity

Figure

List of Values

Name

Employer

Work experience

Figure 8.1—A

N/A

Address Line 1

Address

Work experience

Figure 8.1—A

N/A

Address Line 2


Work experience

Figure 8.1—A

N/A

Address Line 3


Work experience

Figure 8.1—A

N/A

Country

Country

Work experience

Figure 8.1—A

Countries

State

State/Province

Work experience

Figure 8.1—A

States

City

City

Work experience

Figure 8.1—A

N/A

Zip code

Zip/Postal code

Work experience

Figure 8.1—A

N/A

From date

Dated from

Work experience

Figure 8.1—A

N/A

To date

To

Work experience

Figure 8.1—A

N/A

Job title

Job title

Work experience

Figure 8.1—A

N/A

Hours per week

Hours per week

Work experience

Figure 8.1—A

N/A

Job duties and responsibilities

Job duties/ Responsibilities

Work experience

Figure 8.1—A

N/A

Reason for leaving

Reason for leaving

Work experience

Figure 8.1—A

N/A

Supervisor name

Supervisor name

Work experience

Figure 8.1—A

N/A

Contact supervisor

May we contact your supervisor?

Work experience

Figure 8.1—A

N/A

Supervisor Phone

Phone

Work experience

Figure 8.1—A

N/A

Supervisor E-mail

E-mail

Work experience

Figure 8.1—A

N/A

Reason not to contact supervisor

Reason

Work experience

Figure 8.1—B

N/A

Table 8.1

Figure 8.1—A



Figure 8.1—B



    1. Volunteer Experience

Column Name

Column Label

Entity

Figure

List of Values

Name

Organization

Volunteer experience

Figure 8.2—A

N/A

Address Line 1

Address

Volunteer experience

Figure 8.2—A

N/A

Address Line 2


Volunteer experience

Figure 8.2—A

N/A

Address Line 3


Volunteer experience

Figure 8.2—A

N/A

Country

Country

Volunteer experience

Figure 8.2—A

Countries

State/Province

State/Province

Volunteer experience

Figure 8.2—A

States

City

City

Volunteer experience

Figure 8.2—A

N/A

Zip code

Zip/Postal code

Volunteer experience

Figure 8.2—A

N/A

From date

Dated from

Volunteer experience

Figure 8.2—A

N/A

To date

To

Volunteer experience

Figure 8.2—A

N/A

Title

Title

Volunteer experience

Figure 8.2—A

N/A

Hours per week

Hours per week

Volunteer experience

Figure 8.2—A

N/A

Duties and Responsibilities

Duties/ Responsibilities

Volunteer experience

Figure 8.2—A

N/A

Reason for leaving

Reason for leaving

Volunteer experience

Figure 8.2—A

N/A

Supervisor name

Supervisor name

Volunteer experience

Figure 8.2—A

N/A

Contact supervisor

May we contact your supervisor?

Volunteer experience

Figure 8.2—A

N/A

Supervisor Phone

Phone

Volunteer experience

Figure 8.2—A

N/A

Supervisor E-mail

E-mail

Volunteer experience

Figure 8.2—A

N/A

Reason not to contact supervisor

Reason

Volunteer experience

Figure 8.2—B

N/A

Table 8.2

Figure 8.2—A





Figure 8.2—B



  1. Publications, Presentations, Grants

Column Name

Column Label

Entity

Figure

List of Values

Has published

Have you published articles?

Person

Figure 9—A

N/A

Has professional presentations

Have you made professional presentations?

Person

Figure 9—A

N/A

Has research grants

Have you been awarded research grants?

Person

Figure 9—A

N/A

Table 9

Figure 9—A



    1. Publication

Column Name

Column Label

Entity

Figure

List of Values

Citation

Publication citation

Publication

Figure 9.1—A

N/A

Table 9.1



Figure 9.1—A



    1. Presentation

Column Name

Column Label

Entity

Figure

List of Values

Presentation Type

Type of presentation

Presentation

Figure 9.2—A

N/A

Citation

Citation

Presentation

Figure 9.2—A

N/A

Table 9.2



Figure 9.2—A





    1. Research Grants

Column Name

Column Label

Entity

Figure

List of Values

Title

Title

Research grant

Figure 9.3—A

N/A

Role

Your Role

Research grant

Figure 9.3—A

Research roles

Date

Date

Research grant

Figure 9.3—A

N/A

Funding agency

Funding agency

Research grant

Figure 9.3—A

N/A

Amount awarded

Amount awarded

Research grant

Figure 9.3—A

Research grant amounts

Table 9.3



Figure 9.3—A





  1. Honors and Awards

Column Name

Column Label

Entity

Figure

List of Values

Has honors and awards

Have you received or earned any honors or awards?

Person

Figure 10—A

N/A

Organization

Name of organization bestowing honor or award

Honor Or Award

Figure 10—B

N/A

Name

Name of honor or award

Honor Or Award

Figure 10—B

N/A

Type

Type

Honor Or Award

Figure 10—B

Honor Types

Date

Date

Honor Or Award

Figure 10—B

N/A

Table 10



Figure 10—A

Figure 10—B

  1. Personal Statement

Column Name

Column Label

Entity

Figure

List of Values

Personal statement

Personal statement

Personal statement

Figure 11—A

N/A

Table 11



Figure 11—A





  1. Applicant Survey

Column Name

Column Label

Entity

Figure

List of Values

Applied before

Have you submitted an application to EIS before?

Applicant Survey

Figure 12—A

N/A

Applied Year

Indicate years applied

Applicant Survey

Figure 12—A

N/A

Applied Epi Elec

Did you participate in the CDC Epidemiology Elective Program for Medical and Veterinary students?

Applicant Survey

Figure 12—A

N/A

Epi Elec Year

Indicate year

Applicant Survey

Figure 12—A

N/A

Applied CDC Exp

Did you participate in The CDC Experience Applied

Epidemiology Fellowship?

Applicant Survey

Figure 12—A

N/A

Applied CDC Exp Year

Indicate year

Applicant Survey

Figure 12—A

N/A

Hear about program

How did you hear about EIS?

Applicant Survey

Figure 12—B

Hear about us options

Most critical

Which of these was most critical in your decision to apply to EIS?

Applicant Survey

Figure 12—B

Hear about us options

Areas of Interest ranking

Which EIS assignment areas are of interest to you?

Applicant Survey

Figure 12—C

Areas of Interests

Assignment location preference

What is your preference for location of EIS assignment?

Applicant Survey

Figure 12—D

N/A

Assignment location preference states

Indicate state preferences

Applicant Survey

Figure 12—D

N/A

Assignment location constraints

Do you have geographic constraints on EIS assignments?

Applicant survey

Figure 12—E

N/A

Location constraints explanation

If yes, explain

Applicant survey

Figure 12—E

N/A

Table 12



Figure 12—A



Figure 12—B

Figure 12—C



Figure 12—D

Figure 12—E

  1. Letters of Recommendation

Column Name

Column Label

Entity

Figure

List of Values

Name

Name

Letters of recommendations

Figure 13—B

N/A

Dean of medical school

Check if dean of medical school

Letters of recommendations

Figure 13—B

N/A

Organization

Organization

Letters of recommendations

Figure 13—B

N/A

Title

Title

Letters of recommendations

Figure 13—B

N/A

Phone

Phone

Letters of recommendations

Figure 13—B

N/A

E-mail

E-mail

Letters of recommendations

Figure 13—B

N/A

Address Line 1

Mailing Address

Letters of recommendations

Figure 13—B

N/A

Address Line 2


Letters of recommendations

Figure 13—B

N/A

Address Line 3


Letters of recommendations

Figure 13—B

N/A

Country

Country

Letters of recommendations

Figure 13—B

Countries

State

State/Province

Letters of recommendations

Figure 13—B

States

City

City

Letters of recommendations

Figure 13—B

N/A

Zip code

Zip/Postal code

Letters of recommendations

Figure 13—B

N/A

Relationship to you

Relationship to you

Letters of recommendations

Figure 13—B

N/A

Table 13

Figure 13—A

Figure 13—B





  1. Withdraw Application

Column Name

Column Label

Entity

Figure

List of Values

Withdrawal Reason

Provide reason for withdrawal

Application

Figure 14—A

N/A

Table 14



Figure 14—A



  1. Appendix A – E-mails



    1. Applicant Reset Password Information

Figure 15-A



    1. Application Submission Confirmation

Figure 15-B





    1. Application Submission Reminder

Figure 15-c





    1. Interview Invitation for US Applicants

Figure 15-D



    1. Interview Invitation for International Applicants

Figure 15-e





    1. Interview Confirmation for US Applicants

Figure 15-f





    1. Interview Confirmation for International Applicants

Figure 15-G







  1. Appendix B – Changes In Other Programs



    1. PHIFP Differences

      1. Contact Infortmation

Column Name

Column Label

Entity

List of Values

Fax Number

Fax

Person

N/A



      1. Self-Assessment of Skills

Column Name

Column Label

Entity

List of Values

Information Science Skill type

Skill type

Skill Assessment

Information Science Skills

Information Science Skill Level

Skill level

Skill Assessment

Skill Levels

Information Science Experience

Experience

Skill Assessment

N/A

Computer Science Skill type

Skill type

Skill Assessment

Computer Science Skills

Computer Science Skill Level

Skill level

Skill Assessment

Skill Levels

Computer Science Experience

Experience

Skill Assessment

N/A

Information Systems Skill type

Skill type

Skill Assessment

Information Systems Skills

Information Systems Skill Level

Skill level

Skill Assessment

Skill Levels

Information Systems Experience

Experience

Skill Assessment

N/A

Project Management Skill type

Skill type

Skill Assessment

Project Management Skills

Project Management Skill Level

Skill level

Skill Assessment

Skill Levels

Project Management Experience

Experience

Skill Assessment

N/A

Public Health and health care Skill type

Skill type

Skill Assessment

Public Health and health care Skills

Public Health and health care Skill Level

Skill level

Skill Assessment

Skill Levels

Public Health and health care Experience

Experience

Skill Assessment

N/A

Information Technology Skill type

Skill type

Skill Assessment

Information Technology Skills

Information Technology Level

Skill level

Skill Assessment

Skill Levels

Information Technology Experience

Experience

Skill Assessment

N/A



    1. PHPS Differences

      1. Self-Assessment of Skills

Column Name

Column Label

Entity

List of Values

Computer Skills type

Skill type

Skill Assessment

Computer Skills

Computer skill Level

Skill level

Skill Assessment

Skill Levels

Transcript Analysis type

Transcript Analysis type

Transcript Analysis

Transcript Analysis types

Hours

Hours

Transcript Analysis

N/A





    1. Hubert differences

      1. Contact Information

Column Name

Column Label

Entity

List of Values

Health Insurance

Health Insurance

Person

N/A



      1. College/University Education

Column Name

Column Label

Entity

List of Values

Year in school

Year in school

College education

N/A

Is Public

Is Public

College education

N/A

Clinical Rotations

Clinical Rotations

College education

N/A



      1. Project Ranking

Column Name

Column Label

Entity

List of Values

Project

Project

Project Ranking

Projects list

Rank

Rank

Project Ranking

1,2,3,4,5



      1. Self-Assessment of Skills

Column Name

Column Label

Entity

List of Values

Statistical Software Skills type

Skill type

Skill Assessment

Statistical Software Skills

Statistical Software Skill Level

Skill level

Skill Assessment

Skill Levels

Other statistical skill

Other statistical skill

Skill Assessment

N/A

Laboratory Skill

Laboratory Skill

Skill Assessment

N/A



    1. Epi elective differences

      1. Assignment Preference

Column Name

Column Label

Entity

List of Values

First choice from

Time frame first choice from date

Assignment Preference

N/A

First choice to

Time frame first choice to date

Assignment Preference

N/A

Second choice from

Time frame second choice from date

Assignment Preference

N/A

Second choice to

Time frame second choice to date

Assignment Preference

N/A

Subject Area Preference

Subject Area Preference

Assignment Preference

Subject Areas

Project Name

Project Name

Assignment Preference

Projects list

Rank

Rank

Assignment Preference

1,2,3,4,5

Supervisor Name

Supervisor Name

Assignment Preference

N/A





    1. PEF Differences

      1. College/University Education

Column Name

Column Label

Entity

List of Values

Thesis Title

Thesis Title

College education

N/A

Thesis Abstract

Thesis Abstract

College education

N/A



      1. Work Papers

Column Name

Column Label

Entity

List of Values

Title

Title

Work Paper

N/A

Abstract

Abstract

Work Paper

N/A



      1. Research experience

Column Name

Column Label

Entity

List of Values

Title

Title

Research Experience

N/A

Institution

Institution

Research Experience

N/A

Your role

Your role

Research Experience

Research roles

Specify role

Specify role

Research Experience

N/A

Dates from

Dates from

Research Experience

N/A

Dates to

Dates to

Research Experience

N/A

Description

Description

Research Experience

N/A



      1. Assignment Overview and Ranking

Column Name

Column Label

Entity

List of Values

Project Rank

Project Rank

Project Rank

1,2,3,4,5



      1. Self-Assessment of Skills

Column Name

Column Label

Entity

List of Values

Computer software skill

Computer software skill

Skill Assessment

Computer software skills

Skill level

Skill level

Skill Assessment

Skill Levels

Economic and public health data

Economic and public health data

Skill Assessment

N/A





    1. PMRF differences

      1. Education

Column Name

Column Label

Entity

List of Values

Select Program

Select Program

Person

PMRF programs

Have current license

Do you have current, unrestricted license

Person

N/A



      1. College/University Education

Column Name

Column Label

Entity

List of Values

Are you board certified?

Are you board certified?

College education

N/A

Certification body

Certification body

College education

N/A



      1. Additional Course

Column Name

Column Label

Entity

List of Values

Country

Country

Course work

Countries

State

State/Province

Course work

States

Name

College/University

Course work

College names

From date

Attended from

Course work

N/A

To date

To

Course work

N/A

Expected date

Expected date

Course work

N/A

Course status

Course status

Course work

Course status values

Credits

Number of credits

Course work

N/A

Course Name

Course Name

Course work

N/A



      1. Clinical Training

Column Name

Column Label

Entity

List of Values

Accredited by ACGME

Accredited by ACGME

Clinical training

N/A



      1. Work and Volunteer Experience

Column Name

Column Label

Entity

List of Values

Current USPHS commissioned corps officer

Current USPHS commissioned corps officer

Person

N/A

Corps Rank

Corps Rank

Person

Corps Ranks





      1. Work Experience

Column Name

Column Label

Entity

List of Values

Accomplishments

Accomplishments

Work Experience

N/A



      1. Volunteer Experience

Column Name

Column Label

Entity

List of Values

Accomplishments

Accomplishments

Volunteer Experience

N/A



      1. Monographs and Reports

Column Name

Column Label

Entity

List of Values

Citation

Citation

Monographs

N/A



      1. Personal Statement

Column Name

Column Label

Entity

List of Values

Current EIS officer

Current EIS officer or graduate within past two years

Personal statement

N/A

Public health practice summary

Public health practice summary

Personal statement

N/A



      1. Applicant Survey

Column Name

Column Label

Entity

List of Values

Work Experience area

Your work experience?

Applicant Survey

Work Experience Types



      1. Peer References

Column Name

Column Label

Entity

List of Values

Name

Name

Peer References

N/A

Organization

Organization

Peer References

N/A

Title

Title

Peer References

N/A

Phone

Phone

Peer References

N/A

E-mail

E-mail

Peer References

N/A





    1. PHAP differences

      1. Contact Information

Column Name

Column Label

Entity

List of Values

College address line 1

College address

Person

N/A

College address line 2


Person

N/A

College address line 3


Person

N/A

College address country

College country

Person

Countries

College address state

College state

Person

States

College address city

College city

Person

N/A

College address zip code

College zip/postal code

Person

N/A

College address from date

College address from date

Person

N/A

College address to date

College address to date

Person

N/A

Cell phone

Cell phone

Person

N/A

Naturalization number

Naturalization number

Person

N/A

Communication e-mail

Communication e-mail

Person

N/A





  1. Appendix C – List Of Values



    1. Countries

  1. Afghanistan

  2. Albania

  3. Algeria

  4. Andorra

  5. Angola

  6. Anguilla (U.K.)

  7. Antigua and Barbuda

  8. Argentina

  9. Armenia

  10. Aruba

  11. Australia

  12. Austria

  13. Azerbaijan

  14. Azores

  15. Bahamas, The

  16. Bahrain

  17. Bangladesh

  18. Barbados

  19. Belarus

  20. Belgium

  21. Belize

  22. Benin

  23. Bermuda (U.K.)

  24. Bhutan

  25. Bolivia

  26. Bosnia and Herzegovina

  27. Botswana

  28. Brazil

  29. British Indian Ocean Territory (U.K.)

  30. British Virgin Islands

  31. Brunei

  32. Bulgaria

  33. Burkina Faso

  34. Burma (Myanmar)

  35. Burundi

  36. Cambodia

  37. Cameroon

  38. Canada

  39. Canary Islands (Spain)

  40. Cape Verde

  41. Cayman Islands (U.K.)

  42. Central African Republic

  43. Chad

  44. Chile

  45. China

  46. Christmas Island (Australia)

  47. Cocos (Keeling) Islands (Australia)

  48. Colombia

  49. Comoros

  50. Congo, Democratic Republic of the

  51. Congo, Republic of the

  52. Cook Islands (New Zealand)

  53. Costa Rica

  54. Côte d'Ivoire

  55. Croatia

  56. Cuba

  57. Cyprus

  58. Czech Republic

  59. Denmark

  60. Djibouti

  61. Dominica

  62. Dominican Republic

  63. Easter Island (Chile)

  64. Ecuador

  65. Egypt

  66. El Salvador

  67. Equatorial Guinea

  68. Eritrea

  69. Estonia

  70. Ethiopia

  71. Falkland Islands (Malvinas)

  72. Falkland Islands (U.K.)

  73. Faroe Islands (Denmark)

  74. Fiji

  75. Finland

  76. France

  77. French Guiana (France)

  78. French Polynesia (France)

  79. Gabon

  80. Gambia, The

  81. Georgia

  82. Germany

  83. Ghana

  84. Gibraltar (U.K.)

  85. Greece

  86. Greenland (Denmark)

  87. Grenada

  88. Guadeloupe

  89. Guatemala

  90. Guinea

  91. Guinea-Bissau

  92. Guyana

  93. Haiti

  94. Honduras

  95. Hong Kong SAR (China)

  96. Hungary

  97. Iceland

  98. India

  99. Indonesia

  100. Iran

  101. Iraq

  102. Ireland

  103. Israel

  104. Italy

  105. Jamaica

  106. Japan

  107. Jordan

  108. Kazakhstan

  109. Kenya

  110. Kiribati

  111. Korea, North

  112. Korea, South

  113. Kosovo

  114. Kuwait

  115. Kyrgyzstan

  116. Laos

  117. Latvia

  118. Lebanon

  119. Lesotho

  120. Liberia

  121. Libya

  122. Liechtenstein

  123. Lithuania

  124. Luxembourg

  125. Macau SAR (China)

  126. Macedonia

  127. Madagascar

  128. Madeira Islands (Portugal)

  129. Malawi

  130. Malaysia

  131. Maldives

  132. Mali

  133. Malta

  134. Marshall Islands

  135. Martinique (France)

  136. Mauritania

  137. Mauritius

  138. Mayotte (France)

  139. Mexico

  140. Micronesia, Federated States of

  141. Moldova

  142. Monaco

  143. Mongolia

  144. Montenegro

  145. Montserrat (U.K.)

  146. Morocco

  147. Mozambique

  148. Namibia

  149. Nauru

  150. Nepal

  151. Netherlands Antilles

  152. Netherlands, The

  153. New Caledonia (France)

  154. New Zealand

  155. Nicaragua

  156. Niger

  157. Nigeria

  158. Niue (New Zealand)

  159. Norfolk Island (Australia)

  160. Northern Mariana Islands (U.S.)

  161. Norway

  162. Oman

  163. Other

  164. Pakistan

  165. Palau

  166. Panama

  167. Papua New Guinea

  168. Paraguay

  169. Peru

  170. Philippines

  171. Pitcairn Islands (U.K.)

  172. Poland

  173. Portugal

  174. Qatar

  175. Réunion (France)

  176. Romania

  177. Russia

  178. Rwanda

  179. Saint Helena (U.K.)

  180. Saint Kitts and Nevis

  181. Saint Lucia

  182. Saint Pierre and Miquelon (France)

  183. Saint Vincent and the Grenadines

  184. Samoa

  185. San Marino

  186. São Tomé and Príncipe

  187. Saudi Arabia

  188. Senegal

  189. Serbia

  190. Seychelles

  191. Sierra Leone

  192. Singapore

  193. Slovakia

  194. Slovenia

  195. Solomon Islands

  196. Somalia

  197. South Africa

  198. Spain

  199. Sri Lanka

  200. Sudan

  201. Suriname

  202. Swaziland

  203. Sweden

  204. Switzerland

  205. Syria

  206. Taiwan

  207. Tajikistan

  208. Tanzania

  209. Thailand

  210. Timor-Leste (East Timor)

  211. Togo

  212. Tokelau (New Zealand)

  213. Tonga

  214. Trinidad and Tobago

  215. Tunisia

  216. Turkey

  217. Turkmenistan

  218. Turks and Caicos Islands (U.K.)

  219. Tuvalu

  220. Uganda

  221. Ukraine

  222. United Arab Emirates

  223. United Kingdom

  224. United States

  225. Uruguay

  226. Uzbekistan

  227. Vanuatu

  228. Venezuela

  229. Vietnam

  230. Western Sahara

  231. Yemen

  232. Zambia

  233. Zimbabwe



    1. States

  1. Alabama

  2. Alaska

  3. Arizona

  4. Arkansas

  5. California

  6. Colorado

  7. Connecticut

  8. Delaware

  9. Washington, DC

  10. Florida

  11. Georgia

  12. Hawaii

  13. Idaho

  14. Illinois

  15. Indiana

  16. Iowa

  17. Kansas

  18. Kentucky

  19. Louisiana

  20. Maine

  21. Maryland

  22. Massachusetts

  23. Michigan

  24. Minnesota

  25. Mississippi

  26. Missouri

  27. Montana

  28. Nebraska

  29. Nevada

  30. New Hampshire

  31. New Jersey

  32. New Mexico

  33. New York

  34. North Carolina

  35. North Dakota

  36. Ohio

  37. Oklahoma

  38. Oregon

  39. Pennsylvania

  40. Rhode Island

  41. South Carolina

  42. South Dakota

  43. Tennessee

  44. Texas

  45. Utah

  46. Vermont

  47. Virginia

  48. Washington

  49. West Virginia

  50. Wisconsin

  51. Wyoming

  52. Puerto Rico

  53. Guam

  54. American Samoa

  55. U.S. Virgin Islands

  56. Alberta

  57. British Columbia

  58. Manitoba

  59. New Brunswick

  60. Newfoundland and Labrador

  61. Nova Scotia

  62. Nunavut

  63. N.W.T.

  64. Ontario

  65. Quebec

  66. Saskatchewan

  67. Yukon

  68. Australian Capital Territory

  69. New South Wales

  70. Northern Territory

  71. Queensland

  72. South Australia

  73. Tasmania

  74. Victoria

  75. Western Australia

  76. Andra Pradesh

  77. Arunachal Pradesh

  78. Assam

  79. Bihar

  80. Chhattisgarh

  81. Goa

  82. Gujarat

  83. Haryana

  84. Himachal Pradesh

  85. Jammu and Kashmir

  86. Jharkhand

  87. Karnataka

  88. Kerala

  89. Madya Pradesh

  90. Maharashtra

  91. Manipur

  92. Meghalaya

  93. Mizoram

  94. Nagaland

  95. Orissa

  96. Punjab

  97. Rajasthan

  98. Sikkim

  99. Tamil Nadu

  100. Tripura

  101. Uttaranchal

  102. Uttar Pradesh

  103. West Bengal

  104. Andaman and Nicobar Islands

  105. Chandigarh

  106. Dadar and Nagar Haveli

  107. Daman and Diu

  108. Delhi

  109. Lakshadeep

  110. Pondicherry



    1. Secret Questions

  1. In what city were you born?

  2. In what city was your mother born?

  3. In what city was your father born?

  4. What was the name of your first pet?

  5. What was your high school mascot?

  6. What is your favorite color?



    1. Visa Types

  1. F-1

  2. H-1B

  3. J-1

  4. O-1

  5. TN



    1. College Education Statuses

  1. Current

  2. Graduated (Degree Program)

  3. Completed (Nondegree Program)

  4. Incomplete



    1. Degrees

  1. AA

  2. AAS

  3. AB

  4. AD

  5. ADN

  6. AM

  7. AS

  8. ASN

  9. BA

  10. BAC

  11. BBA

  12. BCE

  13. BDS

  14. BEng

  15. BFA

  16. BHB

  17. BIE

  18. BM

  19. BMBS

  20. BMed

  21. BNSc

  22. BNurs

  23. BPharm

  24. BS

  25. BS/BA

  26. BSc

  27. BSChE

  28. BScN

  29. BSE

  30. BSEE

  31. BSFS

  32. BSJ

  33. BSME

  34. BSPH

  35. BSN

  36. BVS

  37. BVSc

  38. DCH

  39. DDS

  40. DHA

  41. DHS

  42. DHSc

  43. DMD

  44. DNSc

  45. DO

  46. DPA

  47. DPE

  48. DPH

  49. DPhil

  50. DPM

  51. DPT

  52. DrPH

  53. DrS

  54. DrSc

  55. DSc

  56. DScD

  57. DScH

  58. DScVM

  59. DVM

  60. EdD

  61. JD

  62. LLB

  63. LLD

  64. MA

  65. MAS

  66. MAT

  67. MB

  68. MBA

  69. MBBCh

  70. MBBS

  71. MBChB

  72. MCPS

  73. MD

  74. MDCM

  75. MDiv

  76. MEd

  77. MFA

  78. MHA

  79. MHS

  80. MHSc

  81. MHSE

  82. MMS

  83. MN

  84. MNS

  85. MOH

  86. MOT

  87. MPA

  88. MPAS

  89. MPH

  90. MPharm

  91. MPhil

  92. MPHTM

  93. MPP

  94. MPVM

  95. MRP

  96. MS

  97. MSVPH

  98. MSc

  99. MScPH

  100. MSD

  101. MSHSA

  102. MSM

  103. MSN

  104. MSPH

  105. MSPM

  106. MSW

  107. MTM&H

  108. MUS

  109. MVSc

  110. OD

  111. PA

  112. PharmD

  113. PhB

  114. PhD

  115. PNP

  116. PsyD

  117. RN

  118. SB

  119. ScB

  120. ScD

  121. ScM

  122. SM

  123. SMHyg

  124. VMD



    1. Major Classifications

  1. Biological, biomedical, or animal sciences

  2. Business, management

  3. Community health, public health

  4. Decision or quantitative sciences

  5. Economics (agricultural, applied, health)

  6. Engineering, industrial engineering, operations research

  7. Environmental, occupational sciences

  8. Epidemiology

  9. Global, international health

  10. Health education

  11. Informatics (public health, clinical, nursing)

  12. Health services administration, health policy analysis

  13. Health services research, quantitative policy analysis

  14. Information technology, information science, computer science

  15. Liberal arts, general studies, humanities, language, literature

  16. Maternal and child health

  17. Mathematical sciences, statistics, biostatistics

  18. Physical or chemical sciences

  19. Political science, law

  20. Public administration, policy analysis

  21. Social/behavior science (anthropology, social work, psychology)



    1. License Statuses

  1. Received

  2. Expected



    1. Languages

  1. Afrikaans

  2. Albanian

  3. Amharic

  4. Arabic (Egyptian)

  5. Aramaic

  6. Armenian

  7. Assamese

  8. Aymara

  9. Azerbaijani

  10. Basque

  11. Belarusian

  12. Bengali

  13. Bislama

  14. Bosnian

  15. Bulgarian

  16. Burmese

  17. Catalan

  18. Cebuano

  19. Cherokee

  20. Mandarin

  21. Croatian

  22. Czech

  23. Danish

  24. Dutch

  25. Egyptian

  26. English

  27. Estonian

  28. Finnish

  29. French

  30. Georgian

  31. German

  32. Greek

  33. Guarani

  34. Gujarati

  35. Creole (Haitian)

  36. Hausa

  37. Hawaiian

  38. Hebrew

  39. Hindi

  40. Hungarian

  41. Icelandic

  42. Irish

  43. Italian

  44. Japanese

  45. Javanese

  46. Kannada

  47. Kazakh

  48. Khmer

  49. Korean

  50. Lao

  51. Latvian

  52. Lithuanian

  53. Macedonian

  54. Malagasy

  55. Malayalam

  56. Marathi

  57. Mongolian

  58. Nahuatl

  59. Navajo

  60. Nepali

  61. Norwegian

  62. Oriya

  63. Oromo

  64. Farsi

  65. Polish

  66. Portuguese

  67. Punjabi

  68. Pashto

  69. Romanian

  70. Romany

  71. Russian

  72. Sanskrit

  73. Serbian

  74. Slovak

  75. Slovenian

  76. Somali

  77. Spanish

  78. Swahili

  79. Swedish

  80. Tagalog

  81. Tajik

  82. Tamil

  83. Telugu

  84. Thai

  85. Tibetan

  86. Tok Pisin

  87. Turkish

  88. Turkmen

  89. Ukrainian

  90. Urdu

  91. Uzbek

  92. Vietnamese

  93. Welsh

  94. Xhosa

  95. Yiddish

  96. Yoruba

  97. Zapotec

  98. Zulu

  99. Arabic (Levantine)

  100. Arabic (Modern Standard)

  101. Arabic (Moroccan)

  102. Indonesian (Not Specified)

  103. Bahasa Melayu

  104. Balochi

  105. Berber

  106. Cantonese

  107. Dari

  108. Ilokano

  109. Inuit

  110. Kurdi

  111. Kyrgyz

  112. Lakota

  113. Ojibwa

  114. Quechua

  115. Quiche

  116. Uyghur

  117. Yucatec Maya

  118. Arabic (Not Specified)

  119. Chinese (Not Specified)

  120. Creole (Not Specified)

  121. Malay



    1. Proficiencies

  1. Poor

  2. Fair

  3. Good

  4. Excellent



    1. Clinical Titles

  1. Intern

  2. Fellow

  3. Resident

  4. Chief Resident



    1. Specialties

  1. Aerospace medicine

  2. Medical toxicology

  3. Undersea and hyperbaric medicine

  4. Allergy and immunology

  5. Clinical and laboratory immunology

  6. Anesthesiology

  7. Adult Cardiothoracic Anesthesiology

  8. Critical care medicine

  9. Pain medicine

  10. Pediatric anesthesiology

  11. Colon and rectal surgery

  12. Dermatology

  13. Dermatopathology

  14. Procedural dermatology

  15. Emergency medicine

  16. Medical toxicology

  17. Pediatric emergency medicine

  18. Sports medicine

  19. Undersea and hyperbaric medicine

  20. Family medicine

  21. Geriatric medicine

  22. Sports medicine

  23. Internal medicine

  24. Cardiovascular disease

  25. Clinical cardiac electrophysiology

  26. Critical care medicine

  27. Endocrinology, diabetes, and metabolism

  28. Gastroenterology

  29. Geriatric medicine

  30. Hematology

  31. Hematology and oncology

  32. Infectious disease

  33. Interventional cardiology

  34. Nephrology

  35. Oncology

  36. Pulmonary disease

  37. Pulmonary disease and critical care medicine

  38. Rheumatology

  39. Sports medicine

  40. Transplant hepatology

  41. Medical genetics

  42. Molecular genetic pathology

  43. Neurological surgery

  44. Endovascular surgical neuroradiology

  45. Neurology

  46. Child neurology

  47. Clinical neurophysiology

  48. Neuromuscular medicine

  49. Neurodevelopmental disabilities

  50. Pain medicine

  51. Vascular neurology

  52. Nuclear medicine

  53. Obstetrics and gynecology

  54. Occupational medicine

  55. Medical toxicology

  56. Undersea and hyperbaric medicine

  57. Ophthalmology

  58. Orthopaedic surgery

  59. Adult reconstructive orthopaedics

  60. Foot and ankle orthopaedics

  61. Hand surgery

  62. Musculoskeletal oncology

  63. Orthopaedic sports medicine

  64. Orthopaedic surgery of the spine

  65. Orthopaedic trauma

  66. Pediatric orthopaedics

  67. Otolaryngology

  68. Neurotology

  69. Pediatric otolaryngology

  70. Pain medicine

  71. Palliative and hospice care

  72. Pathology-anatomic and clinical

  73. Blood banking/transfusion medicine

  74. Chemical pathology

  75. Cytopathology

  76. Forensic pathology

  77. Hematology

  78. Medical microbiology

  79. Neuropathology

  80. Pediatric pathology

  81. Selective pathology

  82. Pediatrics

  83. Adolescent medicine

  84. Neonatal-perinatal medicine

  85. Pediatric cardiology

  86. Pediatric critical care medicine

  87. Pediatric emergency medicine

  88. Pediatric endocrinology

  89. Pediatric gastroenterology

  90. Pediatric hematology/oncology

  91. Pediatric infectious diseases

  92. Pediatric nephrology

  93. Pediatric pulmonology

  94. Pediatric rheumatology

  95. Pediatric sports medicine

  96. Developmental-behavioral pediatrics

  97. Physical medicine and rehabilitation

  98. Pain medicine

  99. Pediatric rehabilitation

  100. Spinal cord injury medicine

  101. Plastic surgery

  102. Craniofacial surgery

  103. Hand surgery

  104. Preventive medicine (CDC PMR/F ONLY)

  105. Preventive medicine (General/PH)

  106. Medical toxicology

  107. Undersea and hyperbaric medicine

  108. Psychiatry

  109. Addiction psychiatry

  110. Child and adolescent psychiatry

  111. Forensic psychiatry

  112. Geriatric psychiatry

  113. Pain medicine

  114. Psychosomatic medicine

  115. Radiation oncology

  116. Radiology, diagnostic

  117. Abdominal radiology

  118. Cardiothoracic radiology

  119. Endovascular surgical neuroradiology

  120. Musculoskeletal radiology

  121. Neuroradiology

  122. Nuclear radiology

  123. Pediatric radiology

  124. Vascular and interventional radiology

  125. Sleep medicine

  126. Surgery

  127. Hand surgery

  128. Pediatric surgery

  129. Surgical critical care

  130. Vascular surgery

  131. Vascular surgery — Integrated

  132. Thoracic surgery

  133. Congenital Cardiac Surgery

  134. Urology

  135. Pediatric urology

  136. Transitional year

  137. Internal Medicine/Pediatrics



    1. Board Statuses

  1. Certified

  2. Eligible



    1. Program Names

  1. American Society for Microbiology Fellowship

  2. Association of Schools of Public Health Fellowship/Internship (ASPH)

  3. Association for Prevention Teaching and Research (APTR) Fellowship (formerly Association for Teachers of Preventive Medicine)

  4. Association of Public Health Labs Environmental Laboratory Fellowship (APHL)

  5. The CDC Experience Applied Epidemiology Fellowship

  6. CSTE/CDC Applied Epidemiology Fellowship

  7. Emerging Infectious Disease Laboratory Program (EID)

  8. Emerging Leaders Program (ELP)

  9. Epidemiology Elective for Medical/Veterinary Students

  10. James A. Ferguson Emerging Infectious Diseases Summer Research Fellowship Program

  11. Fogarty/Ellison Overseas Fellowship in Global Health and Clinical Research Training

  12. Hispanic-Serving Health Professions Fellowship (HSPHS)

  13. Hubert Fellowship in International Health

  14. Presidential Management Fellowship (PMF)

  15. Prevention Effectiveness Fellowship Program (PEFP)

  16. Preventive Medicine Residency (non-CDC)

  17. Preventive Medicine Residency/Fellowship (PMR/F-CDC)

  18. Project IMHOTEP Summer Research Intern Program

  19. Public Health Informatics Fellowship Program (PHIFP)

  20. Public Health Prevention Service (PHPS)

  21. Public Health Sciences Institute Internship

  22. Public Health Summer Fellowship Program





    1. Research Roles

  1. Principal Investigator

  2. Co-Investigator

  3. Investigator

  4. Evaluator



    1. Research Grant Amounts

  1. $0 to $5,000

  2. $5,001 to $10,000

  3. $10,001 to $50,000

  4. $50,001 to $100,000

  5. $100,001 to $500,000

  6. $500,001 to $1,000,000

  7. $1,000,001 or more



    1. Honor Types

  1. Civil

  2. Military

  3. Uniformed Services



    1. Hear About Us Options

  1. Administrator, career advisor, or professor at school

  2. Information session, career fair, or conference exhibit

  3. Website

  4. LISTSERV

  5. MMWR

  6. alumni

  7. Announcement in newsletter or other publication

  8. Friend or colleague (not alumni)

  9. Recruiting presentation

  10. National meeting

  11. Professor

  12. Peer (friend, fellow, student, or co-worker)

  13. Supervisor at work

  14. CDC employee

  15. State/local health department employee

  16. Current or former prevention specialist/PHPS member

  17. Other



    1. Areas of Interests

  1. Birth defects and developmental disabilities

  2. Chronic disease (e.g., maternal/child health, stroke, heart disease, nutrition, obesity)

  3. Environmental health

  4. Genomics

  5. Health statistics

  6. HIV, Hepatitis, STDs, TB

  7. Immunizations

  8. Infectious diseases

  9. Injuries

  10. Occupational health

  11. Infectious diseases (e.g., HIV, hepatitis, STDs, TB, etc.)

  12. Preparedness and emergency response

  13. Health policy and diplomacy

  14. Injury prevention and control

  15. International health

  16. Occupational safety and health

  17. Maternal and child health

  18. Health disparities and vulnerable populations

  19. Global Health

  20. General/consulting

  21. General - public health practice



    1. Information Science Skills

  1. Decision support systems

  2. Knowledge management

  3. Information retrieval techniques

  4. Information technology standards (e.g., XML, ISO 9001, TCP/IP)



    1. Computer Science Skills

  1. Programming and scripting languages (e.g., Java, Visual Basic, C++, Python, PHP, PERL)

  2. Database modeling and design

  3. Distributed computing (e.g., clusters, grid computing, architectures)





    1. Information System Skills

  1. Information system project planning

  2. Information system evaluation

  3. Results dissemination and promotion



    1. Project Management Skills

  1. Leadership experience (e.g., change management, manage a diverse team)

  2. Project management techniques (e.g., plan and deploy multiple-stage projects, agile development methods)



    1. Public Health and Health Care Skills

  1. Public health knowledge applied to information systems

  2. Coding standards applied to information systems (e.g., HL7, LOINC, ICD9, SNOMED)



    1. Information Tehnology Skills

  1. Systems development life cycle

  2. Specialized software (e.g., Dreamweaver, Protégé, Flash, Arcview, SAS)

  3. Specialized hardware applications (e.g., personal digital assistants, cellular phones)



    1. Skill Level

  1. Select

  2. None

  3. Basic

  4. Intermediate

  5. Advanced



    1. Computer Skills

  1. Word Processing (e.g., MS® Word®, WordPerfect®, Word Pro®)

  2. Presentation Software (e.g., MS® PowerPoint®, Apple® Keynote®)

  3. Spreadsheets (e.g., MS® Excel®, Quattro®)

  4. Statistical Software (e.g., SAS®, STATA®, SPSS®, Epi-Info™)

  5. Databases (e.g., MS® Access®, FileMaker Pro®, Paradox®)

  6. Web Development (e.g., Dreamweaver®, Adobe® Flash®, DHTML, CSS)



    1. Transcript Analysis Types

  1. Management, administration, policy

  2. Health education and promotion

  3. Biological, physical, environmental sciences

  4. Behavioral, social sciences

  5. Statistical sciences, epidemiology



    1. Projects

  1. Evaluation of Lymphatic Filariasis Transmission

  2. Molecular Epidemiological Studies on Food and Waterborne Parasites

  3. Population-based Surveillance Program

  4. Surveillance of Acute Encephalitis Syndrome, Bangladesh

  5. Surveillance of Acute Meningitis Encephalitis Syndrome, Bellary

  6. Surveillance Systems for Rift Valley Fever in Egypt

  7. Ecological Investigation of Ugandan Orthopoxviruses

  8. Sentinel Surveillance for Avian Influenza Preparedness

  9. Population-based Surveillance for Emerging Infectious Diseases, Kibera Informal Housing Settlement

  10. Population-based Surveillance for Emerging Infectious Diseases, Lwak

  11. Causes of Community-Acquired Pneumonia in Rural Thailand

  12. Global Rabies Surveillance, Prevention, and Control

  13. Sentinel Surveillance for Avian Influenza Preparedness



    1. Statistical Software Skills

  1. SAS®

  2. STATA®

  3. SPSS®

  4. Epi-Info™



    1. Subject Areas

  1. I have no preference. I will work in any subject area.

  2. I want to be assigned to a specific supervisor in a subject area.

  3. I want to select specific subject areas.



    1. Projects List

  1. Agency for Toxic Substances and Disease Registry (NCEH-ATSDR)

  2. Arctic Investigations Program (part of NCPDCID)

  3. Division of Vector-Borne Infectious Diseases (part of NCZVED)

  4. Indian Health Service (IHS)

  5. National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP)

  6. National Center for Health Statistics (NCHS)

  7. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP)

  8. National Center for Immunization and Respiratory Diseases (NCIRD)

  9. National Center for Injury Prevention and Control (NCIPC)

  10. National Center for Preparedness, Detection, and Control of Infectious Diseases (NCPDCID)

  11. National Center for Zoonotic, Vector-Borne, and Enteric Diseases (NCZVED)

  12. National Center on Birth Defects and Developmental Disabilities (NCBDDD)

  13. National Institute for Occupational Safety and Health (NIOSH)

  14. Office of Genomics and Disease Prevention (OGDP)



    1. Research Roles

  1. Primary Investigator

  2. Secondary Investigator

  3. SME

  4. Research Assistant

  5. Other



    1. Research Roles

  1. @RISK®

  2. GAUSS®

  3. LINDO®

  4. MINITAB®

  5. SASS®

  6. STATA®

  7. TREEAGE®

  8. Crystal Ball®

  9. LIMDEP®

  10. MATLAB®

  11. MS® Access®

  12. SPSS®

  13. SUDAAN®

  14. Visual Basic®

  15. Other

    1. PMRF Programs

  1. Preventive Medicine Fellowship

  2. Preventive Medicine Residency



    1. Course Status Values

  1. Current

  2. Completed



    1. Corps Ranks

  1. O-3 LT

  2. O-4 LCDR

  3. O-5 CDR

  4. O-6 CAPT



    1. Work Experience Types

  1. National or federal level or CDC headquarters

  2. State or local health department

  3. Both State or local health department and National or federal level or CDC headquarters

  4. Other



    1. CIO

  1. Coordinating Office for Global Health

  2. Coordinating Office for Terrorism Preparedness and Emergency Response

  3. National Center for Environmental Health/ Agency for Toxic Substances and Disease Registry

  4. National Center for Injury Prevention and Control

  5. National Center for Health Marketing

  6. National Center for Health Statistics

  7. National Center for Public Health Informatics

  8. National Center on Birth Defects and Developmental Disabilities

  9. National Center for Chronic Disease Prevention and Health Promotion

  10. Agency for Toxic Substances and Disease Registry

  11. Office of Genomics and Disease Prevention

  12. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention

  13. National Center for Immunization and Respiratory Diseases

  14. National Center for Preparedness, Detection, and Control of Infectious Diseases

  15. National Center for Zoonotic, Vector-Borne, and Enteric Diseases

  16. National Institute for Occupational Safety and Health

  17. OD/ Immunization Safety Office

  18. OD/ Office of Workforce and Career Development

  19. EIS Field Assignments Branch

  20. Office of the Chief Science Officer

  21. National Office of Public Health Genomics

  22. Office of the Chief Information Security Officer

  23. Office of Strategy and Innovation

  24. OD/ Office of Workforce and Career Development

  25. Office of Chief of Public Health Practice

  26. Office of Health and Safety

  27. National Center for Emerging and Zoonotic Infectious Diseases

  28. Center for Global Health






File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleFMS Application Data Elements Document
SubjectExample: EIS Application information / data collection
Authorgqd8
File Modified0000-00-00
File Created2021-01-26

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