2 Graduate and Professional School Fair Student Registrati

GRADUATE & PROFESSIONAL SCHOOL FAIR - STUDENT REGISTRATION
OMB Number: 0925-0740 (Expiration Date: May 2019) Public reporting burden for this collection of
information is estimated to average 3-minutes per submission. 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 0925-0740. Do not return the
completed form to this address.

First Name (Given Name):*

Last Name (Family Name):*

Email Address:*
(check accuracy)

My position at the NIH can best be described as:*

If you are a 'University/College Student', but NOT currently training at the NIH, please
provide the name of your University/College in the space provided:
(complete name, no acronyms)

What types of graduate (PhD and/or MS degree programs) and/or professional (e.g.,
medical, dental, pharmacy, etc.) schools interest you?
(select all that apply)
Dental
Graduate
Medical
MD/PhD
Pharmacy
Psychology
Public Health
Nursing
Other
If 'other', please specify:

Submit Survey

https://www.training.nih.gov/sas/_20/1001

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