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Training the Next Generation of Implementation Researchers for Health Equity - 2018
Application Form
This application is intended for postdocs (research and clinical) and junior faculty members with interests in implementation research to advance health equity among heart, lung, blood, and sleep (HLBS) disorders. A limited number of meritorious applicants will be selected to attend the 2nd annual Training the Next Generation of Implementation Researchers for Health Equity workshop, to be held May 22-23, 2018 in Bethesda, MD.
To complete the application, please provide contact and professional information (e.g., name, institution, degrees) on this application form, and attach the following items:
Curriculum Vitae
Personal statement (one page) reflecting your commitment toward working in implementation research for health equity. Within this statement, please include details on existing collaboration potential, institutional support, and access to mentors.
Research concept abstract not to exceed 500 words, demonstrating a statement of the scientific problem, research question, research design/methods, results/summary, and interpretation of your investigation.
Personal and Contact Information
Prefix (Dr./Mr./Ms./Mrs.): ________________________________________________
First Name: __________________________________________________________
Middle Initial: _________________________________________________________
Last Name: ___________________________________________________________
Primary E-mail Address: _________________________________________________
Secondary E-mail Address: ________________________________________________
U.S. Phone Number (format: xxx-xxx-xxxx): ___________________________________
Mailing Address Line 1: ________________________________________________
Mailing Address Line 2: ________________________________________________
City: ________________________________________________
State: ________________________________________________
US zipcode: ___________________________________________
Professional Affiliation
Institution/Organization: ________________________________________________
Position Title: ________________________________________________________
Department: _________________________________________________________
Other Institution (if applicable): ________________________________________________
Workshop Information
Abstract presentation preference: ______ Oral _______ Poster ______ No preference
Do you currently have existing funding that would support your attendance at this workshop? ________
_____________________________________________________________________________________
Please email a PDF of the complete application to [email protected] and [email protected] no later than March 9, 2018. Final notification of acceptance will be made no later than April 6, 2018.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Cox, Helen (NIH/NHLBI) [E] |
| File Modified | 0000-00-00 |
| File Created | 2021-01-21 |