Form 7 NMRI Survey form -clean version

Office of Minority Health Research Coordination (OMHRC) Research Training and Mentor Programs Applications (NIDDK)

(7) NMRI Survey Form - clean version

NMRI Survey Form

OMB: 0925-0748

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Network of Minority Health Research Investigators (NMRI) Survey

0MB #0925-0748
Expiration Date: 2/2023

Network of Minority Health Research Investigators (NMRI) Survey
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Please take a moment to answer these questions to help make the Network more helpful for all members.

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Network of Minority Health Research Investigators (NMRI) Survey

Network of Minority Health Research Investigators (NMRI) Survey
This section is required.
Name

Institution Address

Email

L
Phone

L
What is your gender?
U Male
0 Female
What is your age?

0

Under 30

0

31-45

0

46-55

0

56-65

0

66-Above

I. What is your highest degree?

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Network of Minority Health Research Investigators (NMRI) Survey

What year did you reach your highest degree?

2. What is your current status?

l

Graduate/Health Professional Students or Medical Students

G Post Doctoral Fellow
(J Trainee

0

Instructor

0 Assistant Professor
0 Associate Professor
U Full Professor

0 Other (please complete the box below)
Other

l
What year did you begin your current status?

l
Have you been promoted this past year?

0 Yes
0 No

3. What year did you become a member of the NMRI?

L
4. Are you tenured?

0 Yes
(' No

0 Tenure Not Offered

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Network of Minority Health Research Investigators (NMRI) Survey

C

Not on Tenure Track

5. How did you become informed about the NMRI?

0 Website

0 Email
C. Member ofNMRI
0 Other (please complete the box below)
Other

6. How often have you attended the NMRI meetings?

U I have attended all of the meetings since becoming a member

0 I have attended X number of meetings, the last one was in the year [Supply number of meetings and year below]
Number of meetings attended (X from above)

Year Last Attended

7. What motivates you to attend the NRMI meeting? (check all that apply)

U Networking opportunities
U Mentorship opportunities

0 Leadership opportunities
0 Identifying collaborations
(J Opportunities for oral or poster presentations
(J Assistance in applying for promotion or tenure
[J Enhancing grant or manuscript writing skills

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Network of Minority Health Research Investigators (NMRI) Survey

[J Developing management skills
Other

L__
8. On a scale of 1-10, with IO being the most opportunity for professional growth, rate your professional development
associated with attending the annual NMRI meetings

(J 2
G 3

0

4

CJ

5

0

6

0

7

(J 8

c,

9

0

10

Indicate the most important ways that NMRI has helped you in your career development

ll

Found collaborator(s)

0

Found mentor(s)

[J Helped with success in grant application
(J Helped with success in manuscript publication
[J Helped develop management skills

0

Assisted in applying for promotion or tenure

Other

If you have achieved tenure or have been promoted, give up to three specific examples of how NMRI has contributed to
supporting you in this process

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Network of Minority Health Research Investigators (NMRI) Survey

9. Have you participated in the NMRI mentorship program?
) As a Mentor
0 As aMentee
0 Both
0 No
Were you satisfied with the program?
0 Yes
U No
Have you solicited a member of NMRI to review your dossier or write a letter in support of your promotion?
0 Yes
0 No

10. How many grants have you submitted since the last academic year?

L____
How many grants have you been awarded since the last academic year?

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Network of Minority Health Research Investigators (NMRI) Survey

Total funding awarded in the past year (in Dollars)

Current total funding (in Dollars)

11. How many manuscripts have you published in the last academic year?

How many have been published in top-tier journals in your field?

Which Journals?

12. Are you planning to attend a future NMRI meeting?

0

Yes

(J

No

13. If you are not planning to attend a future NMRI meeting, please state why

14. Final comments

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Network of Minority Health Research Investigators (NMRI) Survey

15. Submit your NIH Biosketch or equivalent (no more than 5 pages) (PDF, DOC, RTF, or TXT please)

I Choose File I No file chosen
[ Submit Survey ]

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