Medical Device Fellowship Program - Application

Medical Device Fellowship Program (EEP, OCD, CDRH) > CDRH Medical Device Fello... Page 1 of 4

CDRH Medical Device
Fellowship Program Application Form
(See Paperwork Reduction Act Statement at the bottom of the form.)
Eligibility Criteria:
1. Candidates must be US citizens or permanent residents.
2. Students must be enrolled in an accredited U.S. college or university and have
received at least 60 credit hours in undergraduate study.
3. Candidates must be free of conflict of interest
(/AboutFDA/WorkingatFDA/FellowshipInternshipGraduateFacultyPrograms/MedicalDeviceFellowshipProgramCDRH/ucm108129.htm).
Application Tips:
1. Please visit the MDFP website (/AboutFDA/WorkingatFDA/FellowshipInternshipGraduateFacultyPrograms/MedicalDeviceFellowshipProgramCDRH/default.htm) before completing this online application.
2. After submitting this form, you will be instructed to submit your updated
curriculum vitae and letter of interest in CDRH in order to complete the
application. Students must submit an academic transcript.
◦ Submit by email: [email protected] (mailto:[email protected])
◦ Or mail to this address:
Medical Device Fellowship Program (MDFP)
Center for Devices and Radiological Health, FDA
10903 New Hampshire Avenue
WO 66 - Suite 5400
Silver Spring, MD 20993-0002
301-796-6660
Application Deadlines:
• For Professionals:
◦ Applications are accepted year-round and should be submitted at least 3
months prior to the desired starting date.
• For Students:
◦ Students – Please note that for all federal agencies in the US a new program
called Pathways is now used as the portal to hire students. There may be
Pathways openings at other federal agencies. Please look at www.usajobs.gov (http://www.usajobs.gov), and search for the word Pathways and
your geographic area of interest to see if there are announcements. It is typical
that these announcements may be posted for one week, so a helpful tip is to
check every Monday morning or early in the week. There is no regular routine
posting schedule. Another tip is to learn to use the www.usajobs.gov
(http://www.usajobs.gov) website ahead of time, and have your resume and
transcripts available and ready. Follow the announcement instructions carefully
and submit all needed documents. If there are several similar announcements,
apply individually to each one for which you are qualified. For summer intern
positions, announcements may appear at any time but are especially likely to be
posted in December, January or February. Please search daily during these
months.
◦ For summer intern positions, announcements may appear at any time but are
especially likely to be posted in December, January or February. Please search
daily during these months.
* indicates required field

1. Contact Information
*Name:

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Name
*Address (street, city, state, & zip):

Address

*Phone Number (xxx-xxx-xxxx):

Phone
*Email Address:

Email
*Date of Birth (mm/dd/yyyy):

Date of Birth
Are you a veteran?
No
Yes
Citizenship Status:
United States Citizen
Permanent Resident
If Permanent Resident, LIST BOTH Alien Registration Number AND Country
of Citizenship (i.e. "12345678, Canada"):

Alien Registration Number and Country
List your degree(s) starting with the highest. Include the institution and date
obtained for each:

Degrees

List Your Area(s) of Expertise:

Areas of Expertise

Do you have previous experience at FDA?
No
Yes
Do you have a relative working at FDA?
No
Yes
If Yes, Relative's Name and Center/Office:

Relative's Name

2. Academic Information (Note: if not a student, you may
skip this section)
School Name:

School

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Current Level of Education:

(select one)



Academic Major(s) and Expected Date(s) of Graduation for each:

Majors and Expected Graduation

Cumulative GPA (include max, e.g. "3.5 of 4.0"):

GPA
Position Sought (If seeking co-op position, student must be participating in a
formal co-operative program at his/her school):
Internship
Co-op

3. Employment Information (If not currently employed,
list most recent employment information.)
Company Name and Address:

Company

Position Title:

Position
Period of Employment (mm/yyyy to mm/yyyy):

Period of Employment
Supervisor's Name and Phone Number:

Supervisor

4. Interest and Availability
List Your Area(s) of Interest in CDRH (list up to 5 in order of preference,
starting with most interested):
Examples: Pre-market, Post-market, Lab Research, Regulatory Science, Anesthesiology, Cardiovascular,
Dentistry, Diagnostic Radiology, Ear Nose and Throat, Infection Control, Gastroenterology and Renal, General
Surgery, Human Factors, In Vitro Diagnostics, Law, Neurology, Neurosurgery, Nephrology, Nursing, Obstetrics
and Gynecology, Ophthalmology, Orthopaedics, Plastic Surgery, Public Health, Radiation Therapy, Regulatory
Issues, Respiratory, Restorative Devices, Surgery, Trauma Surgery, Urology, Other Medical Specialties;
Biostatistics, Chemistry, Engineering, Epidemiology, Biostatistics, Law, Manufacturing Practices, Regulatory
Issues, Electromagnetics, Wireless Technologies, Electrophysiology, Fluid Dynamics, Genomics, Genetics,
Tissue Engineering, Materials Mechanics, Optical Diagnostics, Optical Radiation, Physics, Radiation
Bioeffects, Statistics, Other Science and Math Areas

Areas of Interest

Desired Start Date (mm/dd/yyyy):

Start Date
Desired Length of Appointment:

(select one)



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Submit

Clear Form

After submitting this form, send your updated curriculum vitae and letter of
interest in CDRH to [email protected] (mailto:[email protected]).
Students must also submit an academic transcript.

Paperwork Reduction Act Statement
The public reporting burden for this collection of information is estimated to
average one hour per response, including time for reviewing instructions,
searching existing data sources, gathering and maintaining the necessary data,
and completing and reviewing the collection of information. Send comments
regarding this burden estimate or any other aspect of this collection of information
to this address:
[email protected]

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. Information collected for the Medical Device Fellowship Program is
approved under OMB Control No. 0910-0551 and expires March 31, 2017.
FORM FDA 3608 (06/05)

More in Medical Device Fellowship Program (EEP, OCD, CDRH)
(/AboutFDA/WorkingatFDA/FellowshipInternshipGraduateFacultyPrograms/MedicalDeviceFellowshipProgramCDRH/default.h
Medical Device Areas
(/AboutFDA/WorkingatFDA/FellowshipInternshipGraduateFacultyPrograms/MedicalDeviceFellowshipProgramCDRH/ucm108
Opportunities
(/AboutFDA/WorkingatFDA/FellowshipInternshipGraduateFacultyPrograms/MedicalDeviceFellowshipProgramCDRH/ucm108
Conflict of Interest
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(/AboutFDA/WorkingatFDA/FellowshipInternshipGraduateFacultyPrograms/MedicalDeviceFellowshipProgramCDRH/ucm108
Participant Information
(/AboutFDA/WorkingatFDA/FellowshipInternshipGraduateFacultyPrograms/MedicalDeviceFellowshipProgramCDRH/ucm108
About CDRH
(/AboutFDA/WorkingatFDA/FellowshipInternshipGraduateFacultyPrograms/MedicalDeviceFellowshipProgramCDRH/ucm108

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