Form 24 PBT Application

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POSTBACCALAUREATE IRTA PROGRAM
POSTBAC APPLICATION CENTER
Security Guidelines

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As an account holder for this site, you are responsible for
maintaining the confidentiality of your account, including your
password, and for monitoring any and all activity associated with

Login (Email Address):

it. You agree to notify us immediately of any unauthorized use of
your account or password or any other breach of security. You also
agree that you will not use anyone else's Postbac IRTA account at

Password (case sensitive):

any time.
To keep your account secure, please follow these tips:

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Always sign out when you have completed your session in the

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system.
Avoid using the same password for multiple online accounts.
Choose a password only you know, and do not share it with
anyone.
When creating your account, use an email address that is

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personal and private, controlled by only you and not shared
with anyone, even family members.

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Consider resetting your password periodically to enhance the
security of your account. If you suspect that someone knows
your login credentials, change your password without delay.

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POSTBACCALAUREATE IRTA PROGRAM
CREATE ACCOUNT

Primary Email Address
All fields are required.
Only one account can be created for each email address. Do not share your account with anyone else.
Confirm Primary Email Address

Terms and Conditions
This U. S. Federal Government system is to be used by authorized users only. Information from this system resides on computer
systems funded by the government. The data and documents on this system include Federal records that may contain sensitive
information protected by various Federal statutes, including the Privacy Act, 5 U.S.C. § 552a.
All access or use of this system constitutes user understanding and acceptance of these terms and constitutes unconditional
consent to review, monitoring and action by all authorized government and law enforcement personnel. While using this system
your use may be monitored, recorded and subject to audit.
Unauthorized user attempts or acts to (1) access, upload, change, or delete or deface information on this system, (2) modify this
system, (3) deny access to this system, (4) accrue resources for unauthorized use or (5) otherwise misuse this system are strictly
prohibited. Such attempts or acts are subject to action that may result in criminal, civil, or administrative penalties.
By selecting the "Create Account" button, you are agreeing to the above Terms and Conditions.

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POSTBACCALAUREATE IRTA PROGRAM
CHANGE PASSWORD

Important: You must change your password before you can proceed. Please complete the form
below to update your password now.
Tips for choosing a strong password
Login (Email Address): [email protected]
Current password:

(passwords are case sensitive)
(8-30 characters)

New password:
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POSTBACCALAUREATE IRTA PROGRAM

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POSTBAC APPLICATION CENTER
Welcome, Patricia. To create your application, please read the instructions and then press the [APPLY NOW] button located at the bottom
of the form.

Account Manager
Update Contact Information
Change Password | Change Email
Name: Ms. Patricia Wagner
Email: [email protected]
Home Phone: (240) 476-3619
Permanent 2 Center Drive
Address: Building 2 / Room 2E06
Bethesda, MD
20892
United States

Application Manager
To create your application, please read the instructions and then press the [APPLY NOW] button located at the bottom of the form.
Before you begin, watch the video, How to Apply to the NIH Intramural Postbac Program.
Instructions: Before you begin, you may want to review some helpful hints on using this electronic form and our privacy statement.
The application form allows you to save a partially completed application. To take advantage of this feature, please proceed as follows:

1. After you have read these instructions, select the "Apply Now!" button at the bottom of the page.
2. Complete the first section of the form (Personal Information) and enter as much additional information as you would like.
3. To save your partial application, press "Preview Partial Application," review the information you provided, to ensure it is accurate,
and select the "Save" button on the Preview page. To be considered for the program, you must return later to complete your
application.
Once you have completed all required fields and are ready to submit your application, press "Preview Completed Application." Again,
review the information you provided, to ensure it is accurate, and select the "Save" button on the Preview page.

IMPORTANT NOTE: NIH investigators and administrators can access completed applications only; they cannot access partial
applications at all.
Application Tips:

1. Please read the Postbac IRTA program description and the associated "Frequently Asked Questions" before beginning your online
application.

2. Be sure that the email addresses you provide for your references are accurate. Incorrect email addresses will result in your
references' not receiving the request for a letter of recommendation and could result in your application's not receiving full
consideration.

3. Please note that this form accepts plain text inputs only. This means that special characters and formatting such as bullets, "smart
quotes," bold or italic fonts, Greek letters, etc., will be lost or altered. To ensure your data appears as you intend it to, compose
your inputs to the longer fields on this form using a plain text editor (e.g., Notepad, for PC users, or TextEdit, for Mac users). In
place of special formatting, use capital letters, white space, asterisks, and other standard keyboard characters.

4. Proofread your application thoroughly for accuracy and completeness; false or inaccurate information may be grounds for denying
your candidacy or removing you from the program.

5. Complete your application as soon as possible and encourage your references to submit their letters promptly using our online
system. Due to the volume of applications we receive—and to ensure the authenticity and privacy of letters regarding applicants to
our programs—we cannot accept letters submitted by email or as hard copies. All letters of recommendation must be submitted
through our online system.

6. NOTE: There is no deadline for applying to the Postbac IRTA program; applications are accepted on a rolling basis.
Eligibility Criteria:

1. All candidates must be U.S. citizens or permanent residents.
2. Candidates for the Postbac IRTA Program must be
college graduates who received their bachelor's degrees less than THREE years prior to the date they begin the program,
individuals who are more than 3 years past the receipt of their bachelor's degree but received a master's degree less than SIX
MONTHS before they begin the program, or
students who have been accepted into graduate or professional (medical, dental, pharmacy, veterinary, etc.) school and who
have written permission from their school to delay entrance for up to one year to pursue a biomedical research project at the
NIH.

3. All candidates must (a) intend to apply to graduate or professional (medical, dental, pharmacy, nursing, veterinary) school during
their tenure at the NIH; or (b) have been accepted into graduate or professional school and have received written permission from
the school to delay entrance for up to one year to pursue a biomedical research project at the NIH.

4. Candidates may not apply more than NINE MONTHS before they expect to receive a bachelor's and/or master's degree.
I have read and understood the general eligibility requirements and instructions.

Apply Now!

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POSTBACCALAUREATE IRTA PROGRAM
PROGRAM APPLICATION
OMB No. 0925-0299
Expiration Date 06/30/2022
Respondent Burden

2
Enter Information

3
Review Confirmation

Preview & Save

Instructions: Complete all the required fields below and press the appropriate button at the bottom of the form to save your
information. If you would like, you can review the instructions and eligibility requirements.
Indicates a required field.

Indicates a help button.

1. Personal Information
You must enter this information if you wish to save your application.
Name: Ms. Patricia Wagner
Email Address: [email protected]
Permanent Home Phone: (240) 476-3619
Permanent Address: 2 Center Drive
Building 2 / Room 2E06
Bethesda, MD
20892
United States
Citizenship Status:

US Citizen

Bachelor's Degree Date:

/

Month and Year Degree Received/Expected (mm/yyyy)

Master's Degree Date (if applicable):

/

Month and Year Degree Received/Expected (mm/yyyy)

I have been accepted into graduate or professional (medical, dental, pharmacy, veterinary, etc.) school and have written
permission from my school to delay entrance for up to a year to pursue a biomedical research project at the NIH.
Yes

No

Personal Information - Continued
Preferred Phone Number:
Relative at NIH: Help: Definition of "relative"
Yes

No

If yes, enter the Name and Institute/Center of each Relative (please list all):

2. Academic Information
Bachelor's Degree:
Bachelor's Institution:
Cumulative GPA:
Grading Scale:
Note: If you select 'Other', please explain in Section 3, Coursework and Grades. Be sure to
describe your school's grading scale and your current cumulative average relative to that
scale.
Undergraduate Academic Major:

or

Bachelor's Degree Type:

Master's Degree: (if applicable)
Master's Institution:
Cumulative GPA:
Grading Scale:
Master's Degree Type:

Education Plans:

or
Note: Please indicate the degree you plan to pursue after completing your time at NIH.

3. Coursework and Grades
Please enter all the courses you have completed, not just your science courses, Also enter any courses you are currently
taking or in which you will enroll during your final semester. As you receive grades for these courses, add them here using
the Modify Application tool.
Course Title

Grade

4. CV/Resume
Copy and paste a plain text version of your curriculum vitae into this space. Minor reformatting may be necessary. Include
education, relevant research experience, volunteer or community service activities, teaching/mentoring experience,
leadership experience, honors and awards, publications, etc.

5. References
Reference 1:
Name:

Dr.
Prefix

First

MI

Last

Phone:
Email:

Format: [email protected]

Reference 2:
Name:

Dr.
Prefix

First

MI

Last

Phone:
Email:

Format: [email protected]

Reference 3:
Dr.

Name:

Prefix

First

MI

Last

Phone:
Email:

Format: [email protected]

6. Research Interest Keywords:
Please provide a brief list of your research interests (limit 150 characters, including spaces). NIH investigators may search
on this field to find applicants whose research interests match their own. You may wish to enter terms that describe
particular diseases or conditions (e.g., Alzheimer's disease, macular degeneration, obesity); the techniques you are
interested in applying (e.g., two-photon microscopy, patch clamping, rapid sequencing, bioinformatics); or general subject
areas (such as epidemiology, public health, molecular neuroscience).

7. Cover Letter
Please write a cover letter outlining your research interests, career goals, and reasons for applying for training at the NIH.

8. Training Locations
Training occurs on several sites including the main campus in Bethesda, MD. To help our investigators, please indicate ALL
locations where you would be willing to train.
Bethesda, MD (main NIH campus)
Frederick, MD (some NCI labs)
Baltimore, MD (most NIA labs and all NIDA labs)
Research Triangle Park (Raleigh/Durham), NC (NIEHS only)
Hamilton, MT (limited positions in NIAID)
Phoenix, AZ (limited positions in NIDDK)
Detroit, MI (limited positions in NICHD)
Framingham, MA (limited positions at NHLBI)

Notice to all applicants:
It is your responsibility to ensure that all of the above information is correct. False or inaccurate information contained in this
application or provided during an interview may be grounds for denying your candidacy or removing you from the program.

Preview Partial Application
Preview Completed Application
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SURVEY
PROGRAM SURVEY
OMB No. 0925-0299
Expiration Date 06/30/2019
Respondent Burden

Instructions: Please complete the form below and then press the [Submit] button at the bottom of the page. You may want to review
General Instructions for filling out the form and the Privacy Act statement describing the information collected here is used.

How did you hear about this program? (Please select all that apply.)
Ad in a scientific journal (Nature, Science); please specify:
Ad in a student journal; please specify:
Ad in a meeting program
Exhibit at a meeting; please specify:
Career development/opportunities workshop
Flier
Poster
From a mentor or advisor
From an alumnus/alumna of the program
NIH representative visited school
Web search
Other; please specify:

Submit
Cancel

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