Form 1 Onboarding Registration

Zoom Registration Form

Topic: Mentor-Mentee Onboarding for NINDS Training Programs

Description: Please join us for the NINDS Mentor-Mentee Onboarding Workshop for new grantees in NINDS Training Programs. This 1.5-hour meeting will review NINDS’s expectations of mentors and mentees in our predoctoral and postdoctoral training programs and provide resources to help foster an effective mentor-mentee relationship.

OMB#: 0925-0740 Expiration date: 09/30/2025

Public reporting burden for this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. 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.

Time: December 7, 2022 1:00-2:30 PM (Eastern time)

First Name*:

Last Name*:

Email Address*:

Career Stage*:

• Graduate Student

• Postdoctoral Fellow

• Faculty

• NIH Staff

Department*:

Institutional Affiliation*:

NINDS Grant Awarded for Mentee*:

• F31

• F99/K00

• F32

• K99/R00

• K01

• Diversity Supplement

• N/A

Do you currently describe yourself as male, female, or transgender?

• Male

• Female

• Transgender Male

• Transgender Female

• Another gender identity

• Prefer not to answer

What sex were you assigned at birth, on your original birth certificate?

• Female

• Male

• Prefer not to answer

Do you consider yourself to be Hispanic or Latino?

• No

• Yes

• Prefer not to answer

What do you consider to be your race? Select one or more

• American Indian or Alaska Native

• Asian

• Black or African American

• Native Hawaiian or Other Pacific Islander

• White

• More than one race

• Prefer not to answer

Do you have a disability as defined as a physical or mental impairment that substantially limits one or more major life activities?

• No

• Yes

• Prefer not to answer

Do you identify as being from a disadvantaged background as defined in the Notice of NIH’s Interest in Diversity (NOT-OD-20-031)?

• No

• Yes

• Prefer not to answer

Do you need an accommodation for this virtual meeting? If so, please describe (note: we request 1-week notice to arrange for accommodations).