Fellowship Application Module
[PHIC] Fellowship Management System
Att 3_FMS Applic_11xx2023_clean
Fellowship Applications
OMB: 0920-0765
Form Approved
OMB No. 0920-0765
Exp.
Date 03/31/2026
Fellowship Management System (FMS)
Privacy Act and Public Burden Information |
Privacy Act Information The Privacy Act applies to this information collection. Information collected will be kept private as noted in the System of Records Notice is 09-90-2301, Fellowship Program and Guest Researcher Records.
Public Burden Information Form Approved OMB No. 0920-0765 Exp. Date 03/31/2026
Public reporting burden of this collection of information is an estimated average of 87 minutes per response, with an additional 15 minutes for the reference letter writers (total 102 min), and 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 CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS H21-8, Atlanta, Georgia 30329; ATTN: PRA (0920-0765). |
FMS Application Module Draft
Table of Contents
Contents
2.2 Sign-Up Page (For New Users) 5
3. eFMS System Help Desk Ticket 5
5.1 Create a Profile to Get Started 5
6.4.3 Public Health Work Experience 5
6.9.1 Clinical Category & Training 5
6.9.3 Current Primary Supervisor 5
6.10.2 Program & Organization 5
6.10.3 Host Site Position Description 5
6.11.2 Educational Experience 5
6.11.4 e-Learning Content Example 5
6.12 EIS, LLS, FLIGHT, PE, PHIFP 5
6.12.1 Federal Student Loan Repayment Interest 5
6.13 Confirming Accuracy & Minimum Eligibility 5
7.1 Adding Education or Licenses 5
8 Work & Volunteer Experience 5
8.1 Adding Work or Volunteer Experience 5
9 Additional Training & Skills 5
9.1 Adding Additional Training & Skills 5
9.4 U.S. Board Certifications and Specialty 5
9.5 Additional Training, Certifications, or Professional Development 5
9.6 Institution Details and Location 5
10 Publications, Presentations, Working Papers, Monographs or Reports, Grants, Honors and Awards 5
11.1 All Fellowships except FLIGHT 5
11.4 CDC Fellowship Participation 5
12 Standardized Letters of Recommendation (SLOR) 5
12.1.a Starting a SLOR Request 5
12.2 System Emails to Letter Writers 5
12.3 Letters of Recommendation 5
13 Final Application Sections 5
13.1 Self-Assessment of Skills 5
13.3.3 EEP Rotation Preferences & Topic/Subject Areas 5
13.3.2 Topic & Subject Areas 5
13.4 SAF Public Health Interests 5
13.5 EIS CIO Assignment Interests 5
14.1 Match or Prematch Rank/Rating Form 5
15 Selection Status Acceptance Form 5
16 EIS Conference Interview Time Selection Form 5
The purpose of this document is to list all the data elements collected online through the Fellowship Management System (FMS). The FMS online application module is a streamlined mechanism for applicants of the Centers for Disease Control and Prevention (CDC) fellowships to submit their information online and track statuses of the application processes (e.g., all required materials received, invited for interviews). The FMS is a robust flexible framework and the FMS Application Module is tailored successfully for various CDC fellowships:
Epidemic Intelligence Service (EIS)
CDC E-learning Institute (ELI)
Epidemiology Elective Program (EEP)
Future Leaders in Infections and Global Health Threats (FLIGHT)
Laboratory Leadership Service (LLS)
CDC Steven M. Teutsch Prevention Effectiveness (PE) Fellowship
Public Health Associate Program (PHAP)
Public Health Informatics Fellowship Program (PHIFP)
Science Ambassador Fellowship (SAF)
This document is broken down by the major pages of the FMS Application. In this document, each page of the FMS Application has sections and some sub-sections. In addition, application instructions, login, and registration pages are included. Instructions and emails in the FMS Application are tailored to each CDC fellowship’s requirements, eligibility criteria, information, and timeline.
Following the screenshots in each section is a table that shows the status of the collection of data elements by each CDC fellowships. The following labels indicate the status of the collection:
“Yes” indicates that the fellowship collects the information and that applicants are required to submit this information.
“No” indicates that the fellowship does not collect this information.
“Open Text Response” indicates an open-ended response prompt
In addition, the table shows the data values of each data element, and for ones that have a list of dropdown values, the data value category is hyperlinked to its list located in the Appendix.
INSTRUCTIONAL TEXT:
Privacy Act Information
The Privacy Act applies to this information collection. Information collected will be kept private as noted in the System of Records Notice 09-20-0112, Fellowship Program and Guest Researcher Records
Public Burden Information
Form Approved
OMB No. 0920-0765
Exp Date 03/31/2026
Participation in this information collection is required for fellowship applicants and fellowship recipients. CDC uses information submitted through eFMS to select recipients, match recipients to opportunities, monitor progress, and improve the effectiveness of fellowship programs. CDC’s authority to collect this information is provided by the Public Health Service Act in §301, Title 42 U.S.C. §241(a)
Fellowship Application Module
Public reporting burden of this collection of information is estimated to average 87 minutes per response, including the 15 minutes for the reference of letter writers, and 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 CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74 Atlanta, Georgia 30333; ATTN: PRA (0920-0765).
Table 2.1-a. Sign-In Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
|
Confirm Email |
Open Text Response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Password |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
INSTRUCTIONAL TEXT:
Enter an email address and choose a password to create a new account.
Table 2.2-a. Sign-Up Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
|
Password |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Confirm Password |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
CDC ENTERPRISE FELLOWSHIP MANAGEMENT SYSTEM
System Help Desk Ticket
Please submit help desk tickets for system related (technical) issues or needs only. If you have a fellowship program related question or need, please contact the fellowship program directly.
Table 3-a. eFMS System Help Desk Ticket Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Your Name: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Sign-In Email: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Contact Phone Number (optional): |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Fellowship: |
See Appendix p. 120 |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
What type of issue or need do you have? |
1.
System Error Message |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
URL where the issue is occurring: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Error code message: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Please describe your issue or need: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Screenshot of error or issue (optional): |
File Upload |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
[Program] Fellowship Application Portal
Profile
Welcome to the [program] Fellowship Application Portal
Please contact the [program] program at [program]@cdc.gov
Privacy Act and Public Burden Information
Technical Support: For technical support to address a system issue, or to withdraw your application, please submit a System Help Desk Ticket
Letter writers having any issues should email the [program] program [program]@cdc.gov
INSTRUCTIONAL TEXT:
Create a profile to get started
Table 5.2-a. Applicant Name Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
First Name: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Middle Name: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Last Name: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Suffix: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Other Name: Insgtructional Text: Other name(s) you might have been known or gone by |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
No |
Preferred Name: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Table 5.3-a. Email Address Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Primary Email Address:
Instructional text for EFP: Please do not use a school or work email. |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Note: Your primary email will be used to communicate with you throughout the application process. Make sure your primary email is entered correctly. Do not use a college or university email as your primary email
By checking this box, you confirm that the email address above is accurate: |
1. I confirm that the email address above is accurate. |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Secondary/Alternate Email Address: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Table 5.4-a. Phone Number Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Country Code: |
See Appendix p. 120 |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Primary Phone Number:
Note: the primary phone number may be used to contact you during the application process. Make sure your primary phone number is entered correctly. |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
By checking this box, you confirm that the phone number above is accurate: |
1. I confirm that the phone number above is accurate. |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Secondary/Alternate Phone Number: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Table 5.5-a. Mailing Address Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Mailing Address: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Mailing Address Line 2: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Mailing Address Line 3: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Country: |
See Appendix p. 120 |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
State/Territory: |
See Appendix p. 120 |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
State/Province: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
City: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Zip/Postal Code: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Table 5.6-a. Emergency Contact Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Emergency Contact Full Name: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Emergency Contact Relationship: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Emergency Contact Phone Number: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Emergency Contact Email: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Table 6.1-a. Get Started
INSTRUCTIONAL TEXT:
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Application and documents must be submitted by <date> 05:00pm (ET)
|
|
Yes |
Yes |
No |
Yes |
Yes |
No |
No |
No |
No |
No |
Complete all sections of the online application -Each section must have at least 1 entry to successfully submit -All supporting materials, including letters of recommendation, must be received by the deadline -Please review the fellowship website for further instructions about supporting materials -Re-applicants must click the "add another" button to create a new application. Re-submitting your old application will not count as a submission for this year. |
|
Yes |
Yes |
No |
Yes |
Yes |
No |
No |
No |
No |
No |
Table 6.2-a.
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Country of Birth: |
See Appendix p. 120 |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
Country of Citizenship: |
See Appendix p. 120 |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
If Country of Citizenship is not the United States, then display text: “Please be aware that non-U.S. Citizens will not be able to travel outside of the continental United States and will not be able to match to positions that require travel outside of the contiguous United States..” |
|
||||||||||
Are you a U.S. permanent resident? |
1.
Yes |
Yes |
Yes |
No |
No |
No |
Yes |
Yes |
Yes |
Yes |
Yes |
Do you currently live in the U.S.? |
1.
Yes |
Yes |
No |
No |
No |
No |
Yes |
Yes |
Yes |
Yes |
No |
Visa Type: |
1.
F-1 |
Yes |
No |
No |
No |
No |
Yes |
Yes |
No |
Yes |
Yes |
Specify Visa Type: |
|
Yes |
No |
No |
No |
No |
Yes |
Yes |
No |
Yes |
Yes |
Visa Expiration Date: |
|
Yes |
No |
No |
No |
No |
Yes |
Yes |
No |
Yes |
Yes |
Please upload a copy of your green card with expiration date past end of two-year Fellowship (if applicable) Applicants must be U.S. citizens or permanent residents with green cards. The green card must be valid for at least two more years from the start of the Fellowship (mid-Aug). |
File Upload Field |
No |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
Do you have a completed degree from the approved TOEFL exempt countries list?
https://www.cdc.gov/eis/downloads/eis-toefl-requirements.pdf |
1.
Yes |
Yes |
Yes |
No |
No |
No |
Yes |
No |
No |
No |
No |
Which country is your degree from? INSTRUCTIONAL TEXT FOR LLS: Select country in which your terminal degree (PhD) was obtained. Please note that a foreign credential evaluation is required for all degrees (graduate and undergraduate) for which English-language transcripts are not available. |
Yes |
Yes |
No |
No |
No |
Yes |
No |
No |
No |
Yes |
|
Please Upload CV |
File Upload Field |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
Yes |
I have, or will have by March 31 of the year entering LLS, a doctoral-level degree in a laboratory-related discipline. |
1 Yes 2 No |
No |
Yes |
No |
No |
No |
No |
Yes |
No |
No |
Yes |
Do you have or are you in the process of completing a PhD degree?
|
|
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
Table 6.3-a. TOEFL Score Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
New Instructional Text: Test of English as a Foreign Language (TOEFL) for Non-U.S. Citizens and Non-U.S. Permanent Residents: • Non-U.S Citizens and Non-U.S. Permanent Residents must demonstrate their English Proficiency either by: o Indicating they were born in a country in which English is the native Language and that English is their native language, or
o Providing TOEFL scores equal to 100 or higher on the internet-based TOEFL, 250 on the computer-based TOEFL, or 600 on the paper-based TOEFL
• For more information about the TOEFL Requirements please click here • Please contact the PHIFP program via email at [email protected] if you have any additional questions. |
|
|
|
|
|
|
Yes |
|
|
|
No |
TOEFL Test Type: |
1.
Internet-Based Test |
Yes |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
TOEFL Score: |
- |
Yes |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
TOEFL Score Upload: |
File Upload field- |
Yes |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
Table 6.5.1-a. PHIFP - Eligibility Fields
INSTRUCTIONAL TEXT:
Do you have doctoral (PhD, MD, PharmD) or masters level experience from an accredited academic institute in one of the following
|
New Instructional Text: Instructions: Please review the PHIFP website (https://www.cdc.gov/phifp/application/eligibility.html) for eligibility criteria for master-level vs. doctoral-level applications. PHIFP requires 3 years of experience in Public Health Informatics and Public Health for Master-level (e.g., MPH, MSc) applicants; however, that is not required for doctoral-level applicants (e.g., PhD, MD). All applicants need to demonstrate research/evaluation experience, and your academic degree has to be from an accredited academic institution. |
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Degree level selection: |
1.
Doctoral |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
How many years of experience do you have in public health or related field?
|
Numeric response |
|
|
|
|
|
Yes |
|
|
|
No |
How many years of experience do you have in informatics and/or data science? |
Numeric Response |
|
|
|
|
|
Yes |
|
|
|
No |
Informatics experience selection: (1 Year) |
1.
Yes |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
Public health experience selection: (1 Year) |
1.
Yes |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
Informatics experience selection: (3 Years) |
1.
Yes |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
Public health experience selection: (3 Years) |
1.
Yes |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
Do you have documented experience in performing research or evaluation during or after academic training? This includes publications, thesis, poster presentations, or a research or evaluation proposal. |
1.
Yes |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
Please Specify: (note to admin: field used when previous question is “YES”) |
Open text response |
|
|
|
|
|
Yes |
|
|
|
No |
INSTRUCTIONAL TEXT:
You are eligible to apply to the CDC Public Health Informatics Fellowship Program
You are not eligible at this time to apply to the CDC Public Health Informatics Fellowship Program. Please review the eligibility requirements on the PHIFP website. If you feel this is an error, you can email the program at [email protected]
Table 6.6.1-a. Teaching Experience Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Specify Current Grade Level(s) Taught (select all that apply): |
1. Elementary School (grades K-5) 2. Middle School (grades 6-8) 3. High School (grades 9-12) 2. Community College 3. College (Undergraduate) 4. College (Graduate) 5. Other: Curriculum Development 6. Other: Professional Development 7. Other (Specify) |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
Other (Specify): |
Open text response |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
In the past 5 years, in which ways have you interacted with the Science Ambassador program? (Select all that apply) |
|
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
Table 6.7.1-a. Academic Endorsement Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Academic Endorsement Form: |
Upload File |
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
Table 6.8.1-a. Assignment PreferencesFields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
What is the highest degree you will have attained by the start of the program? |
1.
Bachelor’s degree |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
Please specify: |
Open text response |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
|
Actual or anticipated date of attained degree: |
Open text response |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
What is/was your overall GPA on a 4.0 scale for your highest degree attained by the start of the program? |
Open text response |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
Do you have a preference in location where you are willing to relocate? Please note that your preference of location does not affect your rating or eligibility into the program. The information, when possible, is used for matching purposes only. There are no assignments at CDC headquarters in Atlanta, Georgia. Most importantly, while geographic preference may be taken into consideration, assignment offers in selected areas are not guaranteed and are non-negotiable. If you answered yes, please rank up to 5 locations where you are willing to relocate for this program (1-5 highest to lowest preference). Please note that PHAP does not pay for relocation expenses and does not guarantee offers in selected areas. |
1.
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
1st Choice: |
See Appendix p. 120 |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
2nd Choice: |
See Appendix p. 120 |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
3rd Choice: |
See Appendix p. 120 |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
4th Choice: |
See Appendix p. 120 |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
5th Choice: |
See Appendix p. 120 |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
Please select any additional areas you would accept an assignment match: |
See Appendix p. 120 |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
Table 6.8.1-b. Assignment Preferences Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Would you be willing to work in a rural setting? |
1.
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
Would you be willing to work on an Indian reservation? |
1.
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
Do you have a preference in the subject area you would like to work on? Please rank up to 5 subject area(s) that you would prefer to work in? (1-5 highest to lowest preference). Please note that your preference of subject area does not affect your rating or eligibility into the program. The information, when possible, is used for matching purposes only. Most importantly, while preferences may be taken into consideration, assignment offers are non-negotiable. |
1.
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
1st Choice: |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
|
2nd Choice: |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
|
3rd Choice: |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
|
4th Choice: |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
|
5th Choice: |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
|
Please select any additional subject areas you would accept an assignment match: |
Open text response |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
Do you have a valid Driver’s license from a state/territory in the USA? |
1.
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
Do you own a car (privately owned vehicle: POV)? |
1.
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
Table 6.9.1-a. Clinical Category & Training Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Clinical Category: |
1.
Physician |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
Please Upload CV: |
File Upload Field |
|
|
Yes |
|
|
|
|
|
|
No |
Have you taken FACT training? |
1.
Yes |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
Training Month: |
Open text response |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
Training Year: |
Open text response |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
Table 6.9.2-a. Current EIS Position.
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Team: |
Open text response |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
Center/Division/Branch: |
See Appendix p. 120 |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
Specify: |
Open text response |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
Table 6.9.3-a. Current Primary Supervisor
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
First Name: |
Open text response |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
Last Name: |
Open text response |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
CDC Email: |
Open text response |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
Work Phone: |
Open text response |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
Table 6.9.4-a. Scientific Experience
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
First-authored manuscripts published in peer reviewed journals over the last ten years: |
Open text response |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
First-authored manuscript submitted and currently being considered for publication in a peer reviewed journal: |
Open text response |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
First-authored manuscripts currently undergoing CDC clearance: |
Open text response |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
First-authored manuscripts currently in draft stage: |
Open text response |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
First-authored abstracts presented at scientific conferences during EIS: |
Open text response |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
Awards received during EIS: |
Open text response |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
INSTRUCTIONAL TEXT:
ELI Eligibility
Table 6.11.1-a. Organization Details Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Organization Name: |
Open text response |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
Is this a public health organization? |
1.
Yes |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
Public Health Organization Type: |
1.
State |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
Specify Public Health Organization Type: |
Open text response |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
Position Title: |
Open text response |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
Table 6.11.2-a. Educational Experience Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Your Highest Degree Attained: |
1.
Bachelors |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
Degree or Certification Type: |
1.
Education |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
Specify Degree or Certification Type: |
Open text response |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
Degree or Certification Transcript: |
Open text response |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
Table 6.11.3-a. Work Experience Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
What is your role in the development of training? (Select all that apply) |
1.
Instructional Designer or Trainer |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
Specify Role: |
Open text response |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
Do you have experience in developing training for public health audiences? |
1.
Yes |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
Please rate your experience: |
1.
Highly Experienced (Degree/certification or 5 - 10 years of
experience) |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
How long have you been developing e-learning? |
1.
0 years |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
Please describe your experience: |
Open text response |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
Approximately how many training activities such as online courses or webinars does your organization create annually? |
1.
1 - 10 |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
What percentage of your organization’s training activity is e-learning? |
1.
0 - 25% |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
INSTRUCTIONAL TEXT:
Please submit a sample of the content you want to develop into a quick-learn. Your sample should focus on 1-2 objectives and take less than 20 minutes to complete Table 6.11.4-a. e-Learning Content Example Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Select the format of your e-learning content example submission: |
-Document upload -Video File upload -Website link to content |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
Content Example Upload: |
Select a file to upload |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
Website Link to Content Example: |
Open text response |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
EFP
Table 6.13-a. Program Evaluation Skills and Experience
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
How would you assess your current level of knowledge/skill for program evaluation?
|
-Beginner -Advanced beginner -Intermediate -Advanced |
No |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
How many years of experience do you have in program evaluation? |
Open text response |
No |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
List any special skills, research topics/experiences, or other areas of expertise that you have. (A list is acceptable) |
Open Text Response |
No |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
7. Education & Licenses
INSTRUCTIONAL TEXT:
Education & Licenses
Action required
EIS INSTRUCTIONAL TEXT: A minimum of one entry is required for EIS Education & Licenses
Table 7.1-a. Adding Education or Licenses
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Please include educational background starting with your undergraduate experience. Medical and/or veterinary school information is required. |
Open text response |
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
Applicants who have received a foreign academic degree will be required to submit their transcripts for a foreign credential evaluation. This evaluation helps ensure that foreign degree requirements are equivalent to that in the United States. |
New Instructional text |
|
|
|
|
|
Yes |
|
|
|
|
INSTRUCTIONAL TEXT:
You need to have a minimum of one item in this list to submit your entry. [Export .CSV] [Add New Item]
Table 7.2-a. Choose Category Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Do you want to proceed? |
1. Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
Yes |
INSTRUCTIONAL TEXT (FOR EFP ONLY): Additional relevant Master’s or Doctoral degrees only |
|||||||||||
What do you need to add?
(Active U.S. Clinical License for clinical applicants only) |
1.
Undergraduate Education |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
Yes |
Specify Clinical License |
Open Text Response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
Yes |
Table 7.3-a. Coursework Type Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Which type of coursework do you need to add? |
Open text response |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
Table 7.4-a. Location Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Country: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
Yes |
State/Province: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
Yes |
Table 7.5-a. College/University Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
College/University: |
See Appendix p. 120 |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
Yes |
Other College/University: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
Yes |
|
|
|
|
|
|
|
|
|
|
|
|
Table 7.6-a. Status Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Degree Status: |
1.
Current (Ongoing) |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
|
Has your degree been conferred? |
1.
Yes |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Course Status: |
1.
Current |
No |
No |
No |
No |
No |
Yes |
No |
No |
Yes |
No |
License Status: |
1.
Expected |
Yes |
Yes |
Yes |
No |
No |
No |
No |
No |
Yes |
No |
7.7 Degree
Table 7.7-a. Degree Fields
List all conferred degrees
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
||||||||
Undergraduate Degree: |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
Yes |
No |
|||||||||
Graduate Degree: |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
No |
|||||||||
Other Degree: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
||||||||
What is the highest degree you will have attained by the start of the program? |
1.
Bachelor’s degree |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
||||||||
Please specify: |
Open text response |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
||||||||
Major 1: |
Open text response |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
||||||||
Major 1 Classification: |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
|||||||||
Is this degree a double major? |
Open text response |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
No |
||||||||
Major 2: |
Open text response |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
No |
||||||||
Major 2 Classification: |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
No |
|||||||||
Minor/Certificate/Specialty: |
Open text response |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
No |
||||||||
Grade Point Average (GPA): |
Open text response |
Yes |
Yes |
No |
Yes |
No |
No |
No |
No |
Yes |
No |
||||||||
Did you complete a thesis or dissertation? |
|
Yes |
Yes |
No |
Yes |
No |
Yes |
Yes |
No |
Yes |
No |
||||||||
Title And Abstract |
Multi-line response |
No |
No |
No |
No |
No |
Yes |
Yes |
|
|
No |
||||||||
Is this a master’s thesis or dissertation? |
|
No |
No |
No |
No |
No |
|
Yes |
|
|
No |
||||||||
|
|||||||||||||||||||
Description of Dissertation |
Open text response |
Yes |
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
||||||||
Dissertation Defense Date |
Date Response |
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
||||||||
Did you receive academic honors? |
1.
Yes |
Yes |
Yes |
No |
Yes |
No |
Yes |
No |
No |
Yes |
No |
||||||||
Honor Types: |
Yes |
Yes |
No |
Yes |
No |
Yes |
No |
No |
Yes |
No |
|||||||||
Instructional text for EFP Only: Transcripts should be for your qualifying/highest degree at the doctoral or master’s level. The qualifying degree is the one most related to the CDC’s work in public health and evaluation. If selected as a Fellow, your qualifying degree is one of the factors that determines your salary. If you have multiple graduate degrees (master’s or doctorate) and you are unsure of which degree qualifies, then submit official transcripts for all doctoral and master’s degrees that you have. Transcripts issued to student are acceptable but if selected, must submit official transcripts directly issued to CDC no later than early June. You’ll need to prepare for this is you’re selected given the quick turnaround. Official transcripts will need to be issued to “CDC Evaluation Fellowship and CDC Human Resource”. If your academic institution does not have electronic official transcripts available, then please discuss with the Fellowship as soon as selected. The transcript must state degree of study, courses taken, earned grades, and graduation/confer date. If from non-U.S. academic institution, you must provide a letter from a credentialing company that evaluated and certified your degree is equivalent to US-accredited academic institution. All transcripts must be translated into English. |
|||||||||||||||||||
Instructional Text for LLS: List and provide transcripts for all conferred degrees (e.g., BS, MS, Ph.D., etc.). Applicants must provide transcripts for undergraduate (e.g., BS or BA) and graduate (Ph.D.) degrees (or Ph.D. in progress). Applications with only one degree listed with be considered incomplete. A foreign credential evaluation must be submitted for all degrees for which English-language transcripts are not available. Select "Active Clinical License" to list clinical or other board certification license(s).. Be sure to click “Upload” button to ensure your transcript is uploaded. |
|||||||||||||||||||
Transcript Upload: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
Yes |
||||||||
MPH Certificate Upload: |
Open text response |
No |
No |
No |
No |
No |
No |
No |
No |
No |
No |
||||||||
Please acknowledge that you have uploaded a foreign credential evaluation for transcript issued by a non-U.S. institution.
|
1.
Yes |
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
||||||||
Table 7.8-a. Additional Coursework Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Number of Credits: |
Open text response |
No |
No |
No |
No |
No |
Yes |
No |
No |
Yes |
No |
Course Name: |
Open text response |
No |
No |
No |
No |
No |
Yes |
No |
No |
Yes |
No |
Table 7.9-a. License Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Issuing State: |
See Appendix p. 120 |
Yes |
Yes |
Yes |
No |
No |
No |
No |
No |
No |
No |
License Number: |
Open text response |
Yes |
Yes |
Yes |
No |
No |
No |
No |
No |
No |
No |
License Upload: |
Open text response |
Yes |
Yes |
Yes |
No |
No |
No |
No |
No |
No |
No |
7.10 Dates
Table 7.10-a. Date Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
|
Attended From: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
No |
Attended To: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
No |
Expected Completion Date: |
Open text response |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
No |
Degree Conferral Date: |
Open text response |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
Yes |
PhD Defense Date: |
Open text response |
Yes |
Yes |
No |
No |
No |
Yes |
Yes |
No |
Yes |
No |
License Expected Date: |
Open text response |
Yes |
Yes |
Yes |
No |
No |
No |
No |
No |
No |
No |
License Received Date: |
Open text response |
Yes |
Yes |
Yes |
No |
No |
No |
No |
No |
No |
No |
License Expiration Date: |
Open text response |
Yes |
Yes |
Yes |
No |
No |
No |
No |
No |
No |
No |
Table 7.11-a. Incomplete Reason Field
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Incomplete Reason (Note: List expected graduation date if degree is still in progress): |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
No |
Confirming Accuracy & Minimum Eligibility
Table 6.14-a. Confirming Accuracy & Minimum Eligibility Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
By selecting the option below, you confirm that the information given in this form is true, complete, and accurate and that you meet the minimum eligibility requirements for this fellowship program. |
1. I confirm that the information given in this form is true, complete, and accurate and that I meet the minimum eligibility. |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
INSTRUCTIONAL TEXT (depending on answer):
You are not eligible at this time to apply to this fellowship. Please review the eligibility requirements on the fellowship website. If you feel this is an error please contact the program.
8.1 Adding Work or Volunteer Experience
INSTRUCTIONAL TEXT:
Work & Volunteer experience
Action required
Please list work and volunteer experience in chronological order
Instructional text: Please only include work and volunteer experiences completed after you completed your high school graduation.
You need to have a minimum of 1 item in this list in order to submit your entry. [Export .CSV] [Add New Item]
EIS INSTRUCTIONAL TEXT: A minimum of one entry is required for EIS Work & Vounteer Experience
8.2 Choose Category
Table 8.2-a. Choose Category Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Do you want to proceed? |
1. Yes |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
What do you need to add? For Volunteer Experience, please list activities outside your normal working hours/responsibilities. |
1.
Work Experience |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
Table 8.3-a. Organization Details Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Organization Name |
Open text response |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
Organization Type |
1.
Additional education or training (including degree or residency
programs, fellowships and post-doctoral research positions) 9. Other
|
Yes |
Yes |
No |
Yes |
No |
Yes |
Yes |
No |
No |
No |
Does your organization, school or school district receive Title 1 financial assistance? |
1.
Yes 4. Prefer not to respond
|
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
Reason |
Open text response |
Yes |
Yes |
No |
Yes |
No |
Yes |
Yes |
No |
No |
No |
Table 8.4-a. Position Details Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Title |
Open text response |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
Hours Per Week |
Digit Response |
Yes |
Yes |
No |
Yes |
No |
Yes |
Yes |
No |
No |
No |
Is this position related to public health? |
1.
Yes |
Yes |
Yes |
No |
Yes |
No |
Yes |
Yes |
No |
No |
No |
Duties and Responsibilities |
Open text response |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
Accomplishments |
Open text response |
Yes |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
Extracurricular Duties/Responsibilities (e.g., advisor, board member, committee chair, coach, teacher association president) |
Open text response |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
Full-time or part-time?
|
1. Part Time (<30 hours per week) 2. Full Time (>30 hours per week) |
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
Table 8.5-a. Date Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Dates From |
Open text response |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
Is this a current position? |
Open text response |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
Dates To |
Open text response |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
Reason for Leaving |
Open text response |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
Contacting Supervisor
May we contact your supervisor? |
1.
Yes |
Yes |
Yes |
No |
Yes |
No |
Yes |
Yes |
No |
No |
No |
Supervisor Name |
Open text response |
Yes |
Yes |
No |
Yes |
No |
Yes |
Yes |
No |
No |
No |
Supervisor Phone Number |
Open text response |
Yes |
Yes |
No |
Yes |
No |
Yes |
Yes |
No |
No |
No |
Supervisor Email |
Open text response |
Yes |
Yes |
No |
Yes |
No |
Yes |
Yes |
No |
No |
No |
Table 8.6-a. Position Location Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Address |
Open text response |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
Address Line 2 |
Open text response |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
Address Line 3 |
Open text response |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
Country |
See Appendix p. 120 |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
State/Territory: |
See Appendix p. 120 |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
State/Province |
Open text response |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
City |
Open text response |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
Zip/Postal Code |
Open text response |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
INSTRUCTIONAL TEXT:
Describe research skills, projects, and other relevant accomplishments.
Please list only the most relevant training and skills pertinent to your [EIS] application. List experiences in chronological order.
Additional Training & Skills
Action Required
You need to have a minimum of 1 item in this list in order to submit your entry [Export .CSV] [Add New Item]
EIS INSTRUCTIONAL TEXT: A minimum of one entry is required for EIS Additional Training & Skills
Instructional Text for EEP: List all professional development sessions not included in the Education section. Include trainings, workshops, or other experiences providing 8+ hours of training or resulting in a certification.
Table 9.2-a. Choose Category Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
Do you want to proceed? |
1. Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
What do you need to add? |
1.
Clinical Training |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
9.3 Clinical Training
Table 9.3-a. Clinical Training Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Title: |
Intern Resident Chief Resident Fellow Student |
Yes |
Yes |
No |
No |
No |
Yes |
No |
No |
No |
No |
Certification of completion of clinical training upload: |
Upload Field |
|
|
|
|
|
|
|
|
|
No |
May we contact your supervisor? |
1.
Yes |
Yes |
Yes |
No |
No |
No |
Yes |
No |
No |
No |
No |
Supervisor Name: |
Open text response |
Yes |
Yes |
No |
No |
No |
Yes |
No |
No |
No |
No |
Supervisor Email: |
Open text response |
Yes |
Yes |
No |
No |
No |
Yes |
No |
No |
No |
No |
Supervisor Phone Number: |
Open text response |
Yes |
Yes |
No |
No |
No |
Yes |
No |
No |
No |
No |
Reason: |
Open text response |
Yes |
Yes |
No |
No |
No |
Yes |
No |
No |
No |
No |
9.4 U.S. Board Certifications and Specialty
Table 9.4-a. Clinical Training Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Status: |
1.
Certified |
Yes |
Yes |
Yes |
No |
No |
No |
No |
No |
Yes |
No |
Certificate of Completion Upload: |
Upload Field |
Yes |
Yes |
Yes |
No |
No |
Yes |
No |
No |
Yes |
No |
Specialty: |
See Appendix p. 120 |
Yes |
Yes |
Yes |
No |
No |
Yes |
No |
No |
Yes |
No |
Specify Specialty: |
Open text response |
Yes |
Yes |
Yes |
No |
No |
Yes |
No |
No |
Yes |
No |
9.5 Additional Training, Certifications, or Professional Development
Table 9.5-a. Additional Training, Certifications, or Professional Development Fields
INSTRUCTIONAL TEXT:
Include significant trainings or other experiences providing at least 8 hours of training or resulting in a certification.
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Training Name: |
Open text response |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
Description: |
Open text response |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
Certification Upload: |
Open text response |
Yes |
Yes |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
Table 9.6-a. Institution Details and Location Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Institution Name: |
Open text response |
Yes |
Yes |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
Country: |
See Appendix p. 120 |
Yes |
Yes |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
State/Territory: |
See Appendix p. 120 |
Yes |
Yes |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
State/Province: |
Open text response |
Yes |
Yes |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
City: |
Open text response |
Yes |
Yes |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
Table 9.7-a. Date Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Dates From: |
Open text response |
Yes |
Yes |
No |
Yes |
No |
Yes |
Yes |
No |
No |
No |
Are you currently pursuing? |
Open text response |
Yes |
Yes |
No |
Yes |
No |
Yes |
Yes |
No |
No |
No |
Dates To: |
Open text response |
Yes |
Yes |
No |
Yes |
No |
Yes |
Yes |
No |
No |
No |
Expected Date: |
Open text response |
Yes |
Yes |
Yes |
No |
No |
No |
No |
No |
No |
No |
Most Recent Issuance Date: |
Open text response |
Yes |
Yes |
Yes |
No |
No |
No |
No |
No |
No |
No |
Most Recent Expiration Date: |
Open text response |
Yes |
Yes |
Yes |
No |
No |
No |
No |
No |
No |
No |
Table 9.8-a. Language Skill Fields
INSTRUCTIONAL TEXT:
Please rate your language skills using the following information:
• A poor rating represents little to no ability in speaking, writing, or reading in the selected language.
• A fair rating represents some ability in speaking, writing, or reading in the selected language. A person who is ‘fair’ in speaking might be able to speak several cohesive sentences with minimum interruptions or hesitations, and easily follow and contribute to a conversation among native speakers.
• A good rating represents moderate ability in speaking, writing, or reading in the selected language. An ‘excellent’ rating represents expert level ability in speaking, writing, or reading in the selected language.
• An excellent rating in speaking might entail being able to speak fluently with a well-educated and very articulate native speaker and having extensive vocabulary that allows one to present complicated topics effectively.
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Language: |
See Appendix p. 120 |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
Yes |
No |
Yes |
No |
Other Language: |
Open text response |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
Yes |
No |
Yes |
No |
Read: |
1.
Poor |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
Yes |
No |
Yes |
No |
Write: |
1.
Poor |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
Yes |
No |
Yes |
No |
Speak: |
1.
Poor |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
Yes |
No |
Yes |
No |
Table 9.9-a. Additional Skills: Computer and Statistical Software Skills
Please select the statistical software package(s) for which you have Proficient/Skilled or Mastery/Expert competency [SELECT ALL THAT APPLY]:
Entry/Novice: limited capabilities, little/no experience
Proficient/Skilled: basic capabilities, moderate amount of experience
Master/Expert: advanced capabilities, extensive experience
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
SAS |
Entry/Novice Proficient/Skilled Master/Expert |
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
STATA |
Entry/Novice Proficient/Skilled Master/Expert |
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
Epi-Info |
Entry/Novice Proficient/Skilled Master/Expert |
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
R |
Entry/Novice Proficient/Skilled Master/Expert |
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
Excel |
Entry/Novice Proficient/Skilled Master/Expert |
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
Other (Specify and Provide Rating) |
Entry/Novice Proficient/Skilled Master/Expert |
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
10.1 Adding Publications, Presentations, Working Papers, Monographs or Reports, Grants, Honors and Awards
Publications, Presentations, Grants, Working Papers, Honors and Awards
Action required
You need to have a minimum of 1 item in this list in order to submit your entry. (Remove this text for LLS, EIS)
10.2 Choose Category
Table 10.2-a. Choose Category Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Do you want to proceed? |
1. Yes |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
What do you need to add? FOR LLS: For Honors and Awards, please do not list academic scholarships. INSTRUCTIONAL TEXT: Separate oral presentations and poster presentations |
1.
Publications (Remove response options 5-7 for EEP) |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
10.3 Details
INSTRUCTIONAL TEXT
INSTRUCTIONAL TEXT: Refer to the National Library of Medicine sample references for preferred citation formatPublications
FOR LLS SPECIFICALLY: Please enter all publications in the same entry. Do not create a separate entry for each publication. In the Details box below please list all publications and include the requested PubMed/MedLine citation format for each entry.
Please enter all publications in the same entry; do not create a separate entry for each publication.
In the Details box below, please list all publications and include the following information for each:
Citation
Presentations
Please enter all presentations in the same entry; do not create a separate entry for each presentation.
In the Details box below, please list all presentations and include the following information for each:
Titles
Citations
Types of Presentations (poster, oral, invited speaker, etc.)
Conferences
Dates of Conferences
Monographs or Reports
Please enter all monographs or reports in the same entry; do not create a separate entry for each monograph or report.
In the Details box below, please list all monographs or reports and include the following information for each:
Citations (or descriptions if no formal citations)
Working Papers (Job Market Papers) INSTRUCTIONAL TEXT FOR EEP: Please skip the section on working papers. Working paper entries will not be reviewed
Please enter all working papers (job market papers) in the same entry; do not create a separate entry for each working paper.
In the Details box below, please list all working papers (job market papers) and include the following information for each:
Titles
Abstracts
Grants
Please enter all grants in the same entry; do not create a separate entry for each grant.
In the Details box below, please list all grants and include the following information for each:
Titles
Your roles
Dates awarded
Funding agencies
Amounts awarded
Research Grants
Please enter all research grants in the same entry; do not create a separate entry for each research grant.
In the Details text box below, please list all competitive research grants and include the following for each:
Titles
Your roles
Dates awarded
Funding agencies
Amounts awarded
Abstracts
Honors or Awards
Please enter all honors and awards in the same entry; do not create a separate entry for each honor/award.
In the Details box below, please list all honors or awards and include the following information for each:
Names of Organizations Bestowing
Names of honors or awards
Types
Dates awarded
Table 10.3-a. Detail Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Details: |
Open text response |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
11 Personal Statement
11.1 All Fellowships except FLIGHT
INSTRUCTIONAL TEXT
Answer the following questions in 300 words or less for each:
Figure 11.1-a. Personal Statement Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
|||||||||
What influenced you to consider a career in public health service? |
Open text response |
Yes |
Yes |
No |
Yes |
No |
Yes |
Yes |
No |
Yes |
No |
|||||||||
Describe how this fellowship/program will help you achieve your goals. |
Open text response |
Yes |
Yes |
No |
Yes |
Yes |
No |
Yes |
No |
Yes |
Yes |
|||||||||
What are your goals and how will this program help you achieve your goals? |
Open text response |
No |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
No |
|||||||||
Describe your greatest professional challenge so far and how you overcame it. |
Multi-line text |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
|||||||||
Describe your use of economic or decision-analytic methods. What methods would you like to learn more about? |
Multi-line text |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
|||||||||
Why are you interested in this fellowship/program? |
Open text response |
No |
No |
No |
No |
No |
No |
Yes |
Yes |
Yes |
No |
|||||||||
What makes you a good candidate for this fellowship/program? |
Open text response |
No |
No |
No |
No |
No |
No |
Yes |
Yes |
Yes |
No |
|||||||||
Why do you want to join the CDC? |
Open text response |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
|||||||||
How do your values align with the core CDC values? |
Open text response |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
|||||||||
Understanding that there are different topical and geographical assignments, in which do you prefer to work and why? |
Open text response |
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
No |
|||||||||
How do you anticipate using the concepts and skills learned in this fellowship/program? Be as specific as possible. |
Open text response |
No |
No |
No |
No |
Yes |
No |
Yes |
Yes |
No |
No |
|||||||||
Describe the two most important skills you want to develop or improve during this program. |
Open text response |
No |
Yes |
No |
No |
No |
No |
No |
Yes |
No |
Yes |
|||||||||
What do you believe currently exists at your organization to facilitate e-learning development? |
Open text response |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
|||||||||
Describe your proficiency using e-learning software. Include the authoring tool/s used at your current organization. |
Open text response |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
|||||||||
What is your experience incorporating new content into your curricula? Please provide at least one example. |
Open text response |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
|||||||||
Describe your experience related to data management and analysis, including the use of statistical software packages such as Excel, SAS, STATA, R, or Epi Info. Please provide specific examples. Note that this question will be used to assist the program with matching applicants to appropriate host sites. |
Open text response |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
|||||||||
Are you a re-applicant for LLS? |
Check box response |
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
|||||||||
For re-applicants: When did you apply and what has changed since your last application? |
Open text response |
Yes |
Yes |
No |
Yes |
No |
No |
No |
No |
No |
No |
|||||||||
Please describe what qualifies you for the CDC Evaluation Fellowship Program |
Open Text Response |
No |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
|||||||||
Instructional text: Be specific, although titles for all courses are not necessary. A list is acceptable. |
||||||||||||||||||||
Briefly provide some information on your formal training (classroom or otherwise) where all or part of the focus was on program evaluation approaches, methods, techniques, etc.
|
Open Text Response |
No |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
|||||||||
Instructional text: The diverse representation is more than demographics (e.g., age, sex, gender, race, culture) as it can include different disciplines, personalities, types of organizations, etc. This experience does not have to be specific to a project or to evaluation. |
||||||||||||||||||||
Briefly describe up to three program evaluation projects you worked on. Please include your role in the project, evaluation approach and methods used, and outcomes or impact of the project.
|
Open Text Response |
No |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
|||||||||
Please describe your lived experience and/or experience working in a setting (e.g., work environment or situation), collaboration, or context where there is diverse representation in perspectives, background, and/or culture. Please describe how the environment, situation, or context is diverse and your approach to bringing different people, perspectives, and background together. Please describe how you may have considered for diversity, equity, belonging, inclusion, and accessibility (DEBIA).
|
Open Text Response |
No |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
|||||||||
Would you accept an assignment in an urban area? |
No |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
|||||||||
Would you accept an assignment in a US territory? |
No |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
|||||||||
When considering geographic preference and subject area preference, which is more important for matching if there is an option? |
No |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
|||||||||
11.2 FLIGHT
Table 11.2-a. FLIGHT Personal Statement Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
1. Tell us the characteristics, skills, and abilities that make you the best candidate for this scientific leadership program. |
Open text response |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
2. Tell us what the two most important skills you want to develop or improve after finishing EIS. |
Open text response |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
3. Elaborate on your most significant accomplishment during your EIS fellowship. |
Open text response |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
4. Describe the biggest challenge you faced during EIS, and how you overcame that challenge. |
Open text response |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
5. Tell us your career goals after graduating from this leadership program, and how this leadership program will help you achieve them. |
Open text response |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
11.3 Location Preferences
Table 11.3-a. Location Preference Fields
Note: a specific geographical and/or topical assignment is not guaranteed
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
What is your preference for location of assignment? |
1.
I am only interested in CDC Headquarters assignments. |
Yes |
Yes |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
To which states or territories would you be willing to relocate for the duration of the 2-year EIS fellowship?” |
Yes |
No |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
|
Do you have geographic constraints on where you can relocate for your fellowship/program? |
1.
Yes |
Yes |
Yes |
No |
No |
No |
Yes |
Yes |
No |
Yes |
No |
Please explain: |
Open text response |
Yes |
Yes |
No |
Yes |
No |
Yes |
Yes |
No |
Yes |
No |
11.4 CDC Fellowship Participation
Table 11.4-a. CDC Fellowship Participation Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Have you participated in any CDC fellowship programs? |
1.
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
Yes |
Please select all CDC fellowships that you have participated in: |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
|
Other (Specify): |
Open Text Response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
12.1 SLOR Requests
12.1.1 Starting a SLOR Request
INSTRUCTIONAL TEXT:
Letters of Recommendation
Action Required
You need to have a minimum of 1 item in this list in order to submit your entry [Export .CSV] [Add New Item]
LLS: Once the number of Letters of Recommendation is greater than the application maximum, you will be able to delete one.
INSTRUCTIONAL TEXT FOR LLS:
Identify two people who can provide recommendations on your behalf using our standardized online form.
Select 2 individuals who have served in a supervisory or mentoring role and are familiar with your academic achievements, aspirations, personal qualities, and professional attributes. These individuals should provide recommendations specific to your LLS fellowship application.
Avoid requesting letters from colleagues or friends. Recommendations must be written in English.
Request/confirm their email address.
Tell recommendation writers to expect a system-generated email from [email protected] with instructions for electronically submitting their responses to questions in a standardized recommendation form.
One of the two standardized letters of recommendation must be from persons who are not currently employed at the CDC.
Table 12.1.2-a. LOR Request Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Recommender's Full Name: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Organization: |
Open text response |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Job Title: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Dean of Medical School? |
1. Yes |
Yes |
No |
No |
No |
No |
Yes |
Yes |
No |
Yes |
Yes |
Phone: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Email: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Relationship to you: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Note to the recommender: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
You confirm that your supervisor is aware and in support of your application to this fellowship? |
1. Yes, I confirm |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
Yes |
You confirm that your supervisor is aware that the deliverable of this fellowship is an e-learning product that takes less than 20 minutes to complete and that your product must be submitted at the end of the fellowship and listed on the TRAIN network? |
1. Yes, I confirm |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
Yes |
Letter of Recommendation Waiver Agreement: |
1. "In order to be considered for the fellowship program, I agree to waive my right to view any recommendations submitted for me." |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
By selecting the option below, you confirm that the application information given in this form is true, complete, and accurate. Three standardized letters of recommendation are required from persons familiar with your academic achievements, aspirations, personal qualities, and professional attributes. Two of the standardized letters of recommendation must be from persons who are not currently employed at the CDC. If you are currently employed at CDC, you may request a fourth letter if, in addition to 2 letters from non-CDC employees, you would like to submit 2 letters from current CDC employees.
-Recommenders should typically be current or former supervisors or professors. Avoid requesting letters from colleagues or friends. -Recommendations must be written in English. -Let recommenders know you are requesting a recommendation and tell them to expect an email with a link to the online form that they should use to complete the standardized letter of recommendation. Traditional narrative letters of recommendation and MSPE (Dean’s letter format) are not accepted.
|
Open text response |
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
12.2 System Emails to Letter Writers
12.3 Letters of Recommendation
12.3.1 Section A
INSTRUCTIONAL TEXT:
Provide as much relevant detail as you can for each response
Figure 12.3.1-a. Section A Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Name of person submitting the recommendation form: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
|
Title of person submitting the recommendation form: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Organization name: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Phone number: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Email: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Number of persons with similar background to the candidate that you supervised over last 5 years: |
1.
<= 1 |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Name of person for whom this recommendation is being submitted: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
In what role are you providing this reference? |
1.
Supervisor |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Explain: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
How long have you known the candidate? |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Describe your role working or collaborating with this person: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
On average, how often have you worked with, or do you work with, the candidate (For example: average of 5 days per week over the past 6 months, or occasional interaction over the past 10 years). |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
12.3.2 Section B
Table 12.3.2-a. Section B Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Compared with other similar individuals at similar points in their careers, how do you rank this candidate at developing effective working relationships with a variety of different people? |
1. Below average (Bottom 50%) 2. Average (50% to 75%) 3. Above Average (Top 25%) 4. Excellent (Top 10%) 5. Superior (Top 2%) 6. Not able to judge |
Yes |
Yes |
No |
Yes |
Yes |
No |
No |
Yes |
Yes |
Yes |
Please provide an example(s) about this candidate’s experience developing effective working relationships, e.g., with internal or external partners, team members, or state/local health professionals. |
Open text response |
Yes |
Yes |
No |
No |
No |
Yes |
Yes |
Yes |
Yes |
Yes |
Compared with other similar individuals at similar points in their careers, how do you rank this candidate at managing tasks or projects? |
1. Below average (Bottom 50%) 2. Average (50% to 75%) 3. Above Average (Top 25%) 4. Excellent (Top 10%) 5. Superior (Top 2%) 6. Not able to judge |
No |
Yes |
No |
Yes |
No |
No |
No |
Yes |
Yes |
Yes |
Please provide an example that describes the effectiveness of task or project management, e.g., was management of tasks and projects timely, complete, and responsive. |
Open text response |
No |
No |
No |
No |
No |
Yes |
Yes |
Yes |
Yes |
Yes |
Table 12.3.2-b. Section B Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Compared with other similar individuals at similar points in their careers, how do you rank this candidate at effectively prioritizing efforts? |
1. Below average (Bottom 50%) 2. Average (50% to 75%) 3. Above Average (Top 25%) 4. Excellent (Top 10%) 5. Superior (Top 2%) 6. Not able to judge |
Yes |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
Please provide an example that describes the effective prioritization of efforts, e.g., could this candidate identify and act on the most important tasks first? |
Open text response |
Yes |
No |
No |
No |
No |
No |
Yes |
Yes |
No |
No |
Compared with other similar individuals at similar points in their careers, how do you rank this candidate’s ability to take initiative? |
1. Below average (Bottom 50%) 2. Average (50% to 75%) 3. Above Average (Top 25%) 4. Excellent (Top 10%) 5. Superior (Top 2%) 6. Not able to judge |
Yes |
Yes |
No |
Yes |
Yes |
No |
No |
No |
Yes |
Yes |
Please provide an example that describes the candidate’s ability to take initiative, e.g., did this person actively seek to identify issues and address them without being told? |
Open text response |
Yes |
Yes |
No |
No |
No |
No |
Yes |
No |
Yes |
Yes |
Compared with other similar individuals at similar points in their careers, how well did this candidate respond to constructive feedback? va |
1. Below average (Bottom 50%) 2. Average (50% to 75%) 3. Above Average (Top 25%) 4. Excellent (Top 10%) 5. Superior (Top 2%) 6. Not able to judge |
Yes |
Yes |
No |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
Please provide an example(s) of how the candidate responded to constructive feedback. This could include feedback on e.g., their performance, behavior, or scientific work. |
Open text response |
Yes |
Yes |
No |
No |
No |
No |
Yes |
Yes |
Yes |
Yes |
Table 12.3.2-c. Section B Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Compared with other similar individuals at similar points in their careers, how do you rank the candidate’s knowledge of health data, methods, and analytics? |
1. Below average (Bottom 50%) 2. Average (50% to 75%) 3. Above Average (Top 25%) 4. Excellent (Top 10%) 5. Superior (Top 2%) 6. Not able to judge |
No |
No |
No |
Yes |
No |
No |
Yes |
No |
No |
No |
Please provide an example(s) of the candidate’s knowledge of health data, methods, and analytics. |
Open text response |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
Compared with other similar individuals at similar points in their careers, how do you rank the candidate’s flexibility and resilience? |
1. Below average (Bottom 50%) 2. Average (50% to 75%) 3. Above Average (Top 25%) 4. Excellent (Top 10%) 5. Superior (Top 2%) 6. Not able to judge |
No |
No |
No |
Yes |
No |
No |
Yes |
No |
Yes |
No |
Please provide an example(s) of the candidate’s flexibility and resilience. |
Open text response |
No |
No |
No |
No |
No |
No |
Yes |
No |
Yes |
No |
Compared with other similar individuals at similar points in their careers, how do you rank the candidate’s self-advocacy? |
1. Below average (Bottom 50%) 2. Average (50% to 75%) 3. Above Average (Top 25%) 4. Excellent (Top 10%) 5. Superior (Top 2%) 6. Not able to judge |
No |
No |
No |
Yes |
No |
No |
Yes |
No |
No |
No |
Please provide an example(s) when the candidate advocated successfully on behalf of themselves and their work. |
Open text response |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
Do you have any concerns about this applicant and their potential performance in this fellowship/program? |
Open text response
|
Yes |
Yes |
No |
No |
No |
No |
Yes |
No |
Yes |
Yes |
Explain the strongest reason/s that we should consider for selecting this candidate. |
Open text response |
No |
No |
No |
No |
No |
No |
Yes |
No |
Yes |
No |
Table 12.3.2-b. PHAP Section B Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Compared with other similar individuals at similar points in their careers, how do you rank the candidate’s integrity? |
1. Below average (Bottom 50%) 2. Average (50% to 75%) 3. Above Average (Top 25%) 4. Excellent (Top 10%) 5. Superior (Top 2%) 6. Not able to judge |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
Please provide an example(s) that describes his/her integrity, e.g., demonstration of honesty and candor, or witnessed an instance where the candidate lied to avoid or delay consequences.
|
- |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
No |
Table 12.3.3-a. Section C Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
As a candidate for this fellowship/program, I consider the applicant: |
1.
Not suitable
|
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
As a candidate for this fellowship/program, I consider the applicant: |
1.
Not suitable 5. Most suitable ever |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Please describe the specific skills and attributes of the candidate that make them suitable for this fellowship/program: |
Open text response |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Please provide any additional comments you would like to share that have not been captured by the form: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Enter your initials: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Enter today's date: |
Open text response |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
13. Final Application Sections
13.1 Self-Assessment of Skills
13.1.1 PHIFP
Table 13.1.1-a. PHIFP Self-Assessment of Skills Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
1. Data Sciences (Wrangling, Cleansing, Modeling, Analytics): |
1.
Novice |
No |
No |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
Data Sciences Experience: |
Open text response |
No |
No |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
2. Data Science Methods (e.g. machine learning, NLP, deep learning): |
1.
Novice |
No |
No |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
Data Science Methods Experience: |
Open text response |
No |
No |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
3. DataViz (Storytelling using Data, DataViz methods and tools, Dashboard design): |
1.
Novice |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
DataViz Experience: |
Open text response |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
4. Database Design and Development (Big Data, data modeling, information retrieval): |
1.
Novice |
No |
No |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
Database Design and Development Experience: |
Open text response |
No |
No |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
5. Programming Languages and Scripting (Python, R, C, C++, Java, Scala, C#, JavaScript, PHP): |
1.
Novice |
No |
No |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
Programming Languages and Scripting Experience: |
Open text response |
No |
No |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
6. Distributed Computing (Cloud Computing, Grid computing): |
1.
Novice |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
Distributed Computing Experience: |
Open text response |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
Table 13.1.1-d. PHIFP Self-Assessment of Skills Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
7. Design Thinking (UI design, Prototyping, Human Computer Interaction): |
1.
Novice |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
Design Thinking Experience: |
Open text response |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
8. Systems Engineering (Concept Development, Requirements Engineering, System Architecture, System Design and Development, Systems Integration, Testing, Implementation, Compliance tracking and Certification): |
1.
Novice |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
Systems Engineering Experience: |
Open text response |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
9. Project Management (Project Scoping, Risk Management, Project Management tools): |
1.
Novice |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
Project Management Experience: |
Open text response |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
10. Data Exchange and Interoperability (Data and Systems standards, HL7, LOINC, SNOMED, Vocabulary Standards, Concept Dictionaries, Ontologies): |
1.
Novice |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
Data Exchange and Interoperability Experience: |
Open text response |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
11. Public Health Information Systems (Clinical/PH decision support systems, Electronic Health Records, outbreak management systems, surveillance systems; ODK, DHIS2, REDCap, GIS, EpiInfo): |
1.
Novice |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
Public Health Information Systems Experience: |
Open text response |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
12. Emerging Technologies (Blockchain and Distributed Ledger Technologies, Artificial Intelligence, Sensor Technologies): |
1.
Novice |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
Emerging Technologies Experience: |
Open text response |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
No |
13.1.2 PE
INSTRUCTIONAL
TEXT:
This section is to determine your skills level and
experience with various software applications and data sets that are
routinely used in health research.
Table 13.1.2-a. PE Self-Assessment of Skills Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
STATA: |
1.
Novice |
No |
No |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
SAS: |
1.
Novice |
No |
No |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
R: |
1.
Novice |
No |
No |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
MATLAB: |
1.
Novice |
No |
No |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
Excel: |
1.
Novice |
No |
No |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
Table 13.1.2-b. PE Self-Assessment of Skills Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Instructions: If desired, list up to three additional software applications (i.e., DataViz, GIS, etc.) that you routinely use in health research and indicate your level of experience with each software. |
|
|
|
|
|
|
Yes |
|
|
|
No |
Other Software #1: |
|
|
|
|
|
|
Yes |
Yes |
|
|
No |
Other Software #1 Skill Level: |
1.
Novice |
No |
No |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
Other Software #2: |
Open text response |
No |
No |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
Other Software #2 Skill Level: |
1.
Novice |
No |
No |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
Other Software #3: |
Open text response |
No |
No |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
Other Software #3 Skill Level: |
1.
Novice |
No |
No |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
Figure 13.1.2-c. PE Self-Assessment of Skills Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
List the data sets where you have Competent, Proficient, or Expert experience and indicate your level experience for each. (Competent, Proficient, or Expert): |
Open text response |
No |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
13.2 Applicant Survey
Table 13.2-a. Applicant Survey Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Do you want to proceed? |
1. Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
How did you find out about the Fellowship? (Select all that apply) *Include an open-ended box that asks to please specify |
1.Word of Mouth (e.g., professor, mentor, supervisor, fellow, alumni) 2.Social Media (e.g., Facebook, LinkedIn, Instagram, Twitter, YouTube) 3.Internet search for job or fellowship opportunities 4.Job search platform (e.g., Handshake, Indeed, JOE, USAJobs, INFORMS) 5.Digital media advertisement (online ad clicked on for more information) 6.Newsletter or Email Listserv 7.Print or News Media (e.g. news sources, books, journals) 8.Other (specify) |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Which of the following most influenced you to apply to this fellowship? (select up to 3) |
Which of the following most influenced you to apply to this fellowship? (select up to 3) Handshake (e.g., job posting, fellow/alumni ambassador) Other job search platform (e.g., Indeed, ZipRecruiter, Job Openings for Economists) In-person event (e.g., conference booth) News advertising (e.g., online ad, news media) Newsletter or email listserv (e.g., from CDC, your university, professional organization) Social Media (e.g., Facebook, LinkedIn, Instagram, Twitter, YouTube) Webinar or other virtual event (e.g., information session, alumni panel) Word of mouth (e.g., from current or former fellow, professor, supervisor) Other (please specify)
|
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Specify: |
Open text response |
Yes |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
How did you connect with the person who told you about the fellowship by word of mouth? (Select all that apply) *Include an open-ended box that asks to please specify *If they selected word of mouth from 13.2.a question above. |
1.Handshake (e.g., webinar, email, fellowship ambassador) 2.University event, webinar, presentation 3.CDC event, webinar, presentation, booth 4.Other event, webinar, presentation (specify) 5.Professional or academic setting (e.g., professor, mentor/supervisor, colleague) 6.Other (specify) |
No |
No |
Yes |
No |
No |
Yes |
Yes |
Yes |
No |
No |
Specify: Note to admin: Only to be used if 4 or 6 are chosen in previous question |
Open text response |
No |
No |
Yes |
No |
No |
Yes |
Yes |
Yes |
Yes |
No |
On what job search platform did you find out about the fellowships? *Only if job search platform is selected from question 13.2.a. |
1.Handshake 2.Indeed 3.JOE (Job Openings for Economists 4.USAJobs 5.INFORMS 6.Other (specify) |
No |
No |
Yes |
No |
No |
Yes |
Yes |
Yes |
Yes |
No |
Specify: Note to admin: If previous response was 6 |
Open text response |
No |
No |
Yes |
No |
No |
Yes |
Yes |
Yes |
Yes |
No |
What other opportunities (e.g. jobs, fellowships) are you considering? |
Open text response |
Yes |
No |
Yes |
No |
No |
Yes |
Yes |
Yes |
Yes |
No |
Are you applying to the EIS-IDSA Fellowship? |
|
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
No |
If yes, which infections disease fellowships are you applying to? |
Open Text Response |
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
No |
Q. Will the US Military or other federal agency provide complete financial support for your 2-year fellowship period?
If YES, Please provide the name of the service and the contact information of the person who can confirm you have received approval to participate in EIS. |
|
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
No |
Name of Service |
Open Text Response |
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
No |
Contact Information |
Open Text Response |
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
No |
Table 13.2-b. LLS Applicant Survey Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
What would make the LLS program more attractive to you? (select all that apply) |
1. A longer fellowship term (e.g., 3 years) 2. A fellowship term that includes time spent at both a field (state or local lab) and CDC headquarters host site laboratory 3. Field experiences that require extended (e.g., 3 to 6 months) stays away from the host site laboratory (e.g., outside Atlanta if hosted at CDC headquarters) 4. Nothing 5. Other, please explain ___________. |
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
Figure 13.2-b. Applicant Survey Fields – My Demographics
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
New Instructional Text: Your response is voluntary, confidential and will be used to enhance the federal government’s understanding of its fellowship programs. This information will not influence selection for the fellowship.
|
|
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
What is your Ethnicity?
|
-- Hispanic or Latino -- Not Hispanic or Latino |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
What is your Race? (select all that apply):
|
-- American Indian or Alaska Native -- Asian -- Black or African American -- Native Hawaiian or Other Pacific Islander -- White |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
INSTRUCTIONAL TEXT:
Please complete this section as honestly as possible. Finalists are matched to a rotation and project assignment based on these preferences and selected to participate in the program upon acceptance of this match. If the finalist does not accept the match, there is no guarantee of a second match or selection to the program.
Rotation Preference:
Rotation A: January 13- February 21
Rotation B: January 13- March 7
Rotation C: March 24- May 2
Rotation D: March 24- May 16
Dates change each year
Table 13.3.1-a. Rotation Preference Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Rotation A: |
1.
Yes |
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
Rotation B: |
1.
Yes |
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
Rotation C: |
1.
Yes |
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
Rotation D: |
1.
Yes |
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
13.3.2 Topic & Subject Areas
Table 13.3.2-a. Topic & Subject Area Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Topic Area(s) Preference: |
1. Obesity, nutrition, and physical activity 2. Cancer prevention and control 3. Diabetes 4. Heart disease and stroke prevention 5. Tobacco prevention and cessation 6. Other chronic disease 7. Emergency preparedness and response 8. Asthma and air pollution 9. Environmental health 10. Immunizations/vaccine preventable disease 11. Influenza 12. HIV/AIDS, or Tuberculosis 13. STD prevention 14. Viral hepatitis 15. Foodborne diseases 16. Waterborne diseases 17. Vectorborne diseases 18. Fungal Diseases 19. One Health and zoonotic disease 20. Arctic Investigations (Alaska) 21. Healthcare-associated infections 22. Quarantine and border health services 23. Unintentional injury 24. Opioid/prescription drug overdose prevention 25. Occupational health and safety 26. Violence Prevention 27. Reproductive Health 28. Maternal and infant health 29. Blood Disorders 30. Health statistics 31. State, local, tribal, and territorial health 32. Global health 33. COVID-19 34. Select all
|
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
Table 13.3.2-b. Topic & Subject Area Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Project Type Preference: |
1.
Data collection |
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
|
|
No |
No |
No |
No |
No |
No |
No |
No |
No |
No |
13.3.3 Location Preferences
Table 13.3.3-a. Location Preference Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
What is your preference for the location of your project assignment? (Select all that apply) |
1.
CDC headquarters or Atlanta regional campuses (Atlanta,
Georgia) 3. Other Federal Agencies 4. State, local, tribal or territorial health departments 5. CDC Country Office (Remote)
|
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
Other CDC Regional Campuses (Select all that apply): |
1. Anchorage, Alaska 2. Ft. Collins, Colorado 3. San Juan, Puerto Rico 4. Hyattsville, Maryland 5. Morgantown, West Virginia 6. Cincinnati, Ohio 7. Pittsburgh, Pennsylvania 8. Spokane, Washington 9. Denver, Colorado 10. Durham, North Carolina 11. Washington, DC 12. I am open to locations not listed above
|
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
Other Federal Agencies (Select all that apply): |
|
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
State, local, tribal, or territorial health departments (Select all that apply): |
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
|
What type of work settings are you open to? (select all that apply, please note that the EEP program cannot guarantee a specific work setting): |
Hybrid (at least 3 consecutive weeks in person with telework option, remaining time remote) |
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
13.5 EIS CIO Assignment Interests
INSTRUCTIONAL TEXT:
From the list below, indicate the CDC Centers, Institute, or Offices (CIOs) whose areas of work are of most interest to you with 1 being your top choice. If you are selected to interview we will use these preferences to schedule your interviewers. Please note that selection of CIOs does not guarantee an interview.
Table 13.5-a. EIS CIO Assignment Interests
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
1st CDC Centers, Institute, Offices (CIOs): |
1.
Center for Global Health |
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
No |
2nd CDC Centers, Institute, Offices (CIOs): |
1.
Center for Global Health |
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
No |
3rd CDC Centers, Institute, Offices (CIOs): |
1.
Center for Global Health |
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
No |
EIS CIO Assignment Interests
|
1. Are you applying as a sponsored candidate by a branch of the military? Yes/No. 2. If yes, specify (text box) |
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
No |
EIS CIO Assignment Interests |
By selecting the option below, you confirm that the application information given in this form is true, complete, and accurate. |
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
No |
INSTRUCTIONAL TEXT
By selecting the option below, you confirm that the application information given in this form is true, complete, and accurate. Three standardized letters of recommendation are required from persons familiar with your academic achievements, aspirations, personal qualities, and professional attributes.
Two of the standardized letters of recommendation must be from persons who are not currently employed at the CDC.
If you are currently employed at CDC, you may request a fourth letter if, in addition to 2 letters from non-CDC employees, you would like to submit 2 letters from current CDC employees.
-Recommenders should typically be current or former supervisors or professors. Avoid requesting letters from colleagues or friends.
-Recommendations must be written in English.
-Let recommenders know you are requesting a recommendation and tell them to expect an email with a link to the online form that they should use to complete the standardized letter of recommendation.
-Traditional narrative letters of recommendation and MSPE (Dean’s letter format) are not accepted.
13.6. Writing Samples
13.6.1 EIS Writing Samples
INSTRUCTIONAL TEXT:
Instructions:
You have 30 minutes to complete this Writing Assessment. The moderator will let you know when 5 minutes and 1 minute remain.
Below is the list of EIS Core Activities of Learning, or CALs, which EIS officers must complete over the course of the fellowship.
EIS Core Activities of Learning (CALs):
CAL 1: Conduct or participate in a field investigation of a potentially serious public health problem that requires a timely response.
CAL 2: Design, conduct, and interpret an epidemiologic analysis
CAL 3: Evaluate a public health surveillance system
CAL 4: Given an in-depth public health talk on the officer’s original work or in their field of study
CAL 5: Give a 5-15 minute oral presentation to a scientific audience
CAL 6: Write a scientific manuscript for a peer-reviewed journal
CAL 7: Write a concise public health update communicating timely information
CAL 8: Write a scientific abstract
CAL 9: Communicate complex scientific concepts to a lay audience
CAL 10: Provide service to the agency (health department or CDC)
Write an email to your supervisor, Dr. Lee, to summarize a professional development goal for the first 6 months of your fellowship. To do this, please select at least one CAL, discuss why you want to focus on this activity, and describe how this activity will help to meet your professional goals.
Table 13.6.1-a. EIS Writing Sample Fields
Field |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Instructional text (writing sample) will change each year. FMS OMB Writing Sample Module includes writing sample options. |
Open text response |
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
No |
I affirm that I have not given or received any unauthorized help on this Writing Assessment, and that this work is my own. |
|
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
No |
14.1 Match or Prematch Rank/Rating Form
NEW SECTION 14.1a Interview Form for EIS
Field Name |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Are you planning to attend EIS interviews? You will receive your scheduled interview date by XXX.
|
1. Yes 2. No |
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
No |
If no, reason for decline: |
Open Text Response |
Yes |
|
|
|
|
|
|
|
|
No |
You may be contacted for an EIS interview day. You may be contacted for an EIS interview day. {Interview day information}. Please indicate your top 5 preferred interview dates. Please indicate if you are available for the following interview dates by checking the box. Please select all that apply (at least 5)
|
Interview Date A
|
Yes |
|
|
|
|
|
|
|
|
No |
Please provide a phone number where you can be reached on your interview day. |
Open Text Response |
Yes |
|
|
|
|
|
|
|
|
No |
Table 14.1b General Deferment
Field Name |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
[REASON FOR DEFERMENT] I can no longer participate. Please explain or specify. |
Open text response |
Yes |
Yes |
No |
Yes |
Yes |
No |
No |
No |
No |
No |
Table 14.2 Match or Prematch Rank/Rating Form Fields
Field Name |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Rank: |
First Choice - Tenth Choice |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
Yes |
No |
Yes |
No |
Post Match Rank: |
First Choice - Tenth Choice |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
Yes |
No |
Yes |
No |
Rating: |
First Choice - Tenth Choice |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
Yes |
No |
Yes |
No |
Comments: |
Open text response |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
Yes |
No |
Yes |
No |
Table 14.3 Match or Prematch Rank/Rating Form Fields
Field Name |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
Do you informally accept the tentative match with the assignment indicated above? |
1.
Accept |
No |
Yes |
Yes |
Yes |
No |
Yes |
Yes |
No |
Yes |
No |
Reason for match decline? |
- |
No |
Yes |
Yes |
Yes |
No |
Yes |
Yes |
No |
Yes |
No |
Do you informally accept the tentative prematch with the assignment indicated above? |
1.
Accept |
No |
Yes |
Yes |
No |
No |
Yes |
Yes |
No |
Yes |
No |
Reason for pre-match decline? |
- |
No |
Yes |
Yes |
No |
No |
Yes |
Yes |
No |
Yes |
No |
15. Selection Status Acceptance Form
Table 15. Selection Status Acceptance Form
Field Name |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
1. Do you want to continue with the selection process?
2. Reason for Decline (if decline was selected in #1)
|
1.
Accept |
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
No |
Do you informally accept the tentative match with the assignment indicated above? (accept/decline)
|
|
No |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Reason for match decline? |
Open Text Response |
No |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Do you informally accept the tentative prematch with the assignment indicated above? (accept/decline)
|
|
No |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Reason for pre-match decline? |
Open Text Response |
No |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Contact Information Confirmation You can view and update your contact information in the EIS Fellowship Application Portal under Applicant Profile. We will be using this information to contact you regarding application status and match.
3.Information about this year’s Prematch sites was sent to you via email.**Expressing interest in a Prematch site does not guarantee a Prematch.**
4. Are you interested in Prematching? (Yes/No)
Please rank your interest in the following prematch sites. Be sure to review the Prematch Position Description information and book sent via email.
Dropdown for host sites with response options (0=No Interest; 1=Low Interest; 2=Moderate Interest; 3=High Interest
|
1. The email listed on my profile form is accurate and accessible for the next 6 months. (Yes)
2. The phone number(s) listed on my profile form are accurate and accessible for the next 6 months. (Yes)
|
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
No |
INSTRUCTIONAL TEXT: Contact Information Confirmation You can view and update your contact information in the EEP Fellowship Application Portal under Applicant Profile. We will be using this information to contact you regarding application status and match. |
n/a |
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
1. The email listed on my profile form is accurate and accessible for the next 6 months. |
1. Yes 2. No |
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
2. The phone number(s) listed on my profile form are accurate and accessible for the next 6 months. |
1. Yes 2. No |
No |
No |
No |
Yes |
No |
No |
No |
No |
No |
No |
16. EIS Conference Interview Time Selection Form
Table 16. EIS Conference Interview Time Selection Form
Field Name |
Values |
EIS |
LLS |
FLIGHT |
EEP |
SAF |
PHIFP |
PE |
ELI |
PHAP |
EFP |
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Appendix
Appendix of Field Value Tables
Field Name |
Application Locations |
Values 1 |
Values 2 |
Values 3 |
Values 4 |
State Sponsor of Terrorism Country List |
See the U.S. Department of State website for current list: https://www.state.gov/j/ct/list/c14151.htm |
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Approved Country List |
Afghanistan Albania Algeria American Samoa (U.S.) Andorra Angola Anguilla (U.K.) Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Azores Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda (U.K.) Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Indian Ocean Territory (U.K.) British Virgin Islands Brunei Bulgaria Burkina Faso Burma (Myanmar) Burundi Cambodia Cameroon Canada Canary Islands (Spain) Cape Verde Cayman Islands (U.K.) Central African Republic Chad Chile China Christmas Island (Australia) Cocos (Keeling) Islands (Australia) Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Cook Islands (New Zealand) Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Easter Island (Chile) Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Falkland Islands (U.K.) Faroe Islands (Denmark) Fiji Finland France French Guiana (France) French Polynesia (France) Gabon Gambia, The Georgia Germany Ghana Gibraltar (U.K.) Greece Greenland (Denmark) Grenada Guadeloupe Guatemala Guinea Guinea-Bissau Guyana Guam Haiti Honduras Hong Kong SAR (China) Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau SAR (China) Macedonia Madagascar Madeira Islands (Portugal) Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique (France) Mauritania Mauritius Mayotte (France) Mexico Moldova Monaco Mongolia Montenegro Montserrat (U.K.) Morocco Mozambique Namibia Nauru Nepal Netherlands Antilles Netherlands, The New Caledonia (France) New Zealand Nicaragua Niger Nigeria Niue (New Zealand) Northern Mariana Islands (U.S. National) Northfolk Island (Australia) Norway Oman Other Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands (U.K.) Poland Portugal Qatar Reunion (France) Romania Russia Rwanda Saint Helena (U.K.) Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon (France) Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste (East Timor) Togo Tokelau (New Zealand) Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands (U.K.) Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Western Sahara Yemen Zambia Zimbabwe |
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PHAP Subject Areas |
1. Obesity, nutrition, and physical activity 2. Cancer prevention and control 3. Diabetes 4. Heart disease and stroke prevention 5. Tobacco prevention and cessation 6. Other chronic disease 7. Emergency preparedness and response 8. Asthma and air pollution 9. Environmental health 10. Immunizations/vaccine preventable disease 11. Influenza 12. HIV/AIDS, or Tuberculosis 13. STD prevention 14. Viral hepatitis 15. Foodborne diseases 16. Waterborne diseases 17. Vectorborne diseases 18. Fungal Diseases 19. One Health and zoonotic disease 20. Arctic Investigations (Alaska) 21. Healthcare-associated infections 22. Quarantine and border health services 23. Unintentional injury 24. Opioid/prescription drug overdose prevention 25. Occupational health and safety 26. Violence Prevention 27. Reproductive Health 28. Maternal and infant health 29. Blood Disorders 30. Health statistics 31. State, local, and territorial health 32. Global health 33. COVID-19 34. Other (specify) |
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Undergraduate Degree List |
AB AM BA BS BS/BA BSc DAT DDS DHS DHSc DMD DNP DNS DNSc DO DPH DPhil DPT DrPH DrS DrSc DSW DVM EdD EdS MA MAE MAEd MAT MBA MD MEd MHA MHS MHSc MHSE MMS MMSc MN MOT MPA MPAS MPH MPhil MPHTM MPVM MS MSc MScPH MSEd MSN MSPH MSVPH MSW MTM&H OTD Other PharmD PhD PsyD SB SB ScB ScB ScD ScM SM VMD Other
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Graduate Degree List |
AB AM BA BS BS/BA BSc DAT DDS DHS DHSc DMD DNP DNS DNSc DO DPH DPhil DPT DrPH DrS DrSc DSW DVM EdD EdS MA MAE MAEd MAT MBA MD MEd MHA MHS MHSc MHSE MMS MMSc MN MOT MPA MPAS MPH MPhil MPHTM MPVM MS MSc MScPH MSEd MSN MSPH MSVPH MSW MTM&H OTD Other PharmD PhD PsyD SB SB ScB ScB ScD ScM SM VMD Other |
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Major Classification List |
Biological, biomedical, or animal sciences Business, management Community health, public health Decision or quantitative sciences Economics (agricultural, applied, health) Engineering, industrial engineering, operations research Environmental, occupational sciences Epidemiology Global, international health Health education Informatics (public health, clinical, nursing) Health services administration, health policy analysis Health services research, quantitative policy analysis Information technology, information science, computer science Liberal arts, general studies, humanities, language, literature Maternal and child health Mathematical sciences, statistics, biostatistics Physical or chemical sciences Political science, law Public administration, policy analysis Social/behavior science (anthropology, social work, psychology) Other
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Honor List |
Magna Cum Laude Summa Cum Laude Cum Laude Valedictorian Benedictorian Salutatorian Phi Beta Kappa Other (specify)
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State/Territory List |
Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Washington, DC Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska |
Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Pacific Islands U.S. Virgin Islands American Samoa
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CDC Fellowship List |
NEW FELLOWSHIP LIST: APHL-CDC Antimicrobial Laboratory Resistance Fellowship APHL-CDC Career Pathways in Public Health Laboratory Science: Public Health Laboratory Fellowship APHL-CDC Environmental Public Health Fellowship APHL-CDC Infectious Diseases Bioinformatics Fellowship Program APHL-CDC Infectious Diseases Laboratory Fellowship APHL-CDC Newborn Screening Bioinformatics and Data Analytics Fellowship Applied Public Health Informatics Fellowship (APHIF) ASA/NCHS Research Fellowship Program ASPPH/CDC Public Health Fellowship Program ASPPH/CDC--Health Education Track Biochemical Markers Fellowship CDC Data Science Upskilling (DSU) Program CDC eLearning Institute (ELI) Fellowship CDC Evaluation Fellowship Program CDC John R. Lewis Undergraduate Public Health Scholars (formerly CUPS) CDC Steven M. Teutsch Prevention Effectiveness Fellowship CDC Summer Graduate Environmental Health (GEH) Internship CDC/ATSDR Branch of OGC Internship and Externship Opportunities CDC/CSTE Applied Epidemiology Fellowship Program CDC-Hubert Global Health Award CDC-Tuskegee University Public Health Ethics Program CSTE Applied Public Health Informatics Fellowship CSTE Data Science Team Training (DSTT) program Dental Public Health Residency DHAP Division of HIV Prevention's Postdoctoral Research Fellowship in HIV Prevention for Communities of Color Directors of Health Promotion and Education (DHPE) Health Equity Fellowship Program Diverse Executives Leading in Public Health (DELPH) Program Emerging Leaders Certificate Program (ILead) Emory Rollins Earn and Learn (REAL) Program Emory/CDC Medical Toxicology Fellowship Program Epidemic Intelligence Service (EIS) Epidemiology Elective Program (EEP) Future Leaders in Infections and Global Health Threats (FLIGHT) Gilstrap OBGYN Fellowship in Sexually Transmitted, Emerging, and Remerging Infectious Disease and Congenital Infections Headquarters Experience and Technical Exchange (HETA) Program Hispanic Association of Colleges and Universities (HACU) National Internship Program (HNIP) Improving Public Health Management in Action (IMPACT) Incident Manager Training and Development Program (IMTDP) Indigenous Public Health Leaders Program Initiative for Leadership Enhancement and Development (ILEAD) International Experience and Technical Assistance (IETA Program) James A. Ferguson Emerging Infectious Diseases (EID) RISE Fellowship Junior Commissioned Officer Student Training and Extern Program (JRCOSTEP) Laboratory Animal Medicine Residency Program (LAMRP) Laboratory Leadership Service (LLS) Leadership Academy Maternal Child Health Careers/Research Initiatives for Student Enhancement – Undergraduate Program (MCHC/RISE-UP) Molecular Epidemiology Fellowship (MEF) Morehouse College Lewis Scholars' IMHOTEP Project National Association of County and City Health Officials (NACCHO) Heath and Disability Program National Center for Health Statistics (NCHS) / AcademyHealth (AH) Health Policy Fellowship National Center for Health Statistics (NCHS) Postdoctoral Research Program National Environmental Public Health Internship Program (NEPHIP) National Leadership Academy for the Public's Health NIOSH Occupational Medicine Rotation Oak Ridge Institute for Scientific Education (ORISE) fellowship Pacific Public Health Fellows Program (PPHFP) Persons with Disabilities Career Development Internship Program PHI/CDC Global Health Fellowship Program Population Health Training in Place Program (PH-TIPP) Presidential Management Fellows (PMF) Preventive Medicine Residency and Fellowship (PMR/F) Professional Performance Program (P3) Public Health AmeriCorps Public Health Associate Program (PHAP) Public Health Emergency Management Fellowship (PHEM) Public Health Entomology for All (PHEFA) Public Health Informatics Fellowship Program (PHIFP) Public Health Law Fellowship Science Ambassador Fellowship (SAF) Senior Commissioned Officer Student Training and Extern Program (SRCOSTEP) Skill Enhancement and Employee Development (SEED) Skills, Talents, Abilities and Results Training (START) SOAR Mentorship Program SOPHE/CDC Student Fellowship in Injury Prevention and Control Thurgood Marshall College Foundation Student Ambassador Program Tribal Public Health Law Internships and Externships |
PREVIOUS CDC FELLOWSHIP LIST (cut off erroneously at letter “N”)
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Appendix of Lookup Tables
Lookup Table Name |
Application Locations |
Values 1 |
Values 2 |
Values 3 |
Values 4 |
Values 5 |
Fellowship Lookup |
NEW FELLOWSHIP LIST: APHL-CDC Antimicrobial Laboratory Resistance Fellowship APHL-CDC Career Pathways in Public Health Laboratory Science: Public Health Laboratory Fellowship APHL-CDC Environmental Public Health Fellowship APHL-CDC Infectious Diseases Bioinformatics Fellowship Program APHL-CDC Infectious Diseases Laboratory Fellowship APHL-CDC Newborn Screening Bioinformatics and Data Analytics Fellowship Applied Public Health Informatics Fellowship (APHIF) ASA/NCHS Research Fellowship Program ASPPH/CDC Public Health Fellowship Program ASPPH/CDC--Health Education Track Biochemical Markers Fellowship CDC Data Science Upskilling (DSU) Program CDC eLearning Institute (ELI) Fellowship CDC Evaluation Fellowship Program CDC John R. Lewis Undergraduate Public Health Scholars (formerly CUPS) CDC Steven M. Teutsch Prevention Effectiveness Fellowship CDC Summer Graduate Environmental Health (GEH) Internship CDC/ATSDR Branch of OGC Internship and Externship Opportunities CDC/CSTE Applied Epidemiology Fellowship Program CDC-Hubert Global Health Award CDC-Tuskegee University Public Health Ethics Program CSTE Applied Public Health Informatics Fellowship CSTE Data Science Team Training (DSTT) program Dental Public Health Residency DHAP Division of HIV Prevention's Postdoctoral Research Fellowship in HIV Prevention for Communities of Color Directors of Health Promotion and Education (DHPE) Health Equity Fellowship Program Diverse Executives Leading in Public Health (DELPH) Program Emerging Leaders Certificate Program (ILead) Emory Rollins Earn and Learn (REAL) Program Emory/CDC Medical Toxicology Fellowship Program Epidemic Intelligence Service (EIS) Epidemiology Elective Program (EEP) Future Leaders in Infections and Global Health Threats (FLIGHT) Gilstrap OBGYN Fellowship in Sexually Transmitted, Emerging, and Remerging Infectious Disease and Congenital Infections Headquarters Experience and Technical Exchange (HETA) Program Hispanic Association of Colleges and Universities (HACU) National Internship Program (HNIP) Improving Public Health Management in Action (IMPACT) Incident Manager Training and Development Program (IMTDP) Indigenous Public Health Leaders Program Initiative for Leadership Enhancement and Development (ILEAD) International Experience and Technical Assistance (IETA Program) James A. Ferguson Emerging Infectious Diseases (EID) RISE Fellowship Junior Commissioned Officer Student Training and Extern Program (JRCOSTEP) Laboratory Animal Medicine Residency Program (LAMRP) Laboratory Leadership Service (LLS) Leadership Academy Maternal Child Health Careers/Research Initiatives for Student Enhancement – Undergraduate Program (MCHC/RISE-UP) Molecular Epidemiology Fellowship (MEF) Morehouse College Lewis Scholars' IMHOTEP Project National Association of County and City Health Officials (NACCHO) Heath and Disability Program National Center for Health Statistics (NCHS) / AcademyHealth (AH) Health Policy Fellowship National Center for Health Statistics (NCHS) Postdoctoral Research Program National Environmental Public Health Internship Program (NEPHIP) National Leadership Academy for the Public's Health NIOSH Occupational Medicine Rotation Oak Ridge Institute for Scientific Education (ORISE) fellowship Pacific Public Health Fellows Program (PPHFP) Persons with Disabilities Career Development Internship Program PHI/CDC Global Health Fellowship Program Population Health Training in Place Program (PH-TIPP) Presidential Management Fellows (PMF) Preventive Medicine Residency and Fellowship (PMR/F) Professional Performance Program (P3) Public Health AmeriCorps Public Health Associate Program (PHAP) Public Health Emergency Management Fellowship (PHEM) Public Health Entomology for All (PHEFA) Public Health Informatics Fellowship Program (PHIFP) Public Health Law Fellowship Science Ambassador Fellowship (SAF) Senior Commissioned Officer Student Training and Extern Program (SRCOSTEP) Skill Enhancement and Employee Development (SEED) Skills, Talents, Abilities and Results Training (START) SOAR Mentorship Program SOPHE/CDC Student Fellowship in Injury Prevention and Control Thurgood Marshall College Foundation Student Ambassador Program Tribal Public Health Law Internships and Externships Other
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Country Code Lookup |
United States (1) Azores (351) Afghanistan (93) Albania (355) Algeria (213) Andorra (376) Angola (244) Anguilla (U.K.) (1) Antigua and Barbuda (1) Argentina (54) Armenia (374) Aruba (297) Australia (61) Austria (43) Azerbaijan (994) Bahamas, The (1) Bahrain (973) Bangladesh (880) Barbados (1) Belarus (375) Belgium (32) Belize (501) Benin (229) Bermuda (U.K.) (1) Bhutan (975) Bolivia (591) Bosnia and Herzegovina (387) Botswana (267) Brazil (55) British Indian Ocean Territory (U.K.) (246) Brunei (673) Bulgaria (359) Burkina Faso (226) Burundi (257) British Virgin Islands (1) Burma (Myanmar) (95) Canary Islands (Spain) (34)
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Congo, Democratic Republic of the (243) Congo, Republic of the (242) Cambodia (855) Cameroon (237) Canada (1) Cape Verde (238) Cayman Islands (U.K.) (1) Central African Republic (236) Chad (235) Chile (56) China (86) Christmas Island (Australia) (61) Cocos (Keeling) Islands (Australia) (61) Colombia (57) Comoros (269) Cook Islands (New Zealand) (682) Costa Rica (506) C?te d'Ivoire (225) Croatia (385) Cuba (53) Cyprus (357) Czech Republic (420) Denmark (45) Djibouti (253) Dominica (1) Dominican Republic (1) Easter Island (Chile) (56) Ecuador (593) Egypt (20) El Salvador (503) Equatorial Guinea (240) Eritrea (291)
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Estonia (372) Ethiopia (251) Falkland Islands (Malvinas) (500) Faroe Islands (Denmark) (298) Fiji (679) Finland (358) France (33) French Guiana (France) (594) French Polynesia (France) (689) Falkland Islands (U.K.) (500) Guinea-Bissau (245) Gabon (241) Gambia, The (220) Guyana (592) Haiti (509) Georgia (995) Honduras (504) Germany (49) Hong Kong SAR (China) (852) Ghana (233) Hungary (36) Gibraltar (U.K.) (350) Iceland (354) Greece (30) India (91) Greenland (Denmark) (299) Indonesia (62) Grenada (1) Iran (98) Guadeloupe (590) Iraq (964) Guatemala (502) Ireland (353) Guinea (224) Israel (972)
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Italy (39) Jamaica (1) Japan (81) Libya (218) Jordan (962) Kazakhstan (7) Liechtenstein (423) Kenya (254) Lithuania (370) Luxembourg (352) Kiribati (686) Macau SAR (China) (853) Korea, North (850) Macedonia (389) Korea, South (82) Kuwait (965) Madagascar (261) Kyrgyzstan (996) Malawi (265) Kosovo (381) Malaysia (60) Laos (856) Maldives (960) Latvia (371) Mali (223) Lebanon (961) Malta (356) Lesotho (266) Marshall Islands (692) Liberia (231) Martinique (France) (596) Mauritania (222) Mauritius (230) Mayotte (France) (262) Netherlands, The (31) Mexico (52) Micronesia, Federated States of (691)
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Netherlands Antilles (599) Moldova (373) New Caledonia (France) (687) Monaco (377) New Zealand (64) Mongolia (976) Nicaragua (505) Montserrat (U.K.) (1) Niger (227) Morocco (212) Nigeria (234) Mozambique (258) Niue (New Zealand) (683) Madeira Islands (Portugal) (351) Norfolk Island (Australia) (672) Montenegro (382) Northern Mariana Islands (U.S.) (670) Namibia (264) Norway (47) Nauru (674) Oman (968) Nepal (977) Pakistan (92) Palau (680) Panama (507) Papua New Guinea (675) Paraguay (595) Peru (51) Samoa (685) Philippines (63) San Marino (378) Pitcairn Islands (U.K.) (0) S?o Tom? and Pr?ncipe (239) Poland (48) Saudi Arabia (966) Portugal (351) Qatar (974) Senegal (221) Seychelles (248) R?union (France) (262) Romania (40) Sierra Leone (232) Russia (7) Singapore (65) Rwanda (250) Slovakia (421) Saint Kitts and Nevis (1) Slovenia (386) Saint Lucia (1) Solomon Islands (677) Saint Vincent and the Grenadines (1) Somalia (252) South Africa (27) Spain (34) Sri Lanka (94) Sudan (249) Suriname (597) Swaziland (268) Sweden (46) Tokelau (New Zealand) (690) Switzerland (41) Syria (963) Tonga (676) Saint Helena (U.K.) (290) Trinidad and Tobago (1) Saint Pierre and Miquelon (France) (508) Serbia (381) Timor-Leste (East Timor) (670) Taiwan (886) Tajikistan (992) Tanzania (255) Thailand (66) Togo (228) Tunisia (216) Turkey (90) Turkmenistan (993) Turks and Caicos Islands (U.K.) (1) Tuvalu (688) Uganda (256) Venezuela (58) Ukraine (380) United Arab Emirates (971) Vietnam (84) Western Sahara (212) United Kingdom (44) Yemen (967) Uruguay (598) Zambia (260) Uzbekistan (998) Zimbabwe (263) Vanuatu (678) Other (0) |
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Country Lookup |
United States Afghanistan Albania Algeria Andorra Angola Anguilla (U.K.) Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Azores Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda (U.K.) Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Indian Ocean Territory (U.K.) British Virgin Islands Brunei Bulgaria Burkina Faso Burma (Myanmar) Burundi Cambodia Cameroon Canada
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Canary Islands (Spain) Cape Verde Cayman Islands (U.K.) Central African Republic China Chad Christmas Island (Australia) Chile Cocos (Keeling) Islands (Australia) Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Cook Islands (New Zealand) Costa Rica Cote d'Ivoire Djibouti Croatia Cuba Dominica Cyprus Dominican Republic Czech Republic Easter Island (Chile) Denmark Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Finland Falkland Islands (U.K.) Faroe Islands (Denmark) France Fiji
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French Guiana (France) French Polynesia (France) Gabon Gambia, The Georgia Germany Ghana Gibraltar (U.K.) Greece Guinea Greenland (Denmark) Grenada Guinea-Bissau Guadeloupe Guyana Guatemala Haiti Honduras Hong Kong SAR (China) Hungary Iceland India Indonesia Iran Jamaica Iraq Japan Ireland Jordan Israel Kazakhstan Italy Kenya Kiribati Korea, North Korea, South Kosovo Kuwait Kyrgyzstan Laos
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Liberia Latvia Libya Lebanon Liechtenstein Lesotho Lithuania Luxembourg Macau SAR (China) Macedonia Madagascar Madeira Islands (Portugal) Malawi Malaysia Martinique (France) Maldives Mauritania Mali Mauritius Malta Mayotte (France) Marshall Islands Mexico Moldova Monaco Mongolia Montenegro Montserrat (U.K.) Morocco Mozambique Netherlands Antilles Namibia Nauru Netherlands, The Nepal New Caledonia (France) New Zealand Nicaragua Niger Nigeria Niue (New Zealand) Northfolk Island (Australia) Northern Mariana Islands (U.S.) Panama Norway Papua New Guinea Oman
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Paraguay Other Peru Pakistan Philippines Palau Pitcairn Islands (U.K.) Poland Portugal Qatar Reunion (France) Romania Russia Rwanda Saint Lucia Saint Helena (U.K.) Saint Pierre and Miquelon (France) Saint Kitts and Nevis Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Somalia Sierra Leone Singapore South Africa Slovakia Spain Slovenia Sri Lanka Solomon Islands Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Togo Thailand Timor-Leste (East Timor) Tokelau (New Zealand) Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands (U.K.) Tuvalu Vanuatu Uganda Venezuela Ukraine Vietnam United Arab Emirates Western Sahara United Kingdom Yemen Uruguay Zambia Uzbekistan Zimbabwe |
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State/Territory Lookup |
Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Washington, DC Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska
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Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Pacific Islands U.S. Virgin Islands Guam Northern Mariana Islands |
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Center/Division/Branch Lookup |
6.9.2 FLIGHT – Current EIS Position
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ATSDR Office of the Associate Director Office of the Associate Director GHC Division of Global Health Protection Emergency Response and Recovery Branch GHC Division of Global Health Protection Workforce and Institute Development Branch GHC Division of Global Health Protection Global Epidemiology, Laboratory, and Surveillance Branch GHC Division of Global Health Protection Global Operations and Strategic Management Branch GHC Division of Global HIV and TB Economics and Health Services Research Branch GHC Division of Global HIV and TB HIV Prevention Branch GHC Division of Global HIV and TB Special Initiatives Branch GHC Division of Global HIV and TB HIV Care and Treatment Branch GHC Division of Global HIV and TB Management and Operations Branch GHC Division of Global HIV and TB Monitoring, Evaluation, and Data Analysis Branch GHC Division of Global HIV and TB Strategy, Policy, and Communications Branch GHC Division of Global HIV and TB Overseas Strategy and Management Branch GHC Division of Global HIV and TB Health Informatics, Data Management, and Statistics Branch GHC Division of Global HIV and TB Maternal and Child Health Branch GHC Division of Global HIV and TB Global Tuberculosis Prevention and Control Branch GHC Division of Global HIV and TB International Laboratory Branch GHC Division of Global HIV and TB Epidemiology and Surveillance Branch GHC Division of Global HIV and TB Program Budget and Extramural Management Branch GHC Division of Global HIV and TB Science Integrity Branch GHC Division of Parasitic Diseases and Malaria Parasitic Diseases Branch GHC Division of Parasitic Diseases and Malaria Entomology Branch GHC Division of Parasitic Diseases and Malaria Malaria Branch GHC Global Immunization Division Strategic Information and Workforce Development Branch GHC Global Immunization Division Accelerated Disease Control and VPD Surveillance Branch GHC Global Immunization Division Immunization System Branch GHC Global Immunization Division Polio Eradication Branch NCBDDD Division of Birth Defects and Infant Disorders Infant Outcomes Monitoring, Research & Prevention Branch NCBDDD Division of Birth Defects and Infant Disorders Birth Defects Monitoring Branch NCBDDD Division of Blood Disorders Hemostasis Laboratory Branch NCBDDD Division of Blood Disorders Epidemiology & Applied Research Branch NCBDDD Division of Human Development and Disability Disability and Health Promotion Branch NCBDDD Division of Human Development and Disability Child Development and Disability Branch NCCDPHP Division for Heart Disease and Stroke Prevention Program Development and Services Branch NCCDPHP Division for Heart Disease and Stroke Prevention Applied Research and Evaluation Branch NCCDPHP Division for Heart Disease and Stroke Prevention Epidemiology & Surveillance Branch NCCDPHP Division of Cancer Prevention and Control Program Services Branch NCCDPHP Division of Cancer Prevention and Control Cancer Surveillance Branch NCCDPHP Division of Cancer Prevention and Control Epidemiology and Applied Research Branch NCCDPHP Division of Cancer Prevention and Control Program Services Branch NCCDPHP Division of Cancer Prevention and Control Comprehensive Cancer Control Branch NCCDPHP Division of Cancer Prevention and Control Epidemiology and Applied Research Branch NCCDPHP Division of Diabetes Translation Translation, Health Education and Evaluation Branch NCCDPHP Division of Diabetes Translation Program Implementation Branch NCCDPHP Division of Diabetes Translation Surveillance, Epidemiology, Economics, and Statistics Branch NCCDPHP Division of Nutrition, Physical Activity and Obesity Program Development & Evaluation Branch NCCDPHP Division of Nutrition, Physical Activity and Obesity Obesity Prevention and Control Branch NCCDPHP Division of Nutrition, Physical Activity and Obesity Nutrition Branch NCCDPHP Division of Nutrition, Physical Activity, and Obesity Physical Activity and Health Branch NCCDPHP Division of Population Health Population Health Surveillance Branch NCCDPHP Division of Population Health Healthy Schools Branch NCCDPHP Division of Population Health Epidemiology and Surveillance Branch NCCDPHP Division of Population Health Prevention Research and Translation Branch NCCDPHP Division of Reproductive Health Field Support Branch NCCDPHP Division of Reproductive Health Women's Health and Fertility Branch NCCDPHP Division of Reproductive Health Maternal & Infant Health Branch NCCDPHP Office on Smoking and Health Global Tobacco Control Branch NCCDPHP Office on Smoking and Health Program Services Branch NCCDPHP Office on Smoking and Health Health Communications Branch NCCDPHP Office on Smoking and Health Epidemiology Branch NCEH Division of Environmental Health Science and Practice Emergency Management, Radiation and Chemical Branch NCEH Division of Environmental Health Science and Practice Water, Food and Environmental Health Services Branch NCEH Division of Environmental Health Science and Practice Lead Poisoning Prevention and Environmental Health Tracking Branch NCEH Division of Environmental Health Science and Practice Asthma and Community Health Branch NCEH Division of Laboratory Sciences Emergency Response Branch NCEH Division of Laboratory Sciences Inorganic & Radiation Analytical Toxicology Branch NCEH Division of Laboratory Sciences Tobacco and Volatiles Branch NCEH Division of Laboratory Sciences Nutritional Biomarkers Branch NCEH Division of Laboratory Sciences Newborn Screening and Molecular Biology Branch NCEH Division of Laboratory Sciences Organic Analytical Toxicology Branch NCEH Division of Laboratory Sciences Clinical Chemistry Branch NCEZID Division of Foodborne, Waterborn & Environmental Diseases Outbreak Response & Prevention Branch NCEZID Division of Foodborne, Waterborn & Environmental Diseases Enteric Diseases Laboratory Branch NCEZID Division of Foodborne, Waterborne & Environmental Diseases Mycotic Diseases Branch NCEZID Division of Foodborne, Waterborne & Environmental Diseases Waterborne Disease Prevention Branch NCEZID Division of Foodborne, Waterborne & Environmental Diseases Enteric Diseases Epidemiology Branch NCEZID Division of Global Migration & Quarantine Quarantine & Border Health Services Branch NCEZID Division of Global Migration & Quarantine Geographic Medicine & Health Promotion Branch NCEZID Division of Global Migration & Quarantine Immigrant, Refugee, and Migrant Health Branch NCEZID Division of Healthcare Quality Promotion Surveillance Branch NCEZID Division of Healthcare Quality Promotion Epidemiology Research & Innovations Branch NCEZID Division of Healthcare Quality Promotion Immunization Safety Office NCEZID Division of Healthcare Quality Promotion Prevention & Response Branch NCEZID Division of Healthcare Quality Promotion Clinical & Environmental Microbiology Branch NCEZID Division of High Consequence Pathogens & Pathology Poxvirus and Rabies Branch NCEZID Division of High-Consequence Pathogens & Pathology Bacterial Special Pathogens Branch NCEZID Division of High-Consequence Pathogens & Pathology Chronic Viral Diseases Branch NCEZID Division of High-Consequence Pathogens & Pathology Viral Special Pathogens Branch NCEZID Division of Preparedness & Emerging Infections Laboratory Preparedness & Response Branch NCEZID Division of Preparedness & Emerging Infections Scientific and Program Services Branch NCEZID Division of Preparedness & Emerging Infections Artic Investigations Program NCEZID Division of Preparedness & Emerging Infections Emergency Preparedness & Response Branch NCEZID Division of Scientific Resources Reagent and Diagnostic Services Branch NCEZID Division of Scientific Resources Biotechnology Core Facility Branch NCEZID Division of Scientific Resources Comparative Medicine Branch NCEZID Division of Vector-Borne Diseases Rickettsial Zoonoses Branch NCEZID Division of Vector-Borne Diseases Bacterial Diseases Branch NCEZID Division of Vector-Borne Diseases Dengue Branch NCEZID Division of Vector-Borne Diseases Arboviral Diseases Branch NCHHSTP Division of Adolescent & School Health Research Application & Evaluation Branch NCHHSTP Division of Adolescent & School Health School-Based Surveillance Branch NCHHSTP Division of Adolescent & School Health Program Development & Services Branch NCHHSTP Division of HIV Prevention Laboratory Branch NCHHSTP Division of HIV Prevention HIV Surveillance Branch NCHHSTP Division of HIV Prevention Behavioral & Clinical Surveillance Branch NCHHSTP Division of HIV Prevention Prevention Communications Branch NCHHSTP Division of HIV Prevention HIV Prevention Capacity Development Branch NCHHSTP Division of HIV Prevention Program Development and Implementation Branch NCHHSTP Division of HIV Prevention Detection & Response Branch NCHHSTP Division of HIV Prevention Qualitative Sciences Branch NCHHSTP Division of HIV Prevention HIV Research Branch NCHHSTP Division of HIV Prevention Translation & Evaluation Branch NCHHSTP Division of Sexually Transmitted Disease Prevention Program Development and Implementation Branch NCHHSTP Division of Sexually Transmitted Disease Prevention Surveillance & Data Science Branch NCHHSTP Division of Sexually Transmitted Disease Prevention Behavioral Science and Epidemiology Branch NCHHSTP Division of Sexually Transmitted Disease Prevention Laboratory Reference & Research Branch NCHHSTP Division of Sexually Transmitted Disease Prevention Clinical Economic and Health Services Research Branch NCHHSTP Division of Tuberculosis Elimination Laboratory Branch NCHHSTP Division of Tuberculosis Elimination Field Services Branch NCHHSTP Division of Tuberculosis Elimination Data Management, Statistics & Evaluation Branch NCHHSTP Division of Tuberculosis Elimination Communication, Education & Behavioral Studies Branch NCHHSTP Division of Tuberculosis Elimination Clinical Research Branch NCHHSTP Division of Tuberculous Elimination Surveillance, Epidemiology and Outbreak Investigations Branch NCHHSTP Division of Viral Hepatitis Laboratory Branch NCHHSTP Division of Viral Hepatitis Epidemiology & Surveillance Branch NCHHSTP Division of Viral Hepatitis Prevention Branch NCHS Division Of Analysis & Epidemiology Population Health Reporting & Dissemination Branch NCHS Division of Analysis and Epidemiology Health Promotion Statistics Branch NCHS Division of Analysis and Epidemiology Measures Research Evaluation Branch NCHS Division of Analysis and Epidemiology Data Linkage Methodology & Analysis Branch NCHS Division of Health & Nutrition Examination Surveys Planning Branch NCHS Division of Health and Nutrition Examination Surveys Analysis Branch NCHS Division Of Health And Nutrition Examination Surveys Operations Branch NCHS Division of Health Care Statistics Ambulatory & Hospital Care Statistics Branch NCHS Division of Health Care Statistics Technical Services Branch NCHS Division of Health Interview Statistics Survey Planning and Special Surveys Branch NCHS Division of Health Interview 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Missouri Missouri State University - Missouri Missouri Valley College - Missouri Missouri Western State University - Missouri Northwest Missouri State University - Missouri Ozark Christian College - Missouri Park University - Missouri Rockhurst University - Missouri Saint Louis University - Missouri University of Missouri, Columbia - Missouri Southeast Missouri State University - Missouri Southwest Baptist University - Missouri University of Missouri, Kansas City - Missouri St. Louis College of Pharmacy - Missouri University of Missouri, Rolla - Missouri Stephens College - Missouri University of Missouri, St. Louis - Missouri Truman State University - Missouri Washington University in St. Louis - Missouri Webster University - Missouri Westminster College - Missouri William Jewell College - Missouri William Woods University - Missouri Carroll College - Montana Montana State University, Billings - Montana Salish Kootenai College - Montana Montana State University, Bozeman - Montana Montana State University, Northern - Montana University of Great Falls - Montana University of Montana, Missoula - Montana Montana Tech - Montana University of Montana, Western - Montana Rocky Mountain College - Montana Bellevue University - Nebraska Chadron State College - Nebraska Clarkson College - Nebraska College of Saint Mary - Nebraska Concordia University-Nebraska - Nebraska Creighton University - Nebraska Dana College - Nebraska Doane College - Nebraska Nebraska Christian College - Nebraska Grace University - Nebraska Hastings College - Nebraska Midland Lutheran College - Nebraska Nebraska Methodist College - Nebraska Nebraska Wesleyan University - Nebraska Peru State College - Nebraska Union College - Nebraska University of Nebraska, Kearney - Nebraska University of Nebraska, Lincoln - Nebraska University of Nebraska, Medical Center - Nebraska University of Nebraska, Omaha - Nebraska Wayne State College - Nebraska York College - Nebraska Chester College of New England - New Hampshire Great Basin College - Nevada Sierra Nevada College - Nevada Colby-Sawyer College - New Hampshire University of Nevada - Nevada Daniel Webster College - New Hampshire Antioch New England - New Hampshire Dartmouth College - New Hampshire Franklin Pierce College - New Hampshire Franklin Pierce Law Center - New Hampshire Granite State College - New Hampshire Keene State College - New Hampshire New England College - New Hampshire Plymouth State College - New Hampshire Rivier College - New Hampshire Saint Anselm College - New Hampshire Southern New Hampshire University - New Hampshire The Thomas More College of Liberal Arts - New Hampshire University of New Hampshire at Manchester - New Hampshire University of New Hampshire - New Hampshire Berkeley College - New Jersey Bloomfield College - New Jersey Caldwell College - New Jersey Centenary College - New Jersey College of Saint Elizabeth - New Jersey Drew University - New Jersey Fairleigh Dickinson University - New Jersey Felician College - New Jersey Georgian Court College - New Jersey Kean University - New Jersey Princeton University - New Jersey Monmouth University - New Jersey Ramapo College - New Jersey Montclair State University - New Jersey Richard Stockton College of New Jersey - New Jersey New Jersey City University - New Jersey Rider University - New Jersey Rowan University - New Jersey New Jersey Institute of Technology - New Jersey Rutgers University, Camden - New Jersey Rutgers University, New Brunswick/Piscataway - New Jersey Rutgers University, Newark - New Jersey Saint Peter's College - New Jersey Seton Hall University - New Jersey Stevens Institute of Technology - New Jersey The College of New Jersey - New Jersey Thomas Edison State College - New Jersey College of Santa Fe - New Mexico University of Medicine & Dentistry of New Jersey - New Jersey College of the Southwest - New Mexico William Paterson University - New Jersey Eastern New Mexico University - New Mexico Institute of American Indian Arts - New Mexico New Mexico Highlands University - New Mexico New Mexico Institute of Mining & Technology - New Mexico New Mexico State University - New Mexico Southwestern College - New Mexico St. John's College-Santa Fe - New Mexico University of New Mexico - New Mexico Western New Mexico University - New Mexico Adelphi University - New York Albany College of Pharmacy - New York Albany Medical College - New York Alfred University - New York Arnold & Marie Schwartz College of Pharmacy & Health Sciences - New York Cazenovia College - New York Bank Street College of Education - New York City College - New York Bard College - New York Clarkson University - New York Barnard College - New York Colgate University - New York Baruch College - New York College at Brockport - New York Boricua College - New York College at Buffalo (Buffalo State College) - New York Brooklyn College - New York College at Cortland - New York Canisius College - New York College at Fredonia - New York College at Geneseo - New York College at New Paltz - New York College at Old Westbury - New York College at Oneonta - New York College at Oswego - New York College at Plattsburgh - New York College at Potsdam - New York College at Purchase - New York College of Agriculture & Technology at Cobleskill - New York College of Agriculture & Technology at Morrisville (Morrisville State College) - New York College of Environmental Science & Forestry - New York College of Mount St. Vincent - New York College of New Rochelle - New York College of Optometry - New York College of Saint Rose - New York Cornell University - New York College of Staten Island - New York Culinary Institute of America - New York College of Technology at Alfred (Alfred State University) - New York D'Youville College - New York College of Technology at Canton - New York Daemen College - New York College of Technology at Delhi - New York Davis College - New York College of Technology at Farmingdale (Farmingdale State University) - New York Dominican College - New York Columbia University - New York Dowling College - New York Concordia College-Bronxville - New York Downstate Medical Center - New York Elmira College - New York Empire State College - New York Excelsior College - New York Fashion Institute of Technology - New York Five Towns College - New York Fordham University - New York Graduate School & University Center - New York Hamilton College - New York Hartwick College - New York Hebrew Union College-Jewish Institute of Religion - New York Hilbert College - New York Hobart and William Smith Colleges - New York Lehman College - New York Hofstra University - New York Long Island University, Brentwood Campus - New York Houghton College - New York Hunter College - New York Long Island University, Brooklyn Campus - New York Institute of Technology at Utica/Rome - New York Long Island University, C.W. Post Campus - New York Iona College - New York Long Island University, Rockland Graduate Campus - New York Ithaca College - New York Long Island University, Southampton Graduate Campus - New York John Jay College of Criminal Justice - New York Long Island University, Westchester Graduate Campus - New York Keuka College - New York Manhattan College - New York Laboratory Institute of Merchandising - New York Manhattan School of Music - New York Le Moyne College - New York Manhattanville College - New York Marist College - New York Maritime College at Ft. Schuyler - New York Marymount College - New York Marymount Manhattan College - New York Medaille College - New York Medger Evers College - New York Mercy College - New York Metropolitan College of New York - New York Molloy College - New York Monroe College - New York Pace University - New York Mount Saint Mary College - New York Nazareth College - New York Parsons School of Design - New York New School University - New York Paul Smith's College - New York Polytechnic University of New York - New York New York City College of Technology - New York Pratt Institute - New York Queens College - New York New York College of Podiatric Medicine - New York Rensselaer Polytechnic Institute - New York New York Institute of Technology - New York Roberts Wesleyan College - New York New York Medical College - New York Rochester Institute of Technology - New York New York University - New York Saint Francis College - New York Niagara University - New York Sarah Lawrence College - New York Nyack College - New York School of Visual Arts - New York Siena College - New York Skidmore College - New York St. Bonaventure University - New York St. John Fisher College - New York St. John's University - New York St. Joseph's College - New York The Sage Colleges - New York St. Lawrence University - New York Touro College - New York St. Thomas Aquinas College - New York Unification Theological Seminary - New York State University of New York, Albany - New York Union College - New York State University of New York, Binghamton - New York Union Theological Seminary - New York State University of New York, Buffalo - New York United States Merchant Marine Academy - New York State University of New York, Stony Brook - New York United States Military Academy - New York Syracuse University - New York University of Rochester - New York Teachers College, Columbia University - New York Upstate Medical University - New York The Cooper Union for the Advancement of Science & Art - New York Utica College of Syracuse University - New York The Jewish Theological Seminary of America - New York Vassar College - New York The Juilliard School - New York Vaughn College of Aeronautics & Technology - New York The Rockefeller University - New York Wagner College - New York Webb Institute - New York Wells College - New York Yeshiva University - New York York College - New York Appalachian State University - North Carolina Barton College - North Carolina Belmont Abbey College - North Carolina Fayetteville State University - North Carolina Bennett College - North Carolina Gardner-Webb University - North Carolina Brevard College - North Carolina Greensboro College - North Carolina Campbell University - North Carolina Guilford College - North Carolina Catawba College - North Carolina High Point University - North Carolina Chowan College - North Carolina Johnson C. Smith University - North Carolina Davidson College - North Carolina Lees-McRae College - North Carolina Duke University - North Carolina Lenoir-Rhyne College - North Carolina East Carolina University - North Carolina Livingstone College - North Carolina Elizabeth City State University - North Carolina Louisburg College - North Carolina Elon University - North Carolina Mars Hill College - North Carolina Meredith College - North Carolina Methodist College - North Carolina
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Montreat College - North Carolina Mount Olive College - North Carolina North Carolina A&T State University - North Carolina North Carolina Central University - North Carolina North Carolina School of the Arts - North Carolina North Carolina State University - North Carolina University of North Carolina, Chapel Hill - North Carolina North Carolina Wesleyan College - North Carolina University of North Carolina, Charlotte - North Carolina Peace College - North Carolina University of North Carolina, Greensboro - North Carolina Pfeiffer University - North Carolina Piedmont Baptist College - North Carolina University of North Carolina, Pembroke - North Carolina University of North Carolina, Wilmington - North Carolina Queens University of Charlotte - North Carolina Wake Forest University - North Carolina Roanoke Bible College - North Carolina Warren Wilson College - North Carolina Salem College - North Carolina Western Carolina University - North Carolina Shaw University - North Carolina Wingate University - North Carolina St. Andrews Presbyterian College - North Carolina Winston-Salem State University - North Carolina St. Augustine's College - North Carolina Dickinson State University - North Dakota Jamestown College - North Dakota University of North Carolina, Asheville - North Carolina Mayville State University - North Dakota Minot State University - North Dakota North Dakota State University - North Dakota Trinity Bible College - North Dakota University of Mary - North Dakota University of North Dakota - North Dakota Cincinnati Christian University - Ohio Valley City State University - North Dakota Cleveland Institute of Art - Ohio Air Force Institute of Technology - Ohio Cleveland Institute of Music - Ohio Antioch College - Ohio Cleveland State University - Ohio Art Academy of Cincinnati - Ohio College of Mount St. Joseph - Ohio Ashland University - Ohio Columbus College of Art & Design - Ohio Baldwin-Wallace College - Ohio David N. Myers University - Ohio Bluffton University - Ohio Defiance College - Ohio Bowling Green State University - Ohio Denison University - Ohio Capital University - Ohio Franciscan University of Steubenville - Ohio Case Western Reserve University - Ohio Franklin University - Ohio Cedarville University - Ohio Heidelberg College - Ohio Central State University - Ohio Hiram College - Ohio John Carroll University - Ohio Kent State University - Ohio Kenyon College - Ohio Lake Erie College - Ohio Ohio Northern University - Ohio Laura & Alvin Siegal College of Judaic Studies - Ohio Ohio State University, Columbus - Ohio Lourdes College - Ohio Ohio State University, Lima - Ohio Malone College - Ohio Ohio State University, Mansfield - Ohio Marietta College - Ohio Ohio State University, Marion - Ohio Miami University of Ohio - Ohio Ohio University - Ohio Mount Union College - Ohio Ohio Wesleyan University - Ohio Mount Vernon Nazarene University - Ohio Otterbein College - Ohio Muskingum College - Ohio Shawnee State University - Ohio Northeastern Ohio Universities College of Medicine - Ohio The College of Wooster - Ohio Notre Dame College - Ohio The University of Findlay - Ohio Oberlin College - Ohio Tiffin University - Ohio Union Institute & University - Ohio Ohio Christian University - Ohio University of Akron - Ohio Ohio Dominican University - Ohio University of Cincinnati - Ohio University of Dayton - Ohio Cameron University - Oklahoma University of Northwestern Ohio - Ohio University of Rio Grande - Ohio East Central University - Oklahoma Langston University - Oklahoma University of Toledo - Ohio Mid-America Christian University - Oklahoma University of Toledo Health Science Campus - Ohio Northeastern State University, Broken Arrow campus - Oklahoma Urbana University - Ohio Northeastern State University, Muskogee campus - Oklahoma Ursuline College - Ohio Northwestern Oklahoma State University - Oklahoma Oklahoma Baptist University - Oklahoma Walsh University - Ohio Oklahoma Christian University of Science & Arts - Oklahoma Wilberforce University - Ohio Oklahoma City University - Oklahoma Wilmington College - Ohio Oklahoma Panhandle State University - Oklahoma Wittenberg University - Ohio Oklahoma State University, Center for Health Sciences - Oklahoma Wright State University - Ohio Oklahoma State University, Stillwater - Oklahoma Xavier University - Ohio Oklahoma State University, Tulsa - Oklahoma Youngstown State University - Ohio Oklahoma Wesleyan University - Oklahoma Bacone College - Oklahoma Oral Roberts University - Oklahoma Phillips University (closed July 1998) - Oklahoma Eastern Oregon University - Oregon Rogers State University - Oklahoma Eugene Bible College - Oregon Southeastern Oklahoma State University - Oklahoma George Fox University - Oregon Southern Nazarene University - Oklahoma Lewis & Clark College - Oregon Southwestern Oklahoma State University - Oklahoma Linfield College - Oregon St. Gregory's University - Oklahoma Marylhurst University - Oregon University of Central Oklahoma - Oklahoma Mount Angel Seminary - Oregon Multnomah Bible College & Seminary - Oregon University of Oklahoma - Oklahoma National College of Naturopathic Medicine - Oregon University of Oklahoma Health Sciences Center - Oklahoma Northwest Christian College - Oregon University of Science & Arts of Oklahoma - Oklahoma Oregon Graduate Institute of Science & Technology - Oregon University of Tulsa - Oklahoma Oregon Health Sciences University - Oregon Art Institute of Portland - Oregon Oregon Institute of Technology - Oregon Concordia University-Portland - Oregon Oregon State University - Oregon Corban College - Oregon Pacific Northwest College of Art - Oregon Pacific University - Oregon Portland State University - Oregon Reed College - Oregon Baptist Bible College - Pennsylvania Southern Oregon University - Oregon University of Oregon - Oregon Bloomsburg University of Pennsylvania - Pennsylvania University of Portland - Oregon Bryn Athyn College of the New Church - Pennsylvania Warner Pacific College - Oregon Bryn Mawr College - Pennsylvania Western Oregon University - Oregon Bucknell University - Pennsylvania Western States Chiropractic College - Oregon Cabrini College - Pennsylvania Willamette University - Oregon California University of Pennsylvania - Pennsylvania Albright College - Pennsylvania Carlow College - Pennsylvania Allegheny College - Pennsylvania Carnegie Mellon University - Pennsylvania Alvernia College - Pennsylvania Cedar Crest College - Pennsylvania American College - Pennsylvania Chatham College - Pennsylvania Arcadia University - Pennsylvania Chestnut Hill College - Pennsylvania Cheyney University - Pennsylvania Clarion University of Pennsylvania - Pennsylvania College Misericordia - Pennsylvania Curtis Institute of Music - Pennsylvania Delaware Valley College - Pennsylvania DeSales University - Pennsylvania Gratz College - Pennsylvania Dickinson College - Pennsylvania Grove City College - Pennsylvania Dickinson School of Law - Pennsylvania Gwynedd Mercy College - Pennsylvania Drexel University - Pennsylvania Haverford College in Pennsylvania - Pennsylvania Duquesne University - Pennsylvania Holy Family University - Pennsylvania East Stroudsburg University of Pennsylvania - Pennsylvania Immaculata College - Pennsylvania Eastern College - Pennsylvania Indiana University of Pennsylvania - Pennsylvania Edinboro University of Pennsylvania - Pennsylvania Juniata College - Pennsylvania Elizabethtown College - Pennsylvania Keystone College - Pennsylvania Kings College - Pennsylvania Franklin & Marshall College - Pennsylvania Kutztown University of Pennsylvania - Pennsylvania Gannon University - Pennsylvania La Roche College - Pennsylvania Geneva College - Pennsylvania Lafayette College - Pennsylvania Gettysburg College - Pennsylvania Lancaster Bible College - Pennsylvania LaSalle University - Pennsylvania Lebanon Valley College - Pennsylvania Lehigh University - Pennsylvania Lincoln University - Pennsylvania Lock Haven University of Pennsylvania - Pennsylvania Peirce College - Pennsylvania Lycoming College - Pennsylvania Pennsylvania College of Optometry - Pennsylvania Mansfield University of Pennsylvania - Pennsylvania Pennsylvania College of Technology - Pennsylvania Marywood University - Pennsylvania Pennsylvania State University, Abington - Pennsylvania Mercyhurst College - Pennsylvania Pennsylvania State University, Altoona - Pennsylvania Messiah College - Pennsylvania Pennsylvania State University, Beaver - Pennsylvania Millersville University of Pennsylvania - Pennsylvania Pennsylvania State University, Berks - Pennsylvania Moore College of Art & Design - Pennsylvania Pennsylvania State University, Brandywine - Pennsylvania Moravian College - Pennsylvania Pennsylvania State University, College of Medicine - Pennsylvania Mount Aloysius College - Pennsylvania Pennsylvania State University, DuBois - Pennsylvania Muhlenberg College - Pennsylvania Pennsylvania State University, Great Valley - Pennsylvania Neumann College - Pennsylvania Pennsylvania State University, Greater Allegheny - Pennsylvania Pennsylvania State University, Harrisburg - Pennsylvania Pennsylvania State University, Hazleton - Pennsylvania Pennsylvania State University, Lehigh Valley - Pennsylvania Pennsylvania State University, Mont Alto - Pennsylvania Pennsylvania State University, New Kensington - Pennsylvania Saint Joseph's University - Pennsylvania Pennsylvania State University, Schuylkill - Pennsylvania Pennsylvania State University, Shenango - Pennsylvania Saint Vincent College - Pennsylvania Pennsylvania State University, The Eberly Campus - Pennsylvania Seton Hill College - Pennsylvania Pennsylvania State University, University Park - Pennsylvania Shippensburg University of Pennsylvania - Pennsylvania Pennsylvania State University, Wilkes-Barre - Pennsylvania Slippery Rock University of Pennsylvania - Pennsylvania Pennsylvania State University, Worthington Scranton - Pennsylvania Susquehanna University - Pennsylvania Pennsylvania State University, York - Pennsylvania Swarthmore College - Pennsylvania Philadelphia Biblical University - Pennsylvania Temple University - Pennsylvania The Behrend College, Erie - Pennsylvania Philadelphia University - Pennsylvania Point Park University - Pennsylvania Thiel College - Pennsylvania Robert Morris College - Pennsylvania Thomas Jefferson University - Pennsylvania Rosemont College - Pennsylvania United States Army War College - Pennsylvania Saint Francis University - Pennsylvania University of Pennsylvania - Pennsylvania University of Pittsburgh (main campus) - Pennsylvania University of Pittsburgh, Bradford - Pennsylvania University of Pittsburgh, Greensburg - Pennsylvania Widener University - Pennsylvania University of Pittsburgh, Johnstown - Pennsylvania Wilkes University - Pennsylvania University of Pittsburgh, Titusville - Pennsylvania Wilson College - Pennsylvania University of Scranton - Pennsylvania York College of Pennsylvania - Pennsylvania University of the Arts - Pennsylvania American University of Puerto Rico - Puerto Rico University of the Sciences in Philadelphia - Pennsylvania Antillean Adventist University - Puerto Rico University Park (main campus) - Pennsylvania Caribbean University - Puerto Rico Ursinus College - Pennsylvania Carlos Albizu University, San Juan - Puerto Rico Valley Forge Christian College - Pennsylvania Centro de Estudios Avanzados de Puerto Rico y el Caribe - Puerto Rico Villanova University - Pennsylvania Conservatorio de Musica de Puerto Rico - Puerto Rico Washington & Jefferson College - Pennsylvania Escuela de Artes Plasticas de Puerto Rico - Puerto Rico Waynesburg College - Pennsylvania Polytechnic University of Puerto Rico - Puerto Rico West Chester University of Pennsylvania - Pennsylvania Ponce School of Medicine - Puerto Rico Westminster College - Pennsylvania Pontificia Universidad Catolica de Puerto Rico - Puerto Rico Westminster Theological Seminary - Pennsylvania Seminario Evangelico de Puerto Rico - Puerto Rico Sistema Universitario Ana G. Mendez - Puerto Rico Universidad Central de Bayamon - Puerto Rico Universidad Central del Caribe - Puerto Rico Universidad Interamericana de Puerto Rico, School of Law - Puerto Rico Universidad del Este - Puerto Rico Universidad del Sagrado Corazon - Puerto Rico Universidad Interamericana de Puerto Rico, School of Optometry - Puerto Rico Universidad del Turabo - Puerto Rico Universidad Metropolitana - Puerto Rico Universidad Interamericana de Puerto Rico (Aguadilla Campus) - Puerto Rico University of Puerto Rico, Aguadilla - Puerto Rico Universidad Interamericana de Puerto Rico (Arecibo Campus) - Puerto Rico University of Puerto Rico, Arecibo - Puerto Rico University of Puerto Rico, Bayamon - Puerto Rico Universidad Interamericana de Puerto Rico (Barranquitas Campus) - Puerto Rico University of Puerto Rico, Carolina - Puerto Rico Universidad Interamericana de Puerto Rico (Bayamon Campus) - Puerto Rico University of Puerto Rico, Cayey - Puerto Rico Universidad Interamericana de Puerto Rico (Fajardo Campus) - Puerto Rico University of Puerto Rico, Ciencias Medicas - Puerto Rico Universidad Interamericana de Puerto Rico (Guayama Campus) - Puerto Rico University of Puerto Rico, Humacao - Puerto Rico Universidad Interamericana de Puerto Rico (Metropolitan Campus) - Puerto Rico University of Puerto Rico, Mayaguez - Puerto Rico Universidad Interamericana de Puerto Rico (Ponce Campus) - Puerto Rico University of Puerto Rico, Ponce - Puerto Rico Universidad Interamericana de Puerto Rico (San German Campus) - Puerto Rico University of Puerto Rico, Rio Piedras - Puerto Rico University of Puerto Rico, Utuado - Puerto Rico Brown University - Rhode Island Bryant College - Rhode Island Johnson & Wales University - Rhode Island Claflin University - South Carolina Naval War College - Rhode Island Clemson University - South Carolina New England Institute of Technology - Rhode Island Coastal Carolina University - South Carolina
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Providence College - Rhode Island Coker College - South Carolina Rhode Island College - Rhode Island College of Charleston - South Carolina Rhode Island School of Design - Rhode Island Columbia College - South Carolina Columbia International University - South Carolina Roger Williams University - Rhode Island Converse College - South Carolina Salve Regina University - Rhode Island Erskine College - South Carolina University of Rhode Island - Rhode Island Francis Marion University - South Carolina Allen University - South Carolina Furman University - South Carolina Anderson College - South Carolina Johnson & Wales University-Charleston - South Carolina Lander University - South Carolina Benedict College - South Carolina Limestone College - South Carolina Bob Jones University - South Carolina Medical University of South Carolina - South Carolina Charleston Southern University - South Carolina Morris College - South Carolina Newberry College - South Carolina North Greenville University - South Carolina Voorhees College - South Carolina Presbyterian College - South Carolina Winthrop University - South Carolina Sherman College of Straight Chiropractic - South Carolina Wofford College - South Carolina South Carolina State University - South Carolina Augustana College - South Dakota Southern Wesleyan University - South Carolina Black Hills State University - South Dakota Dakota State University - South Dakota The Citadel - South Carolina Dakota Wesleyan University - South Dakota University of South Carolina, Aiken - South Carolina Mount Marty College - South Dakota University of South Carolina, Beaufort - South Carolina National American University - South Dakota University of South Carolina, Columbia - South Carolina Northern State University - South Dakota University of South Carolina, Lancaster - South Carolina Oglala Lakota College - South Dakota University of South Carolina, Sumter - South Carolina Presentation College - South Dakota University of South Carolina, Union - South Carolina Sinte Gleska University - South Dakota South Dakota School of Mines & Technology - South Dakota University of South Carolina, Upstate - South Carolina South Dakota State University - South Dakota University of Sioux Falls - South Dakota Freed-Hardeman University - Tennessee University of South Dakota - South Dakota Aquinas College - Tennessee Johnson Bible College - Tennessee Austin Peay State University - Tennessee King College - Tennessee Baptist Memorial College of Health Sciences - Tennessee Knoxville College - Tennessee Belmont University - Tennessee Lambuth University - Tennessee Bethel College - Tennessee Lane College - Tennessee Bryan College - Tennessee Lee University - Tennessee Carson-Newman College - Tennessee LeMoyne-Owen College - Tennessee Christian Brothers University - Tennessee Lincoln Memorial University - Tennessee Church of God Theological Seminary - Tennessee Lipscomb University - Tennessee Crichton College - Tennessee Martin Methodist College - Tennessee Cumberland University - Tennessee Maryville College - Tennessee East Tennessee State University - Tennessee Meharry Medical College - Tennessee Fisk University - Tennessee Memphis College of Art - Tennessee Middle Tennessee State University - Tennessee Milligan College - Tennessee Rhodes College - Tennessee South College - Tennessee Southern Adventist University - Tennessee Southern College - Tennessee University of Tennessee, Knoxville - Tennessee Southern College of Optometry - Tennessee Tennessee State University - Tennessee University of Tennessee, Martin - Tennessee Tennessee Technological University - Tennessee University of Tennessee, Memphis - Tennessee Tennessee Temple University - Tennessee University of the South - Tennessee Tennessee Wesleyan College - Tennessee Vanderbilt University - Tennessee Trevecca Nazarene University - Tennessee Abilene Christian University - Texas Tusculum College - Tennessee Ambassador University (closed spring 1997) - Texas Union University - Tennessee University of Memphis - Tennessee Amberton University - Texas University of Tennessee, Chattanooga - Tennessee Angelo State University - Texas Arlington Baptist College - Texas Art Institute of Dallas - Texas Art Institute of Houston - Texas Austin College - Texas Austin Graduate School of Theology - Texas Austin Presbyterian Theological Seminary - Texas Baptist Missionary Association Theological Seminary - Texas Baylor College of Dentistry - Texas Baylor College of Medicine - Texas Baylor University - Texas College of Saint Thomas More - Texas Concordia University-Texas - Texas Criswell College - Texas Houston Baptist University - Texas Dallas Baptist University - Texas Dallas Christian College - Texas Howard Payne University - Texas Dallas Theological Seminary - Texas Huston-Tillotson University - Texas DeVry University-Dallas - Texas Jarvis Christian College - Texas East Texas Baptist University - Texas Lamar University - Texas Episcopal Theological Seminary of the Southwest - Texas LeTourneau University - Texas Hardin-Simmons University - Texas Lubbock Christian University - Texas Health Sciences Center - Texas McMurry University - Texas Midwestern State University - Texas Northwood University - Texas Oblate School of Theology - Texas Our Lady of the Lake University - Texas Parker College of Chiropractic - Texas Paul Quinn College - Texas Prairie View A&M University - Texas Rice University - Texas Sam Houston State University - Texas Schreiner University - Texas South Texas College of Law - Texas Southern Methodist University - Texas Southwestern Adventist University - Texas Southwestern Assemblies of God University - Texas Texas A&M International University - Texas Southwestern Baptist Theological Seminary - Texas Texas A&M University, College Station - Texas Southwestern Christian College - Texas Texas A&M University, Commerce - Texas Southwestern University - Texas Texas A&M University, Corpus Christi - Texas St. Edward's University - Texas Texas A&M University, Galveston - Texas St. Mary's University of San Antonio - Texas Texas A&M University, Health Science Center - Texas Stephen F. Austin State University - Texas Texas A&M University, Kingsville - Texas Sul Ross State University - Texas Texas A&M University, Texarkana - Texas Tarleton State University - Texas Texas Chiropractic College - Texas Texas Christian University - Texas Texas College - Texas Texas Lutheran University - Texas Texas Southern University - Texas Texas State University - Texas Texas State University, San Marcos - Texas Texas Tech University - Texas Texas Wesleyan University - Texas Texas Woman's University - Texas Trinity University - Texas University of Dallas - Texas University of Houston (main campus) - Texas University of Houston, Clear Lake - Texas University of Houston, Downtown - Texas University of Texas, Brownsville - Texas University of Houston, Victoria - Texas University of Mary Hardin-Baylor - Texas University of Texas, Dallas - Texas University of North Texas - Texas University of Texas, El Paso - Texas University of North Texas, Health Science Center at Ft. Worth - Texas University of Texas, Health Center at Tyler - Texas University of Saint Thomas - Texas University of Texas, Health Science Center at Houston - Texas University of Texas, Arlington - Texas University of Texas, Health Science Center at San Antonio - Texas University of Texas, Austin - Texas University of Texas, M.D. Anderson Cancer Center - Texas University of Texas, Medical Branch at Galveston - Texas University of Texas, Pan American - Texas University of Texas, Permian Basin - Texas University of Texas, San Antonio - Texas University of Texas, Southwestern Medical Center at Dallas - Texas University of Texas, Tyler - Texas University of the Incarnate Word - Texas Wayland Baptist University - Texas West Texas A&M University - Texas Wiley College - Texas Brigham Young University - Utah College of Eastern Utah - Utah Dixie State College - Utah Southern Utah University - Utah University of Utah - Utah Utah State University - Utah Utah Valley State College - Utah Weber State University - Utah Western Governors University - Utah Westminster College - Utah Bennington College - Vermont Burlington College - Vermont Castleton State University - Vermont Vermont Technical College - Vermont Averett College - Virginia Bluefield College - Virginia Bridgewater College - Virginia Christendom College - Virginia Christopher Newport University - Virginia College of William and Mary - Virginia DeVry University-Crystal City - Virginia Eastern Mennonite University - Virginia Eastern Virginia Medical School - Virginia ECPI College of Technology - Virginia Emory & Henry College - Virginia Ferrum College - Virginia George Mason University - Virginia George Washington University-Virginia Campus - Virginia Hampden-Sydney College - Virginia Hampton University - Virginia Hollins University - Virginia Institute for the Psychological Sciences - Virginia Institute of Textile Technology - Virginia James Madison University - Virginia Jefferson College of Health Sciences - Virginia Liberty University - Virginia Longwood University - Virginia Lynchburg College - Virginia Marine Corps University - Virginia Mary Baldwin College - Virginia Marymount University - Virginia Norfolk State University - Virginia Old Dominion University - Virginia Radford University - Virginia Randolph College - Virginia Randolph-Macon College - Virginia Regent University - Virginia Roanoke College - Virginia Saint Paul's College - Virginia Shenandoah University - Virginia Sweet Briar College - Virginia United States Marine Corps University - Virginia University of Mary Washington - Virginia University of Richmond - Virginia University of Virginia - Virginia University of Virginia's College at Wise - Virginia Virginia Commonwealth University - Virginia Champlain College - Vermont Virginia Intermont College - Virginia College of St. Joseph - Vermont Goddard College - Vermont Green Mountain College - Vermont Johnson State College - Vermont Lyndon State College - Vermont Marlboro College - Vermont Middlebury College - Vermont Norwich University - Vermont Saint Michael's College - Vermont School for International Training - Vermont Virginia Military Institute - Virginia Southern Vermont College - Vermont Virginia Polytechnic Institute and State University - Virginia Sterling College - Vermont Virginia State University - Virginia University of Vermont - Vermont Virginia Union University - Virginia Vermont Law School - Vermont Virginia Wesleyan College - Virginia Washington & Lee University - Virginia Washington Bible College/Capital Bible Seminary - Virginia Antioch University-Seattle - Washington Art Institute of Seattle - Washington Bastyr University - Washington Central Washington University - Washington City University - Washington Heritage University - Washington Eastern Washington University - Washington Northwest University - Washington Evergreen State College - Washington Pacific Lutheran University - Washington Gonzaga University - Washington Seattle Pacific University - Washington Seattle University - Washington St. Martin's College - Washington Trinity Lutheran College - Washington University of Puget Sound - Washington University of Washington (Bothell campus) - Washington University of Washington (Seattle/Main campus) - Washington University of Washington (Tacoma campus) - Washington Walla Walla University - Washington Western Washington University - Washington Washington State University (Spokane campus) - Washington Whitman College - Washington Washington State University (Tri-Cities campus) - Washington Whitworth College - Washington Washington State University (Vancouver campus) - Washington American University - Washington, DC Corcoran College of Art & Design - Washington, DC Gallaudet University - Washington, DC George Washington University (Main campus/Foggy Bottom) - Washington, DC George Washington University (Mount Vernon campus) - Washington, DC George Washington University (Virginia Campus) - Washington, DC Georgetown University - Washington, DC Howard University - Washington, DC Strayer University - Washington, DC Institute of World Politics - Washington, DC Joint Military Intelligence College - Washington, DC The Catholic University of America - Washington, DC National Defense University - Washington, DC Trinity University - Washington, DC Southeastern University - Washington, DC University of the District of Columbia - Washington, DC Washington Theological Union - Washington, DC Wesley Theological Seminary - Washington, DC Alderson-Broaddus College - West Virginia Bethany College - West Virginia Bluefield State College - West Virginia Concord University - West Virginia Davis & Elkins College - West Virginia Fairmont State College - West Virginia Ohio Valley College - West Virginia Glenville State College - West Virginia Marshall University - West Virginia Salem International University - West Virginia Mountain State University - West Virginia Shepherd University - West Virginia University of Charleston - West Virginia West Liberty State College - West Virginia West Virginia State University - West Virginia West Virginia University - West Virginia West Virginia University at Parkersburg - West Virginia West Virginia University Institute of Technology - West Virginia West Virginia Wesleyan College - West Virginia Wheeling Jesuit University - West Virginia Alverno College - Wisconsin Beloit College - Wisconsin Cardinal Stritch College - Wisconsin Carthage College - Wisconsin Carroll College - Wisconsin Concordia University-Wisconsin - Wisconsin Edgewood College - Wisconsin Herzing College - Wisconsin Lakeland College - Wisconsin Lawrence University - Wisconsin Maranatha Baptist Bible College - Wisconsin Marian College of Fond du Lac - Wisconsin Marquette University - Wisconsin St. Norbert College - Wisconsin Medical College of Wisconsin - Wisconsin University of Wisconsin, Eau Claire - Wisconsin Milwaukee School of Engineering - Wisconsin University of Wisconsin, Green Bay - Wisconsin Mount Mary College - Wisconsin University of Wisconsin, LaCrosse - Wisconsin Northland College - Wisconsin University of Wisconsin, Madison - Wisconsin Ripon College - Wisconsin University of Wisconsin, Milwaukee - Wisconsin Silver Lake College - Wisconsin University of Wisconsin, Oshkosh - Wisconsin University of Wisconsin, Parkside - Wisconsin University of Wisconsin, Platteville - Wisconsin University of Wisconsin, River Falls - Wisconsin University of Wisconsin, Stevens Point - Wisconsin University of Wisconsin, Stout - Wisconsin University of Wisconsin, Superior - Wisconsin University of Wisconsin, Whitewater - Wisconsin Wisconsin Lutheran College - Wisconsin Viterbo University - Wisconsin Wisconsin School of Professional Psychology - Wisconsin University of Wyoming - Wyoming Other: - Rocky Vista University College of Osteopathic Medicine - Colorado Lake Erie College of Osteopathic Medicine (LECOM) - Pennsylvania Pacific Northwest University of Health Sciences College of Osteopathic Medicine (PNWU-COM) - Wash... Washington State University (Pullman Campus) - Washington Geisinger Commonwealth School of Medicine - Pennsylvania |
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Specialty Loookup Table |
Aerospace medicine Allergy and immunology Clinical and laboratory immunology Anesthesiology Adult Cardiothoracic Anesthesiology Pediatric anesthesiology Colon and rectal surgery Dermatology Dermatopathology Procedural dermatology Emergency medicine Pediatric emergency medicine Family medicine Internal medicine Cardiovascular disease Clinical cardiac electrophysiology Critical care medicine Endocrinology, diabetes, and metabolism Gastroenterology Geriatric medicine Hematology and oncology Infectious disease Interventional cardiology Nephrology Oncology Pulmonary disease Pulmonary disease and critical care medicine Rheumatology Sports medicine Transplant hepatology Medical genetics Molecular genetic pathology
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Neurological surgery Endovascular surgical neuroradiology Neurology Child neurology Orthopaedic sports medicine Orthopaedic surgery of the spine Orthopaedic trauma Pediatric orthopaedics Otolaryngology Neurotology Pediatric otolaryngology Palliative and hospice care Pathology-anatomic and clinical Blood banking/transfusion medicine Chemical pathology Cytopathology Forensic pathology Hematology Medical microbiology Neuropathology Pediatric pathology Selective pathology Pediatrics Adolescent medicine Neonatal-perinatal medicine Pediatric cardiology Pediatric critical care medicine Pediatric emergency medicine Pediatric endocrinology Pediatric gastroenterology
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Pediatric hematology/oncology Pediatric infectious diseases Pediatric nephrology Pediatric pulmonology Pediatric rheumatology Pediatric sports medicine Developmental-behavioral pediatrics Physical medicine and rehabilitation Pediatric rehabilitation Spinal cord injury medicine Plastic surgery Craniofacial surgery Clinical neurophysiology Neuromuscular medicine Preventive medicine (General/PH) Neurodevelopmental disabilities Preventive medicine (CDC PMR/F ONLY) Vascular neurology Nuclear medicine Obstetrics and gynecology Occupational medicine Medical toxicology Undersea and hyperbaric medicine Ophthalmology Orthopaedic surgery Adult reconstructive orthopaedics Foot and ankle orthopaedics Psychiatry
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Addiction psychiatry Musculoskeletal oncology Child and adolescent psychiatry Forensic psychiatry Geriatric psychiatry Pain medicine Psychosomatic medicine Radiation oncology Radiology, diagnostic Abdominal radiology Cardiothoracic radiology Musculoskeletal radiology Pediatric radiology Neuroradiology Nuclear radiology Vascular and interventional radiology Sleep medicine Surgery Hand surgery Pediatric surgery Surgical critical care Vascular surgery Vascular surgery ? Integrated Thoracic surgery Congenital Cardiac Surgery Urology Pediatric urology Transitional year Internal Medicine/Pediatrics |
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Languages Lookup Table |
English Afrikaans Albanian Amharic Arabic (Egyptian) Aramaic Armenian Assamese Aymara Azerbaijani Basque Belarusian Bengali Bislama Bosnian Bulgarian Burmese Catalan Cebuano Cherokee Mandarin Croatian Czech Danish Dutch Egyptian Estonian Finnish French Georgian German Greek Guarani Gujarati Creole (Haitian) Hausa Hawaiian Hebrew
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Hindi Hungarian Icelandic Irish Italian Japanese Javanese Kannada Kazakh Khmer Korean Lao Latvian Lithuanian Macedonian Malagasy Malayalam Marathi Mongolian Nahuatl Navajo Nepali Norwegian Oriya Oromo Farsi Polish Portuguese Punjabi Pashto Romanian Romany Russian Sanskrit Serbian Slovak Slovenian Somali
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Spanish Swahili Swedish Tagalog Tajik Tamil Telugu Thai Tibetan Tok Pisin Turkish Turkmen Ukrainian Urdu Uzbek Vietnamese Welsh Xhosa Yiddish Yoruba Zapotec Zulu Arabic (Levantine) Arabic (Modern Standard) Arabic (Moroccan) Indonesian (Not Specified) Bahasa Melayu Balochi Berber Cantonese Dari Ilokano Inuit Kurdi Kyrgyz Lakota Ojibwa Quechua Quiche
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Uyghur Yucatec Maya Arabic (Not Specified) Chinese (Not Specified) Creole (Not Specified) Malay Other Spoken Language: |
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Clinebell, Carter (CDC/DDPHSS/CSELS/DSEPD) (CTR) |
| File Modified | 0000-00-00 |
| File Created | 2024-07-24 |
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