Form 1 Survey

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

(9) NMRI Survey

NMRI Survey Form

OMB: 0925-0748

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8/31/2020

Network of Minority Health Research Investigators (NMRI) Survey

OMB #0925-0748
Expiration Date: 08/31/2023

Network of Minority Health Research Investigators (NMRI) Survey
Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it
displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974,
Bethesda, MD 20892-7974, ATTN: PRA (0925-0748). Do not return the completed form to this address.
Please take a moment to answer these questions to help make the Network more helpful for all members.

Click if you wish to submit a new Survey
Click if you are a returning member and wish to update your Survey

https://www.scgcorp.com/NMRISurvey/

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Network of Minority Health Research Investigators (NMRI) Survey

This section is required.
Name

Institution Address

Email

Phone

What is your gender?
Male
Female
What is your age?
Under 30
31 – 45
46 – 55
56 – 65
66 – Above

1. What is your highest degree?

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What year did you reach your highest degree?

2. What is your current status?
Graduate/Health Professional Students or Medical Students
Post Doctoral Fellow
Trainee
Instructor
Assistant Professor
Associate Professor
Full Professor
Other (Please complete the box below.)
Other

What year did you begin your current status?

Have you been promoted this past year?
Yes
No

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

4. Are you tenured?
Yes
No
Tenure Not Offered

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Not on Tenure Track

5. How did you become informed about the NMRI?
Website
Email
Member of NMRI
Other (Please complete the box below.)
Other

6. How often have you attended the NMRI meetings?
I have attended all of the meetings since becoming a member
I have attended X number of meetings, the last one was in the year (Supply number of meetings and year below.)
Number of meetings attended (X from above)

Year Last Attended

7. What motivates you to attend the NMRI meeting? (Check all that apply.)
Networking opportunities
Mentorship opportunities
Leadership opportunities
Identifying collaborations
Opportunities for oral or poster presentations
Assistance in applying for promotion or tenure
Enhancing grant or manuscript writing skills

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Developing management skills
Other

8. On a scale of 1-10, with 10 being the most opportunity for professional growth, rate your professional development
associated with attending the annual NMRI meetings
1
2
3
4
5
6
7
8
9
10
Indicate the most important ways that NMRI has helped you in your career development
Found collaborator(s)
Found mentor(s)
Helped with success in grant application
Helped with success in manuscript publication
Helped develop management skills
Assisted in applying for promotion or tenure
Other

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

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

10. How many grants have you submitted since the last academic year?
NIH K Award (Please specify below.)
NIH R03
NIH R01

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Other NIH R mechanism (Please specify below.)
Non – NIH Federal (NSF, DoD, USDHHS) (Please specify below.)
Non-Federal (i.e. Gifts and Foundation) (Please specify below.)
None
Other (Please specify below.)
Specification

How many grants have you been awarded since the last academic year
NIH K Award (Please specify below.)
NIH R03
NIH R01
Other NIH R mechanism (Please specify below.)
Non – NIH Federal (NSF, DoD, USDHHS) (Please specify below.)
Non-Federal (i.e. Gifts and Foundation) (Please specify below.)
None
Other (Please specify below.)
Specification

Total funding awarded in the past year (in Dollars)

Current total funding (in Dollars)

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

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

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Which Journals?

12. Are you planning to attend a future NMRI meeting?
Yes
No

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

14. Final comments

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

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Submit Survey

OMB #0925-0748
Expiration Date: 08/31/2023

https://www.scgcorp.com/NMRISurvey/newsurvey

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