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FMS Application Module Draft (track change)

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FMS Application Module Draft (track change)
Clinebell, Carter (CDC/DDPHSS/CSELS/DSEPD) (CTR)
Writer
2023-07-28
2026-10-10
complete

Extracted Text

Fellowship Management System (FMS)
FMS Application Module Draft

Table of Contents
Contents
Table of Contents	2
1.	Introduction	3
1.1	Document Structure	4
2.	Sign-In & Sign-Up Pages	5
2.1	Sign-In Page	5
2.2	Sign-Up Page (For New Users)	5
3.	eFMS System Help Desk Ticket	5
4.	Application Welcome Page	5
5.	Applicant Profile	5
5.1	Create a Profile to Get Started	5
5.2	Applicant Name	5
5.3	Email Address	5
5.4	Phone Number	5
5.5	Mailing Address	5
5.6	Emergency Contact	5
6.	Eligibility	5
6.1	Get Started	5
6.2	Citizenship Status	5
6.3	TOEFL Score	5
6.4	PMR/F	5
6.4.1	Eligibility	5
6.4.2	Commissioned Corps	5
6.4.3 Public Health Work Experience	5
6.5	PHIFP	5
6.5.1	Eligibility	5
6.6	SAF	5
6.6.1	Teaching Experience	5
6.7	EEP	5
6.7.1	Academic Endorsement	5
6.8	PHAP	5
6.8.1	Special Requirements	5
6.9	FLIGHT	5
6.9.1	Clinical Category & Training	5
6.9.2	Current EIS Position	5
6.9.3	Current Primary Supervisor	5
6.9.4	Scientific Experience	5
6.10	PH-TIPP	5
6.10.1	Eligibility	5
6.10.2	Program & Organization	5
6.10.3	Host Site Position Description	5
6.11	ELI	5
6.11.1	Organization Details	5
6.11.2	Educational Experience	5
6.11.3	Work 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	Education & Licenses	5
7.1	Adding Education or Licenses	5
7.2	Choose Category	5
7.3	Coursework Type	5
7.4	Location	5
7.5	College/University	5
7.6	Status	5
7.7	Degree	5
7.8	Additional Coursework	5
7.9	License	5
7.10     Dates	5
7.11	Incomplete Reason	5
8	Work & Volunteer Experience	5
8.1 Adding Work or Volunteer Experience	5
8.2	Choose Category	5
8.3	Organization Details	5
8.4	Position Details	5
8.5	Dates	5
8.6	Position Location	5
9	Additional Training & Skills	5
9.1	Adding Additional Training & Skills	5
9.2	Choose Category	5
9.3	Clinical Training	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
9.7	Dates	5
9.8	Language Skills	5
10	Publications, Presentations, Working Papers, Monographs or Reports, Grants, Honors and Awards	5
10.1	Adding Publications, Presentations, Working Papers, Monographs or Reports, Grants, Honors and Awards	5
10.2	Choose Category	5
10.3 Details	5
11	Personal Statement	5
11.1	All Fellowships except FLIGHT	5
11.2	FLIGHT	5
11.3 Location Preferences	5
11.4 CDC Fellowship Participation	5
12	Standardized Letters of Recommendation (SLOR)	5
12.1	SLOR Requests	5
12.1.a	Starting a SLOR Request	5
12.2	System Emails to Letter Writers	5
12.3	Letters of Recommendation	5
12.3.1	Section A	5
12.3.2	Section B	5
12.3.3	Section C	5
13	Final Application Sections	5
13.1 Self-Assessment of Skills	5
13.1.1 PHIFP	5
13.1.2 PE	5
13.2	Applicant Survey	5
13.3.3	EEP Rotation Preferences & Topic/Subject Areas	5
13.3.1	Rotation Preferences	5
13.3.2 Topic & Subject Areas	5
13.3.3 Location Preferences	5
13.4 SAF Public Health Interests	5
13.5 EIS CIO Assignment Interests	5
13.6. Writing Samples	5
13.6.1 EIS Writing Samples	5
14	Match	5
14.1 Match or Prematch Rank/Rating Form	5
15	Selection Status Acceptance Form	5
16	EIS Conference Interview Time Selection Form	5
Appendix	5
I. Field Value Tables	5
II. Lookup Tables	5



    • Introduction
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:
    1. Epidemic Intelligence Service (EIS) 
    2. CDC E-learning Institute (ELI)
    3. Epidemiology Elective Program (EEP)
    4. Future Leaders in Infections and Global Health Threats (FLIGHT)
    5. Laboratory Leadership Service (LLS)
    6. CDC Steven M. Teutsch Prevention Effectiveness (PE) Fellowship
    7. Public Health Associate Program (PHAP)
    8. Public Health Informatics Fellowship Program (PHIFP) 
    9. Science Ambassador Fellowship (SAF)
    10. Evaluation Fellowship Program (EFP)


        a. Document Structure
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.


    • Sign-In & Sign-Up Pages
        ◦  Sign-In Page
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 03/31/2023
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 75 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
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
        ◦ Sign-Up Page (For New Users)
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
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
Confirm Password 
Open text response
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes


    • eFMS System Help Desk Ticket
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
2. Sign-In or Password
3. Smart Card Sign-In
4. Data Not Saving
5. Unable to Submit
6. Reset application back to "Draft" 7. Withdraw Fellowship Application
8. Other
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



    • Application Welcome Page
[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
    1. Letter writers having any issues should email the [program] program [program]@cdc.gov



    • Applicant Profile
        ◦  Create a Profile to Get Started

INSTRUCTIONAL TEXT: 
Create a profile to get started

        ◦ Applicant Name

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

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

Other Name:
Open text response
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes

Preferred Name:
Open text response
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
YesD


        ◦ Email Address

Table 5.3-a. Email Address Fields
Field
Values
EIS
LLS
FLIGHT
EEP
SAF
PHIFP
PE
ELI
PHAP
EFP
Primary Email Address:

Note: Your primary email will be used to communicate with you throughout the application process. Make sure your primary email is typed in correctly. Do not use a college or university email as your primary email

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
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


        ◦ Phone Number
­­­
Table 5.4-a. Phone Number Fields
Field
Values
EIS
LLS
FLIGHT
EEP
SAF
PHIFP
PE
ELI
PHAP
EFP
Phone 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 typed in 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


        ◦ Mailing Address

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


        ◦ Emergency Contact

Table 5.6-a. Emergency Contact Fields
Field
Values
EIS
LLS
FLIGHT
EEP
SAF
PHIFP
PE
ELI
PHAP
EFP
EC Full Name:
Open text response
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
EC Relationship:
Open text response
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
EC Phone Number:
Open text response
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
EC Email:
Open text response
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No


    • Eligibility
        ◦ Get Started

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

        ◦ Citizenship Status

Table 6.2-a. Citizenship Status Fields
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 internationally and will be limited to positions focused on domestic work."

Are you a U.S. permanent resident?
1. Yes
2. No
Yes
Yes
No
No
No
Yes
Yes
Yes
Yes
Yes
Do you currently live in the U.S.?
1. Yes
2. No
Yes
Yes
No
No
No
Yes
Yes
Yes
Yes
No
Visa Type:
1. F-1
2. H-1B
3. J-1
4. O-1
5. TN
6. Other
Yes
Yes
No
No
No
Yes
Yes
No
Yes
Yes
Specify Visa Type:
 
Yes
Yes
No
No
No
Yes
Yes
No
Yes
Yes
Visa Expiration Date:
 
Yes
Yes
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?
1. Yes
2. No
Yes
Yes
No
No
No
Yes
No
No
No
No
Which country is your degree from?
Approved Country List
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
Do you have or are you in the process of completing a PhD degree?

    1) Yes
    2) No
No
No
No
No
No
No
Yes
No
No
No


        ◦ TOEFL Score

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
2. Computer-Based Test
3. Paper-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

        ◦ PHIFP
            ▪ Eligibility

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 
    1. Public health informatics
    2. General Informatics or related field
    3. Data Science and computer science
    4. Information technology
    5. Statistics and epidemiology
    6. Medicine
    7. Healthcare research and practice

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
2. Masters
3. None
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
2. No
No
No
No
No
No
Yes
No
No
No
No
Public health experience selection: (1 Year)
1. Yes
2. No
No
No
No
No
No
Yes
No
No
No
No
Informatics experience selection: (3 Years)
1. Yes
2. No
No
No
No
No
No
Yes
No
No
No
No
Public health experience selection: (3 Years)
1. Yes
2. No
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
2. No
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]


        ◦ SAF
            ▪ Teaching Experience

Table 6.6.1-a. Teaching Experience Fields
Field
 Values
EIS
LLS
FLIGHT
EEP
SAF
PHIFP
PE
ELI
PHAP
EFP
Grade Levels Ever 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
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
Specify Grade Level Taught:
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)
    1. Attended a CDC Science Ambassador regional training workshop
    2. Previously applied to the CDC Science Ambassador Fellowship
    3. Used CDC NERD Academy curriculum in my classroom
    4. Used CDC Science Ambassador lesson plans in my classroom
    5. None of the above
    6. Other
No
No
No
No
Yes
No
No
No
No
No



        ◦ EEP
            ▪ Academic Endorsement

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




	

        ◦ PHAP
            ▪ Special Requirements
Table 6.8.1-a. Special Requirements Fields
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
2. Master’s degree
3. Doctorate 
4. Other
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
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
2. No
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. Special Requirements 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
2. No
No
No
No
No
No
No
No
No
Yes
No
Would you be willing to work on an Indian reservation? 
1. Yes
2. No
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
2. No
No
No
No
No
No
No
No
No
Yes
No
1st Choice:
Subject Area
Field Value Table
No
No
No
No
No
No
No
No
Yes
No
2nd Choice:
Subject Area
Field Value Table
No
No
No
No
No
No
No
No
Yes
No
3rd Choice:
Subject Area
Field Value Table
No
No
No
No
No
No
No
No
Yes
No
4th Choice:
Subject Area
Field Value Table
No
No
No
No
No
No
No
No
Yes
No
5th Choice:
Subject Area
Field Value Table
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
2. No
No
No
No
No
No
No
No
No
Yes
No
Do you own a car (privately owned vehicle:  POV)?
1. Yes
2. No
No
No
No
No
No
No
No
No
Yes
No



        ◦ FLIGHT
            ▪ Clinical Category & Training

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
2. Veterinarian
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
2. No
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


            ▪ Current EIS Position

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

            ▪ Current Primary Supervisor

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


            ▪ Scientific Experience

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





        ◦ ELI
            ▪ Organization Details

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
2. No
No
No
No
No
No
No
No
Yes
No
No
Public Health Organization Type:
1. State
2. Local
3. Territorial
4. Tribal
5. International Health
6. University
7. Hospital
8. Other
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




            ▪ Educational Experience

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
2. Masters or higher
3. Other related Certification
4. No Degree or Certification
No
No
No
No
No
No
No
Yes
No
No
Degree or Certification Type:
1. Education
2. Public Health / Sciences
3. Technology
4. Business
5. Other
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



            ▪ Work Experience

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
2. Subject Matter Expert (SME)
3. Training Coordinator
4. Learning Management (LMS) Coordinator
5. Other
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
2. No
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)
2. Experienced (No degree but at least 5 years of experience)
3. Limited Experience (No degree and less than 5 years of experience)
No
No
No
No
No
No
No
Yes
No
No
How long have you been developing e-learning?
1. 0 years
2. Less than 1 year
3. 1 - 2 years
4. 3 years or more
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
2. 11 - 50
3. 51+
No
No
No
No
No
No
No
Yes
No
No
What percentage of your organization’s training activity is e-learning?
1. 0 - 25%
2. 26 - 50%
3. 51 - 75%
4. 76 - 100%
No
No
No
No
No
No
No
Yes
No
No


            ▪ e-Learning Content Example

INSTRUCTIONAL TEXT:
We require that you submit an example of the content you would like to develop as e-learning.
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


6.12 EIS, LLS, FLIGHT, PE, PHIFP
6.12.1 Federal Student Loan Repayment Interest
Table 12.1 Federal Student Loan Repayment Interest 
Field
 Values
EIS
LLS
FLIGHT
EEP
SAF
PHIFP
PE
ELI
PHAP
EFP
INSTRUCTIONAL TEXT: The flowing information will not be used in the selection process.

Do you have U.S. Federal Student loans?

If response is No, STOP ELRPHP questions and go to next section

1.Yes
2.No 

Yes
Yes
Yes
No
No
Yes
Yes
No
No
No
6.12.2 Before applying, were you aware of the Educational Loan Repayment Program for Health Professionals in which CDC/ATSDR recruits can receive up to $50,000 a year in loan repayment for a minimum 2-year service agreement? 

*Only ask if answered yes to question 6.12.1
1.Yes
2.No
Yes
Yes
Yes
No
No
Yes
Yes
No
No
No
Are you interested in Federal student loan repayment? (To learn more please visit the Educational Loan Repayment for Health Professionals information on the website). 

*Only if answered yes to question 6.12.1. 

1.Yes
2.No
Yes
Yes
Yes
No
No
Yes
Yes
No
No
No
6.12.5 Did the availability of this loan repayment program influence your decision to apply for this fellowship? 

*Only if answered “yes” to interest in student loan repayment (6.12.4)
1.Yes
2.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




        a. 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.






7. Education & Licenses
        a. Adding Education or Licenses
INSTRUCTIONAL TEXT:
Education & Licenses
Action required
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]



        b. Choose Category

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 want to add?

(Active U.S. Clinical License for clinical applicants only)
1. Undergraduate Education
2. Graduate Education (includes degrees in progress)
3. Additional Coursework
4. Active U.S. Clinical License
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
Yes
Yes
    2. 
        a. Coursework Type

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

        b. Location

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
    2. 
        7.11 College/University

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
College/University:
Open text response
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
Yes
Yes
If your college/university is not listed, please contact the System Help Desk Ticket
Open text response
Yes
Yes
No
Yes
Yes
No
No
No
No
No
    8 
        16.1  Status

Table 7.6-a. Status Fields
Field
Values
EIS
LLS
FLIGHT
EEP
SAF
PHIFP
PE
ELI
PHAP
EFP
Degree Status:
1. Current (Ongoing)
2. Graduated (Degree program)
3. Completed (Nondegree program)
4. Did not complete
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
Has your degree been conferred?
1. Yes
2. No
Yes
Yes
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Course Status:
1. Current
2. Completed
No
No
No
No
No
Yes
No
No
Yes
No
License Status:
1. Expected
2. Received
Yes
Yes
Yes
No
No
No
No
No
Yes
No


7.7 Degree

Table 7.7-a. Degree Fields
Field
Values
EIS
LLS
FLIGHT
EEP
SAF
PHIFP
PE
ELI
PHAP
EFP
Undergraduate Degree:
Undergraduate Degree List
Yes
Yes
Yes
Yes
Yes
No
No
Yes
Yes
No
Graduate Degree:
Graduate Degree List
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
Other Degree:
Open text response
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
Major 1:
Open text response
Yes
Yes
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Major 1 Classification:
Major Classification List
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:
Major Classification List
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
Yes
Yes
No
Did you complete a thesis or dissertation?
    1. Yes
    2. No
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?
    1 Yes
    2 No
No
No
No
No
No

Yes


No
Description of Dissertation
Open text response
Yes
Yes
No
No
No
No
No
No
No
No
Did you receive academic honors?
1. Yes
2. No
Yes
Yes
No
Yes
No
Yes
No
No
Yes
No
Honor Types:
Honor List
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.
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
2. No
No
Yes
No
No
No
No
No
No
No
No




        16.2 Additional Coursework

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


        16.3 License

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


        7.1 Incomplete Reason

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
    8 
    17 Work & Volunteer Experience
8.1 Adding Work or Volunteer Experience
INSTRUCTIONAL TEXT:
Work & Volunteer experience
Action required
Please list work and volunteer experience in chronological order
You need to have a minimum of 1 item in this list in order to submit your entry. [Export .CSV]   [Add New Item]


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 want to add?
For Volunteer Experience, please list activities outside your normal working hours/responsibilities.
1. Work Experience
2. Volunteer Experience
Yes
Yes
No
Yes
Yes
Yes
Yes
No
No
No


        12.3 Organization Details

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)
2. Government – CDC (including contractor work)
3. Government – non-CDC federal government (including contractor work)
4. Government – state, tribal, local, or territorial health agency (including contractor work) 
5. Non-governmental, community, or other organization (NGO)
6. Academia (as faculty or staff)
7. Industry (private, non-clinical business)
8. Clinical work
Yes
Yes
No
Yes
No
Yes
Yes
No
No
No
Does your organization, school or school district receive Title 1 financial assistance?
1. Yes
2. No
3. N/A
4. Prefer not to respond

No
No
No
No
Yes
No
No
No
No
No
May we contact your supervisor?
1. Yes
2. No
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
Reason
Open text response
Yes
Yes
No
Yes
No
Yes
Yes
No
No
No


        12.4 Position Details

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
Open text response
Yes
Yes
No
Yes
No
Yes
Yes
No
No
No
Is this position related to public health?
1. Yes
2. No
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


        12.5 Dates

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



        12.6 Position Location

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


    13 Additional Training & Skills
        8.2 Adding Additional Training & Skills

INSTRUCTIONAL TEXT:
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]


        8.3 Choose Category

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
2. U.S. Clinical Board Certification
3. Additional Training, Certification or Professional Development
4. Language Skill
5. None of the Above
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:
Open text response
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
2. No
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
2. Eligible
Yes
Yes
Yes
No
No
No
No
No
No
No
Certificate of Completion Upload:
Upload Field









No
Specialty:
See Appendix p. 120
Yes
Yes
Yes
No
No
Yes
No
No
No
No
Specify Specialty:
Open text response
Yes
Yes
Yes
No
No
Yes
No
No
No
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





        8.4 Institution Details and Location

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
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


        8.5 Dates

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
Yes
Yes
Yes
No
No
No
Are you currently pursuing?
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
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



        8.6 Language Skills

Table 9.8-a. Language Skill Fields
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
2. Fair
3. Good
4. Excellent
Yes
Yes
Yes
Yes
No
Yes
Yes
No
Yes
No
Write:
1. Poor
2. Fair
3. Good
4. Excellent
Yes
Yes
Yes
Yes
No
Yes
Yes
No
Yes
No
Speak:
1. Poor
2. Fair
3. Good
4. Excellent
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]:
Field
Values
EIS
LLS
FLIGHT
EEP
SAF
PHIFP
PE
ELI
PHAP
EFP
SAS
Proficient/Skilled
Master/Expert
No
No
No
Yes
No
No
No
No
No
No
STATA
Proficient/Skilled
Master/Expert
No
No
No
Yes
No
No
No
No
No
No
Epi-Info
Proficient/Skilled
Master/Expert
No
No
No
Yes
No
No
No
No
No
No
R
Proficient/Skilled
Master/Expert
No
No
No
Yes
No
No
No
No
No
No
Excel
Proficient/Skilled
Master/Expert
No
No
No
Yes
No
No
No
No
No
No
Other (Specify and Provide Rating)
Proficient/Skilled
Master/Expert
No
No
No
Yes
No
No
No
No
No
No

    9 10. Publications, Presentations, Working Papers, Monographs or Reports, Grants, Honors and Awards
10.1 Adding Publications, Presentations, Working Papers, Monographs or Reports, Grants, Honors and Awards

INSTRUCTIONAL TEXT
Please enter your publications listed in chronological order following Pubmed/Medline format https://www.nlm.nih.gov/bsd/policy/cit_format.html

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.


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 want to add?
FOR LLS: For Honors and Awards, please do not list academic scholarships.  
INSTRUCTIONAL TEXT:
Separate oral presentations and poster presentations
1. Publications
2. Presentations
3. Grants
4. Honors or Awards
5. Monographs or Reports
6. Research Grants
7. Working Papers (Job Market Papers)
Yes
Yes
No
Yes
Yes
Yes
Yes
No
No
No


10.3 Details
INSTRUCTIONAL TEXT
Publications
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:
    6 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:
    1. Citations
    2. Types of presentations
    3. Titles
    4. Conferences
    5. 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:
    1. Citations (or descriptions if no formal citations)
Working Papers (Job Market Papers)
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:
    7 Titles
    8 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:
    1. Titles
    2. Your roles
    3. Dates awarded
    4. Funding agencies
    5. 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:
    6 Names of Organizations Bestowing
    7 Names of honors or awards
    8 Types
    9 Dates awarded
INSTRUCTIONAL TEXT: Refer to the National Library of Medicine sample references for preferred citation format
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
Write your personal statement by considering these questions (in 300 words for each): 
    1. What influenced you to consider a career in public health service?
    2. Describe how this fellowship/program will help you achieve your goals.
    3. Understanding that there are different topical and geographical assignments, in which do you prefer to work and why?
    4. For re-applicants: When did you apply and what has changed since your last application?
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
No
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
Yes
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 fellowship/program.
Open text response
No
Yes
No
No
No
No
No
Yes
No
Yes
What do you believe are facilitators at your organization for developing e-learning? 
Open text response
No
No
No
No
No
No
No
Yes
No
No
What do you believe are barriers at your organization for developing e-learning? 
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
For re-applicants: When did you apply and what has changed since your last application? 
Open text response
Yes
Yes
No
Yes
Yes
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



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
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.
2. I am only interested in state assignments
3. I am interested in CDC Headquarters assignments and state 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?”
State/Territory List
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
2. No
Yes
Yes
No
Yes
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
2. No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Please select all CDC fellowships that you have participated in:
CDC Fellowship List
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes



    10 12Standardized Letters of Recommendation (SLOR)
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]
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 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
Yes
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
Number of persons with similar background to the candidate that you supervised over last 5 years:
1. <= 1
2. 2 - 5
3. 6 - 10
4. > 10
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
2. Advisor
3. Program director
4. Dean
5. Professor
6. Faculty member
7. Thesis committee member
8. Other (Explain)
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

    13 
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? 
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 you have supervised or advised, 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 you have supervised or advised, 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 you have supervised or advised, 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 you have supervised or advised, 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




            i. Section C

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
2. Minimally suitable
3. Suitable
4. Very 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
2. Minimally suitable
3. Suitable
4. Very 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
Any other comments:
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
2. Advanced Beginner
3. Competent
4. Proficient
5. Expert
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
2. Advanced Beginner
3. Competent
4. Proficient
5. Expert
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
2. Advanced Beginner
3. Competent
4. Proficient
5. Expert
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
2. Advanced Beginner
3. Competent
4. Proficient
5. Expert
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
2. Advanced Beginner
3. Competent
4. Proficient
5. Expert
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
2. Advanced Beginner
3. Competent
4. Proficient
5. Expert
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
2. Advanced Beginner
3. Competent
4. Proficient
5. Expert
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
2. Advanced Beginner
3. Competent
4. Proficient
5. Expert
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
2. Advanced Beginner
3. Competent
4. Proficient
5. Expert
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
2. Advanced Beginner
3. Competent
4. Proficient
5. Expert
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
2. Advanced Beginner
3. Competent
4. Proficient
5. Expert
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
2. Advanced Beginner
3. Competent
4. Proficient
5. Expert
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
2. Advanced Beginner
3. Competent
4. Proficient
5. Expert
No
No
No
No
No
Yes
Yes
No
No
No
SAS:
1. Novice
2. Advanced Beginner
3. Competent
4. Proficient
5. Expert
No
No
No
No
No
Yes
Yes
No
No
No
R:
1. Novice
2. Advanced Beginner
3. Competent
4. Proficient
5. Expert
No
No
No
No
No
Yes
Yes
No
No
No
MATLAB:
1. Novice
2. Advanced Beginner
3. Competent
4. Proficient
5. Expert
No
No
No
No
No
Yes
Yes
No
No
No
Excel:
1. Novice
2. Advanced Beginner
3. Competent
4. Proficient
5. Expert
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
2. Advanced Beginner
3. Competent
4. Proficient
5. Expert
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
2. Advanced Beginner
3. Competent
4. Proficient
5. Expert
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
2. Advanced Beginner
3. Competent
4. Proficient
5. Expert
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
Which of the following most influenced you to apply to this fellowship? (select up to 3)
Change type:  Question revision

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
Yes
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
Yes
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, etc.) are you considering?
Open text response
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
Are you applying to the EIS-IDSA Fellowship [name subject to change]
    1. Yes
    2. No
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.
    1. Yes
    2. No
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

    15 
            ii. EEP Rotation Preferences & Topic/Subject Areas
            13.2.1 Rotation Preferences
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 6
Rotation C: March 23- May 1
Rotation D: March 23- May 15
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
2. No
No
No
No
Yes
No
No
No
No
No
No
Rotation B:
1. Yes
2. No
No
No
No
Yes
No
No
No
No
No
No
Rotation C:
1. Yes
2. No
No
No
No
Yes
No
No
No
No
No
No
Rotation D:
1. Yes
2. No
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, and territorial health
32. Global health
33. COVID-19
34. Other (specify)
No
No
No
Yes
No
No
No
No
No
No
Specify:
Open text response
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
2. Data entry
3. Data analysis
4. Intervention/program planning
5. Intervention/program implementation
6. Intervention/program evaluation
7. Literature review
8. Scientific writing (e.g., drafting a section of a report)
9. Communications/design (e.g., developing flyers, website content)
10. Field investigation
11. Other:
No
No
No
Yes
No
No
No
No
No
No
Specify:
Open text response
No
No
No
Yes
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)
2. Other CDC Regional Campuses
3. Other Federal Agencies
4. State, local, or territorial health departments
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):
    1. National Park Service (Fort Collins, Colorado)
    2. National Park Service (Albuquerque, New Mexico)
    3. National Park Service (Washington, DC)
    4. Indian Health Service (varies)
    5. I am open to additional federal agencies not already listed above
No
No
No
Yes
No
No
No
No
No
No
State, local, or territorial health departments (Select all that apply):
State/Territory List
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):
    • In person (100%)
    • Telework/remote (100%)
    • Hybrid, mostly in person (>50%)
    • Hybrid, mostly telework/remote (<50%)










No










13.4 SAF Public Health Interests
INSTRUCTIONAL TEXT:
From the list below rank the public health areas of most interest to you, with one being your top choice. The information will be used to group you into lesson plan development teams during the workshop.
Table 13.5-a. SAF Public Health Interests Fields
Field
Values
EIS
LLS
FLIGHT
EEP
SAF
PHIFP
PE
ELI
PHAP
EFP
First [Second | Third] Choice Area
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)
No
No
No
No
Yes
No
No
No
No
No
Other First [Second | Third] Choice Area
-
No
No
No
No
Yes
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
2. National Center for Chronic Disease Prevention and Health Promotion
3. National Center for Emerging and Zoonotic Infectious Diseases
4. National Center for Environmental Health/Agency for Toxic Substances and Disease Registry
5. National Center for Health Statistics
6. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
7. National Center for Immunization and Respiratory Diseases
8. National Center for Injury Prevention and Control
9. National Center on Birth Defects and Developmental Disabilities
10. National Institute for Occupational Safety and Health
11. Office of Public Health Preparedness and Response
Yes
No
No
No
No
No
No
No
No
No
2nd CDC Centers, Institute, Offices (CIOs):
1. Center for Global Health
2. National Center for Chronic Disease Prevention and Health Promotion
3. National Center for Emerging and Zoonotic Infectious Diseases
4. National Center for Environmental Health/Agency for Toxic Substances and Disease Registry
5. National Center for Health Statistics
6. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
7. National Center for Immunization and Respiratory Diseases
8. National Center for Injury Prevention and Control
9. National Center on Birth Defects and Developmental Disabilities
10. National Institute for Occupational Safety and Health
11. Office of Public Health Preparedness and Response
Yes
No
No
No
No
No
No
No
No
No
3rd CDC Centers, Institute, Offices (CIOs):
1. Center for Global Health
2. National Center for Chronic Disease Prevention and Health Promotion
3. National Center for Emerging and Zoonotic Infectious Diseases
4. National Center for Environmental Health/Agency for Toxic Substances and Disease Registry
5. National Center for Health Statistics
6. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
7. National Center for Immunization and Respiratory Diseases
8. National Center for Injury Prevention and Control
9. National Center on Birth Defects and Developmental Disabilities
10. National Institute for Occupational Safety and Health
11. Office of Public Health Preparedness and Response
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):
    16 CAL 1: Conduct or participate in a field investigation of a potentially serious public health problem that requires a timely response.
    17 CAL 2: Design, conduct, and interpret an epidemiologic analysis
    18 CAL 3: Evaluate a public health surveillance system
    19 CAL 4: Given an in-depth public health talk on the officer’s original work or in their field of study
    20 CAL 5: Give a 5-15 minute oral presentation to a scientific audience
    21 CAL 6: Write a scientific manuscript for a peer-reviewed journal
    22 CAL 7: Write a concise public health update communicating timely information
    23 CAL 8: Write a scientific abstract
    24 CAL 9: Communicate complex scientific concepts to a lay audience
    25 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 Match
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
Interview Date B
Interview Date C
Interview Date D
Interview Date E
etc. 

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
2. Decline
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
2. Decline
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
2. Decline
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
Host site & Interview Time Slot

[drop down]
Yes
No
No
No
No
No
No
No
No
No
Please select an interview time slot
[drop down]
Yes
No
No
No
No
No
No
No
No
No


Appendix
I. Field Value Tables

Appendix of Field Value Tables
Field Name
Application Locations
Values
1
Values
2
Values
3
Values
4
State Sponsor of Terrorism Country List
6.2 Citizenship Status
See the U.S. Department of State website for current list: https://www.state.gov/j/ct/list/c14151.htm



Approved Country List
6.2 Citizenship Status
United States
Anguilla
Antigua
Australia
Bahamas
Barbados
Barbuda
Belize
Bermuda
British Virgin Islands
Canada
Dominica
Grand Cayman Islands

Grenada
Guyana
Irish Republic
Jamaica
Montserrat
New Zealand
Saint Kitts and Nevis
St. Lucia
St. Vincent & the Grenadine
Tabago
Trinidad
Turks and Caicos Islands
United Kingdom


PHAP Subject Areas
6.8.1 Special Requirements
Adolescent & School Health (non-STI) 
Community Health Improvement Planning (CHIP)/Community Health Assessments (CHA)
Chronic Disease 
Emergency/Disaster Preparedness and Response
Environmental Health
Genomics
Health Equity/Access to Care
Health Department Improvement/Accreditation
Immunizations/Vaccine Preventable Disease Investigation
Sexually Transmitted Disease Prevention
Tuberculosis Prevention
HIV Prevention
Viral Hepatitis Prevention 
Adolescent/school-based Sexually Transmitted Disease prevention
Other Infectious Disease 
Injury Prevention
Maternal & Infant Health
Public Health Policy & Law
Public Health Surveillance
Oral Health



Undergraduate Degree List
7.7 Degree
AB
AM
BA
BS
BS/BA
BSc
DHS
DHSc
DNSc
DPH
DPhil
DrPH
DrS
DrSc
EdD
MA
Med
MHS
MHSc
MHSE
MN
MPH
MPhil
MPHTM
MPVM
MS
MSVPH
MSc
MScPH
MSPH
MTM&H
PhD
SB
ScB
ScD
ScM
SM
Other


Undergraduate Degree List for EEP:

AB 
BA 
BS 
BS/BA 
BSc 
SB 
ScB 
Other


Graduate Degree List
7.7 Degree
AB
AM
BA
BS
BS/BA
BSc
DHS
DHSc
DNSc
DPH
DPhil
DrPH
DrS
DrSc
EdD
MA
Med
MHS
MHSc
MHSE
MN
MPH
MPhil
MPHTM
MPVM
MS
MSVPH
MSc
MScPH
MSPH
MTM&H
PhD
SB
ScB
ScD
ScM
SM
Other

Graduate degree list for EEP
AM 
BA 
DHS 
DHSc 
DNSc 
DPH 
DPhil 
DrPH 
DrS 
DrSc 
EdD 
MA 
MEd 
MHS 
MHSc 
MHSE 
MN 
MPH 
MPhil 
MPHTM 
MPVM 
MS 
MSVPH 
MSc 
MScPH 
MSPH 
MTM&H 
PhD 
SB 
ScB 
ScD 
ScM 
SM 
Other


Major Classification List
7.7 Degree
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




Honor List
7.7 Degree
Magna Cum Laude
Summa Cum Laude
Cum Laude
Valedictorian
Benedictorian
Salutatorian
Phi Beta Kappa
Other (specify)




State/Territory List
11.3 Location Preferences
13.3.3 Location Preferences
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



CDC Fellowship List
11.4 CDC Fellowship Participation
AACN Fellowship
AAMC Public Health Policy Fellowship
Applied Public Health Informatics Fellowship (APHIF)
APTR Preventive Medicine and Public Health Fellowship
ASA/NCHS Research Fellowship Program
ASM Program in Infectious Disease and Public Health Microbiology
ASPH Allan Rosenfield Global Health Fellowship Program
ASPPH Public Health Fellowship Program
Biochemical Markers Fellowship
Collegiate Leaders in Environmental Health (CLEH)
CSTE Applied Epidemiology Fellowship Program
Dental Public Health Residency
DHPE Health Equity Fellowship Program
DHPE Internship Program for Public Health Practice Emory Rollins Earn and Learn (REAL) Program
E-learning Institute (ELI)
Environmental Health Traineeship and Fellowship Program
Epidemic Intelligence Service (EIS)
Epidemiology Elective Program (EEP)
Evaluation Fellowship
Federal Work-Study Program (FWS)
Field Epidemiology Training Program (FETP)
Future Leaders in Infections and Global Health Threats (FLIGHT)
Future Public Health Leaders Program (FPHLP)
HACU National Internship Program (HNIP)
Health Systems Integration Program
Hubert Global Health Fellowship
Informatics Training in Place Program (I-TIPP)
International Emerging Infectious Diseases (IEID) Laboratory Fellowship Program
Internships and Externships in Public Health Law
James A Ferguson Emerging Infectious Diseases Fellowship
Junior Commissioned Officer Student Training and Extern Program (JRCOSTEP)
Laboratory Animal Medicine Residency Program (LAMRP)
Laboratory Leadership Service (LLS)
Maternal Child Health Careers/Research Initiatives for Student Enhancement – Undergraduate Program (MCHC/RISE-UP)
Medical Toxicologist Fellowship Program
Morehouse College Project IHMOTEP Program
National Center for Health Statistics (NCHS) Academy Health Policy Fellowship
National Center for Health Statistics (NCHS) Postdoctoral Research Program





II. Lookup Tables

Appendix of Lookup Tables
Lookup Table Name
Application Locations
Values
1
Values
2
Values
3
Values
4
Values
5
Fellowship Lookup
3. eFMS System Help Desk Ticket
CDC E-learning Institute Fellowship Program (ELI)
CDC Steven M. Teutsch Prevention Effectiveness (PE) Fellowship
Epidemic Intelligence Service (EIS)
Epidemiology Elective Program (EEP)
Future Leaders in Infections and Global Health Threats (FLIGHT)
Laboratory Leadership Service (LLS)
Population Health Training in Place Program (PH-TIPP)
Population Health Workforce Initiative (PHWI)
Preventive Medicine Residency and Fellowship (PMR/F)
Public Health Associate Program (PHAP)
Public Health Informatics Fellowship Program (PHIFP)
Science Ambassador Fellowship (SAF)




Phone Code Lookup
5.4 Phone Number
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)

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)

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)

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)

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)
Country Lookup
5.5 Mailing Address
6.2 Citizenship Status
6.10.2 Program & Organization
8.6 Position Location
9.6 Institution Details and Location
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

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

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

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

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
State/Territory Lookup
5.5 Mailing Address
6.8.1 Special Requirements
6.10.2 Program & Organization
7.9 License
8.6 Position Location
9.6 Institution Details and Location
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
Guam
Northern Mariana Islands



Center/Division/Branch Lookup
6.9.2 FLIGHT – Current EIS Position
6.10.2 Program & Organization

NIOSH / Office of the Director / Administrative Svcs Branch (Cincinnati)
NIOSH / Office of the Director / Administrative Svcs Branch (Morgantown)
NIOSH / Office of the Director / Administrative Svcs Branch (Spokane)
NIOSH / Office of the Director / Administrative Svrcs Branch (Pittsburgh)
NCHS / Office of Analysis & Epidemiology / Aging & Chronic Disease Statistics Branch
NIOSH / Health Effects Laboratory Division / Allergy & Clinical Immunology Branch
NCHS / Division of Health Care Statistics / Ambulatory and Hospital Care Statistics Branch
NIOSH / Division of Safety Research / Analysis & Field Branch
NCHS / Division of Health & Nutrition Examination Surveys / Analysis Branch
NCHS / Office of Analysis & Epidemiology / Analytic Studies Branch
NCEZID / Division of Scientific Resources / Animal Resources Branch
NCCDPHP / Division for Heart Disease and Stroke Prevention / Applied Research and Evaluation Branch
NCCDPHP / Division of Population Health / Applied Research and Translation Branch
CPR / Division of State and Local Readiness / Applied Science and Evaluation Branch
NCCDPHP / Division of Reproductive Health / Applied Sciences Branch
NCEZID / Division of Vector-Borne Diseases / Arboviral Diseases Branch
NCEZID / Division of Preparedness and Emerging Infections / Arctic Investigations Program
NCCDPHP / Division of Population Health / Arthritis, Epilepsy and Well-Being Branch
NCIRD / Immunization Services Division / Assessment Branch
NCEH / Division of Environmental Health Science and Practice / Asthma and Community Health Branch
NCEZID / Division of Vector-Borne Diseases / Bacterial Diseases Branch
NCEZID / Division of High Consequence Pathogens & Pathology / Bacterial Special Pathogens Branch
NCHHSTP / Division of HIV/AIDS Prevention Surveillance & Epidemiology / Behavioral And Clinical S...
NIOSH / Division of Applied Research & Technology / Biomonitoring & Health Assessment Branch
NIOSH / Health Effects Laboratory Division / Biostatistics & Epidemiology Branch
NCEZID / Division of Foodborne, Waterborne and Environmental Diseases / Biostatistics and Informa...
NCEZID / Division of Scientific Resources / Biotechnology Core Facility Branch
NCBDDD / Division of Congenital and Developmental Disorders / Birth Defects Branch
NCHS / Office of Management & Operations / Building Operations & Services Staff
NCHS / Office of Management & Operations / Business Logistics Staff
NCCDPHP / Division of Cancer Prevention and Control / Cancer Surveillance Branch
NCHHSTP / Division of HIV/AIDS Prevention-Intervention & Support / Capacity Building Branch
CPR / Division of State and Local Readiness / Capacity Building Branch
ATSDR / Division of Community Health Investigations / Central Branch
NIOSH / Division of Applied Research & Technology / Chemical Exposure & Monitoring
NCBDDD / Division of Human Development and Disability / Child Development and Disability Branch
NCEZID / Division of High Consequence Pathogens & Pathology / Chronic Viral Diseases Branch
NCHS / Classification & Public Health Data Standards Staff / Classification & Public Health Data ...
NCEZID / Division of Healthcare Quality Promotion / Clinical & Environmental Microbiology Branch
NCEH / Division of Laboratory Science / Clinical chemistry branch
NCHHSTP / Division of Tuberculosis Elimination / Clinical Research Branch
NCHS / Division of Research & Methodology / Collaborating Center for Questionnaire Design & Evalu...
NCHS / Division of Research & Methodology / Collaborating Center for Statistical Research & Surve...
NCIRD / Immunization Services Division / Communication and Education Branch
NCHHSTP / Division of Tuberculosis Elimination / Communications, Education, and Behavioral Studie...
CSELS / Division of Public Health Information and Dissemination / Community Guide Branch
NCCDPHP / Division of Cancer Prevention and Control / Comprehensive Cancer Control Branch
ATSDR / Division of Toxicology and Human Health Sciences / Computational Toxicology and Methods D...
NIOSH / Education & Information Division / Document Development Branch
NIOSH / National Personal Protective Technology Laboratory / Conformity Verification & Standards ...
NCCDPHP / Division of Population Health / Coordinated State Support Branch
NIOSH / Pittsburgh Mining Research Division / Dust, Ventilation & Toxic Substances Branch
CGH / Division of Global Health Protection / Country Strategy and Implementation Branch
ATSDR / Division of Community Health Investigations / Eastern Branch
NCHS / Division of Vital Statistics / Data Acquisition, Classification & Evaluation Branch
CGH / Division of Global HIV and TB / Economics and Health Services Research Branch

NCHS / Division of Health Interview Statistics / Data Analysis & Quality Assurance Branch
CSELS / Division of Scientific Education and Professional Development / Education and Training Se...
NCHHSTP / Division of Tuberculosis Elimination / Data Management and Statistics Branch
NIOSH / Pittsburgh Mining Research Division / Electrical & Mechanical Systems Safety Branch
NCHS / Division of Health Interview Statistics / Data Production & Systems Branch
CPR / Division of Emergency Operations / Emergency and Risk Communications Branch
NCEZID / Division of Vector-Borne Diseases / Dengue Branch
NCEH / Division of Environmental Health Science and Practice / Emergency Management, Radiation, a...
NCBDDD / Division of Congenital and Developmental Disorders / Developmental Disabilities Branch
NCEZID / Division of Preparedness and Emerging Infections / Emergency Preparedness and Response B...
NCBDDD / Division of Human Development and Disability / Disability and Health Branch
CGH / Division of Global Health Protection / Emergency Response and Recovery Branch
NIOSH / Division of Compensation Analysis & Support / Division of Compensation Analysis & Support
NCEH / Division of Laboratory Science / Emergency response branch
NCCDPHP / Division of Oral Health / Division of Oral Health
ATSDR / Division of Toxicology and Human Health Sciences / Emergency Response Program
NIOSH / Health Effects Laboratory Division / Engineering & Control Branch
NIOSH / Division of Applied Research & Technology / Engineering & Physical Hazards Branch
NCEZID / Division of Foodborne, Waterborne and Environmental Diseases / Enteric Diseases Epidemio...
NCEZID / Division of Foodborne, Waterborne and Environmental Diseases / Enteric Diseases Laborato...
CGH / Division of Parasitic Diseases and Malaria / Entomology Branch
ATSDR / Division of Toxicology and Human Health Sciences / Environmental Epidemiology Branch
NCCDPHP / Division of Population Health / Epidemiology and Surveillance Branch
NCEH / Division of Emergency and Environmental Health Services / Environmental Health Services Br...
ATSDR / Division of Toxicology and Human Health Sciences / Environmental Health Surveillance Branch
NCHHSTP / Division of Viral Hepatitis / Epidemiology and Surveillance Branch
ATSDR / Division of Toxicology and Human Health Sciences / Environmental Medicine Branch
NCHHSTP / Division of HIV/AIDS Prevention Surveillance & Epidemiology / Epidemiology Branch
NCEH / Division of Emergency and Environmental Health Services / Environmental Public Health Read...
NCCDPHP / Office on Smoking and Health / Epidemiology Branch
ATSDR / Division of Toxicology and Human Health Sciences / Environmental Toxicology Branch
NCEZID / Division of Healthcare Quality Promotion / Epidemiology Research and Innovations Branch
NCCDPHP / Division of Cancer Prevention and Control / Epidemiology and Applied Research Branch
CSELS / Division of Scientific Education and Professional Development / Epidemiology Workforce Br...
NCIRD / Influenza Division / Epidemiology and Prevention Branch
CGH / Division of Global Health Protection / Epidemiology, Informatics, Surveillance and Lab Branch
NCCDPHP / Division of Diabetes Translation / Epidemiology and Statistics Branch
NIOSH / National Personal Protective Technology Laboratory / Evaluation & Testing Branch
NCHHSTP / Division of Sexually Transmitted Disease Prevention / Epidemiology and Statistics Branch
NIOSH / Health Effects Laboratory Division / Exposure Assessment Branch
NCCDPHP / Division for Heart Disease and Stroke Prevention / Epidemiology and Surveillance Branch
NCHHSTP / Division of Sexually Transmitted Disease Prevention / Field Services Branch
NCBDDD / Division of Blood Disorders / Epidemiology and Surveillance Branch
CPR / Division of State and Local Readiness / Field Services Branch
CGH / Division of Global HIV and TB / Epidemiology and Surveillance Branch
NCHHSTP / Division of Tuberculosis Elimination / Field Services Branch
NIOSH / Respiratory Health Division / Field Studies Branch
NCCDPHP / Division of Reproductive Health / Field Support Branch

NIOSH / Pittsburgh Mining Research Division / Fires and Explosions Branch
NCEZID / Division of Foodborne, Waterborne and Environmental Diseases / Food Safety Office
NCEZID / Division of Global Migration and Quarantine / Geographic Medicine and Health Promotion B...
NCHS / Office of Analysis & Epidemiology / Health Promotion Statistics Branch
ATSDR / Division of Toxicology and Human Health Sciences / Geospatial Research, Analysis, and Ser...
CGH / Division of Global Health Protection / Global Non-communicable Disease Branch
NCCDPHP / Office on Smoking and Health / Global Tobacco Control Branch
NCHHSTP / Division of Sexually Transmitted Disease Prevention / Health Services Research and Eval...
CGH / Division of Global HIV and TB / Global Tuberculosis Branch
NCIPC / Division of Unintentional Injury Prevention / Health Systems and Trauma Systems Branch
NIOSH / Pittsburgh Mining Research Division / Ground Control Branch
NCEH / Division of Emergency and Environmental Health Services / Healthy Community Design Initiative
NIOSH / Division of Surveillance, Hazard Evaluations & Field Studies / Hazard Evaluations & Techn...
NCEH / Division of Emergency and Environmental Health Services / Healthy Homes and Lead Poisoning...
NIOSH / Health Effects Laboratory Division / Health Communication Research Branch
NCBDDD / Division of Blood Disorders / Hemostasis Laboratory Branch
NCCDPHP / Office of the Director / Health Communication Science Office
NCHHSTP / Office of the Director / Health Communication Science Office
CGH / Division of Global HIV and TB / HIV Care and Treatment Branch
NCBDDD / Office of the Director / Health Communication Science Office
NCHHSTP / Division of HIV/AIDS Prevention Surveillance & Epidemiology / HIV Incidence and Case Su...
NIOSH / Pittsburgh Mining Research Division / Health Communication, Surveillance, Research Suppor...
CGH / Division of Global HIV and TB / HIV Prevention Branch
NCCDPHP / Office on Smoking and Health / Health Communications Branch
NCIPC / Division of Unintentional Injury Prevention / Home, Recreation, and Transportation Branch
CGH / Division of Global HIV and TB / Health Informatics, Data Management, and Statistics Branch
NIOSH / Pittsburgh Mining Research Division / Human Factors Branch
NCEZID / Division of Global Migration and Quarantine / Immigrant, Refugee, and Migrant Health Branch
NCIRD / Immunization Services Division / Immunization Information System Support Branch
NCEZID / Division of Healthcare Quality Promotion / Immunization Safety Office
CGH / Global Immunization Division / Immunization System Branch
NCIRD / Influenza Division / Immunology and Pathogenesis Branch
NIOSH / Division of Surveillance, Hazard Evaluations & Field Studies / Industrywide Studies Branch
NCHS / Office of Analysis & Epidemiology / Infant, Child, & Women?s Health Statistics Branch
NCEZID / Division of High Consequence Pathogens & Pathology / Infectious Diseases Pathology Branch
NCIRD / Office of the Director / Influenza Coordination Unit
CGH / Division of Global HIV and TB / International Laboratory Branch
NCHS / Division of Health & Nutrition Examination Surveys / Informatics Branch
CSELS / Division of Public Health Information and Dissemination / Informatics Innovation Unit
NCHHSTP / Division of HIV/AIDS Prevention Surveillance & Epidemiology / Laboratory Branch
NCHHSTP / Office of the Director / Informatics Office
NCHHSTP / Division of Tuberculosis Elimination / Laboratory Branch
NCHS / Office of Information Services / Information Design & Publishing Staff
NCHHSTP / Division of Viral Hepatitis / Laboratory Branch
NCHS / Office of Information Services / Information Dissemination Staff
NIOSH / Education & Information Division / Information Resources and Dissemination Branch
CSELS / Division of Laboratory Systems / Laboratory Practice Standards Branch
NCEZID / Division of Preparedness and Emerging Infections / Laboratory Preparedness and Response ...
CSELS / Division of Health Informatics and Surveillance Systems / Information Systems Branch
NCHHSTP / Division of Sexually Transmitted Disease Prevention / Laboratory Reference and Research...
NCHS / Division of Vital Statistics / Information Technology Branch
NCHS / Office of Information Technology / Information Technology Solutions & Services Staff
CSELS / Division of Laboratory Systems / Laboratory 

Research and Evaluation Branch
NCEH / Division of Laboratory Science / Inorganic and radiation analytical toxicology branch
CSELS / Division of Laboratory Systems / Laboratory Training and Services Branch
NCEH / Division of Environmental Health Science and Practice / Lead Poisoning Prevention and Envi...
CSELS / Division of Public Health Information and Dissemination / Library Science Branch
CPR / Division of Strategic National Stockpile / Logistics Branch
CPR / Division of Emergency Operations / Logistics Support Branch
NCHS / Division of Health Care Statistics / Long-Term Care Statistics Branch
CGH / Division of Parasitic Diseases and Malaria / Malaria Branch
CGH / Division of Global HIV and TB / Management and Operations Branch
NIOSH / Office of the Director / Management Systems Branch
CGH / Division of Global HIV and TB / Maternal and Child Health Branch
NCCDPHP / Division of Reproductive Health / Maternal and Infant Health Branch
NCIRD / Division of Bacterial Branch / Meningitis and Vaccine Preventable Diseases Branch
CGH / Division of Global HIV and TB / Monitoring, Evaluation, and Data Analysis Branch
NIOSH / Office of the Director / Office of Extramural Coordination & Special Projects
NCHS / Division of Vital Statistics / Mortality Statistics Branch
NCEZID / Division of Foodborne, Waterborne and Environmental Diseases / Mycotic Diseases Branch
NCEH / Office of the Director / Office of Financial, Administrative, and Information Services
NCEH / Division of Laboratory Science / Newborn screening and molecular biology branch
NCIRD / Office of the Director / Office of Health Communication Science
NCCDPHP / Division of Nutrition, Physical Activity, & Obesity / Nutrition Branch
NCHHSTP / Office of the Director / Office of Health Equity
NCEH / Division of Laboratory Science / Nutritional biomarkers branch
NCIRD / Office of the Director / Office of Informatics
NCCDPHP / Division of Nutrition, Physical Activity, & Obesity / Obesity Prevention and Control Br...
NCIRD / Office of the Director / Office of Laboratory Science
NIOSH / Office of the Director / Office of Administrative & Management Svcs
NCIRD / Office of the Director / Office of Management and Operations
NCEH / Office of the Director / Office of Communication
NCHHSTP / Office of the Director / Office of Management and Program Support
NCIPC / Office of the Director / Office of Communication
NCHS / Office of Planning Budget and Legislation / Office of Planning Budget and Legislation
NCIRD / Office of the Director / Office of Policy
NCIPC / Office of the Director / Office of Policy and Partnerships
NCEH / Office of the Director / Office of Policy, Planning, and Evaluation
NCIPC / Office of the Director / Office of Program Management and Operations
NCHHSTP / Office of the Director / Office of Program Planning & Policy Coordination
CSELS / Division of Public Health Information and Dissemination / Office of Public Health Genomics
NCCDPHP / Office of the Director / Office of Public Health Practice
NCIRD / Office of the Director / Office of Science and Integrated Programs
NCHHSTP / Office of the Director / Office of the Associate Director for Laboratory Science
NCHHSTP / Office of the Director / Office of the Associate Director for Science
NCIPC / Office of the Director / Office of the Associate Director for Science
NCHS / Office of the Director / Office of the Director
NCHS / Division of Health & Nutrition Examination Surveys / Office of the Director
NCHS / Division of Health Care Statistics / Office of the Director
CPR / Office of the Director / Office of the Director
NCHS / Division of Health Interview Statistics / Office of the Director
NCEZID / Division of Healthcare Quality Promotion / Office of the Director/International Infectio...
NCCDPHP / Division of Reproductive Health / Office of the Director
NCCDPHP / Division of Cancer Prevention and Control / Office of the Director/Office of Internatio...
NCHS / Division of Vital Statistics / Office of the Director
NCEZID / Office of the Director / One Health Office
NCHS / Office of Analysis & Epidemiology / Office of the Director
CPR / Division of Emergency Operations / Operations Branch
CGH / Office of the Director / Office of the Director
NCHS / Division of Health & Nutrition Examination Surveys / Operations Branch
CSELS / Office of the Director / Office of the Director

CPR / Division of Select Agents and Toxins / Operations Branch
NCEZID / Office of the Director / Office of the Director
NCEH / Division of Laboratory Science / Organic analytical toxicology branch
NCHS / Office of the Director / Office of the Director
NIOSH / Division of Applied Research & Technology / Organizational Science & Human Factors Branch
NCEZID / Division of Foodborne, Waterborne and Environmental Diseases / Outbreak Response and Pre...
CGH / Division of Global Health Protection / Overseas Business Operations Branch
CGH / Division of Global HIV and TB / Overseas Strategy and Management Branch
CGH / Division of Parasitic Diseases and Malaria / Parasitic Diseases Branch
CSELS / Division of Health Informatics and Surveillance Systems / Partnerships and Evaluation Branch
NIOSH / Health Effects Laboratory Division / Pathology & Physiological Research Branch
NCCDPHP / Division of Nutrition, Physical Activity, & Obesity / Physical Activity and Health Branch
CPR / Division of Strategic National Stockpile / Planning and Analysis Branch
NCHS / Division of Health & Nutrition Examination Surveys / Planning Branch
CPR / Division of Emergency Operations / Plans, Training, Exercise and Evaluation Branch
NCIPC / Division of Violence Prevention / Prevention Practice and Translation Branch
NCBDDD / Office of the Director / Policy, Planning, and Evaluation Team
NCHHSTP / Division of HIV/AIDS Prevention-Intervention & Support / Prevention Program Branch
NCIRD / Division of Viral Diseases / Polio and Picornavirus Laboratory Branch
NCBDDD / Division of Congenital and Developmental Disorders / Prevention Research and Translation...
CGH / Global Immunization Division / Polio Eradication
NCCDPHP / Division of Population Health / Population Health Surveillance Branch
NCHHSTP / Division of HIV/AIDS Prevention-Intervention & Support / Prevention Research Branch
CSELS / Division of Scientific Education and Professional Development / Population Health Workfor...
NCEZID / Division of High Consequence Pathogens & Pathology / Prion & Public Health Office
NCEZID / Division of High Consequence Pathogens & Pathology / Poxvirus and Rabies Branch
NCHHSTP / Office of the Director / Program and Performance Improvement Office
NCIPC / Division of Analysis, Research, and Practice Integration / Practice Integration and Evalu...
CGH / Division of Global HIV and TB / Program Budget and Extramural Management Branch
NCEZID / Division of Healthcare Quality Promotion / Prevention & Response Branch
NCCDPHP / Division of Nutrition, Physical Activity, & Obesity / Program Development and Evaluatio...
NCHHSTP / Division of Viral Hepatitis / Prevention Branch
NCCDPHP / Division for Heart Disease and Stroke Prevention / Program Development and Services Branch
NCHHSTP / Division of HIV/AIDS Prevention-Intervention & Support / Prevention Communications Branch
NCHHSTP / Division of Adolescent and School Health / Program Development and Services Branch
NCHHSTP / Division of HIV/AIDS Prevention-Intervention & Support / Program Evaluation Branch
NCCDPHP / Division of Diabetes Translation / Program Implementation Branch
CPR / Division of Select Agents and Toxins / Program Management and Operations Branch
NCIRD / Immunization Services Division / Program Operations Branch
NCCDPHP / Division of Cancer Prevention and Control / Program Services Branch
CPR / Division of Select Agents and Toxins / Program Services Branch
CPR / Division of State and Local Readiness / Program Services Branch
NCCDPHP / Office of the Director / Program Services Branch
NCCDPHP / Office on Smoking and Health / Program Services Branch
NCHHSTP / Division of Sexually Transmitted Disease Prevention / Programs Development and Quality ...
NIOSH / Division of Safety Research / Protective Technology Branch
NCIRD / Division of Viral Diseases / Respiratory Viruses Branch
NCHHSTP / Division of HIV/AIDS Prevention Surveillance & Epidemiology / Quantitative Sciences and...
NCEZID / Division of Global Migration and Quarantine / Quarantine and Border Health Services Branch
CPR / Division of Strategic National Stockpile / Response Branch
NCHS / Division of Vital Statistics / Reproductive Statistics Branch
NCEZID / Division of Vector-Borne Diseases / Rickettsial Zoonoses Branch
NCIPC / Division of Violence Prevention / Research and Evaluation Branch
NIOSH / Education & Information Division / Risk Evaluation Branch
NCHHSTP / Division of Adolescent and School Health / Research Application and Evaluation Branch
NCCDPHP / Division of Population Health / School Health Branch
NIOSH / National Personal Protective Technology Laboratory / Research Branch
NCHS / Division of Research & Methodology / Research Data Center
NCHHSTP / Division of Adolescent and School Health / School-Based Surveillance Branch
NCBDDD / Office of the Director / Resource Management Office
NCBDDD / Office of the Director / Science and Public Health Team
NCIRD / Division of Bacterial Branch / Respiratory Diseases Branch
CGH / Division of Global HIV and TB / Science Integrity Branch
ATSDR / Division of Community Health Investigations / Science Support Branch
NCEZID / Division of Preparedness and Emerging Infections / Scientific and Program Services Branch
NCEZID / Division of Scientific Resources / Scientific Products and Support Branch
CSELS / Division of Public Health Information and Dissemination / Scientific Publications Branch
NCHHSTP / Division of Sexually Transmitted Disease Prevention / Social and Behavioral Research an...
CGH / Division of Global HIV and TB / Special Initiatives Branch
NCHS / Office of Analysis & Epidemiology / Special Projects Branch
NCIPC / Division of Violence Prevention / Special Surveys & Prevention Initiatives Branch (proposed)
NCEZID / Division of Scientific Resources / Specimen Management Branch
NIOSH / Spokane Mining Research Division / Spokane Mining Research Division
NIOSH / Division of Surveillance, Hazard Evaluations & Field Studies / Statistical Support Most E...
NCIPC / Division of Analysis, Research, and Practice Integration / Statistics, Programming, and E...
CGH / Global Immunization Division / Strategic Information and Workforce Development Branch
NCHS / Division of Health Interview Statistics / Survey Planning & Special Surveys Branch
CGH / Division of Global HIV and TB / Strategy, Policy, and Communication Branch
CSELS / Division of Health Informatics and Surveillance Systems / Surveillance and Data Branch
NCHS / Division of Health Care Statistics / Technical Services Branch
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Fontbonne University - Missouri
Cleveland Chiropractic College - Missouri
Forest Institute of Professional Psychology - Missouri
College of the Ozarks - Missouri
Greenleaf University - Missouri
Hannibal-Lagrange College - Missouri
Harris-Stowe State University - Missouri
Lincoln University - Missouri
Lindenwood University - Missouri
Logan College of Chiropractic - Missouri
Maryville University of St. Louis - Missouri
Missouri Baptist College - Missouri
Missouri Southern State University - 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

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

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
Specialty Loookup Table
9.4 U.S. Board Certifications and Specialty
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

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

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

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

Languages Lookup Table
9.8 Language Skills
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

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

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

Uyghur
Yucatec Maya
Arabic (Not Specified)
Chinese (Not Specified)
Creole (Not Specified)
Malay
Other Spoken Language: