Form page 1 – Face Page - signed by authorized institutional official
Form page 2 – Summary, relevance, project/performance sites, senior personnel, etc
Biographical Sketch for the trainee. The personal statement section should include a description of the candidate’s scientific interests, specific research objectives, and career goals. If the candidate has no previous research experience, the “Contributions to Science” section may be omitted. State if the candidate has received any current or previous grant support; if the candidate has, include the grant title or number and inclusive dates of support.
Biographical Sketch for each faculty member who will contribute to the research mentoring. The personal statement section should include a description of the investigator’s experience and track record as a mentor. If the investigator lacks experience, it may be appropriate to include an experienced co-mentor.
Facilities and other Resources. Identify the facilities to be used (laboratory, clinical, animal, computer, office, other). If appropriate, indicate their capacities, pertinent capabilities, relative proximity and extent of availability to the project. Describe only those resources that are directly applicable to the proposed work.
Form Page 4: Detailed budget and justification
Copies of the Specific Aims of the funded NIH grant that will provide salary support for the trainee and all other items (e.g., supplies, equipment, etc.) needed to complete the proposed work.
Research Training Activities for the Candidate (not to exceed 2 page). Describe how the trainee will contribute to the NIH-funded research project. Describe how the trainee will be involved and supervised in conducting hands-on, rigorous research, including their participation in the execution, analysis, and reporting of the research. Describe how the mentored research will enhance and foster the research capabilities of the candidate. The plan should take into account any barriers and impediments encountered by the trainee to ensure a successful entry and progression into the biomedical workforce. Include an integrated timeline detailing the proposed research activities and anticipated outcomes/milestones. If the application is for renewed support of a trainee previously funded by an MCDA, the training completed during the previous funding period and research training activities planned for the next year should be described.
Career Development Plan for the Candidate (not to exceed 1 page). Describe how the mentor will assist the candidate in achieving the objectives and goals described in their Biographical Sketch and facilitate transition to the next stage of their research career. Provide details of the interactions between the candidate and mentor(s), research team and professional colleagues relevant to the overall research experience. The career development plan should be structured, specific and stage-appropriate for the candidate and include parameters such as the frequency of meetings, topics to be discussed, and how progress will be monitored. The timeline should include anticipated outcomes such as submission of publications and/or conference presentations. If the application is for renewed support of a trainee previously funded by an MCDA, the career development plan should also describe any career development objectives completed during the previous funding period.