CTSI Training and Professional Development Program

CTSI Training and Professional Development Program Clinical/Translational Science Interdisciplinary Concentration

Applications must be submitted by e-mail to : Eve Johnson, MA [email protected] Deadline for submission: applications accepted at any time

PART ONE – APPLICANT AND MENTOR INFORMATION Applicant’s Name: ______UFID: ______E-mail Address: ______Campus PO Box: ______Preferred Phone: ______Graduate Program: ______Major/Concentration:______UF Department: ______UF College: ______Proposed Research Project Title: ______

Proposed Basic Science Mentor: Name: ______UFID: ______PO Box: ______Title: ______Department/Division: ______Telephone: ______E-mail: ______Proposed Clinical/Translational Science Mentor: Name: ______UFID: ______PO Box: ______Title: ______Department/Division: ______Telephone: ______E-mail: ______For each mentor, please provide the following documents:

1. NIH Biosketch (limit 4 pages) that includes current and pending funding. 2. Letter of support for applicant, indicating approval and familiarity with the proposed project, frequency and type of contact, understanding and support of the requirements of the program. 3. Brief description of the proposed research training plan and relevance to clinical and/or translational research. 4. List of current and past trainees, including dissertation topic, current status, and current position. CTSI Training and Professional Development Program Clinical/Translational Science Interdisciplinary Concentration

PART TWO: APPLICANT STATEMENTS AND RESEARCH PLAN

Please provide the following information, start a new page for each item. Font size must be 11 or 12 point.

1. Please describe your research interests, the importance of this training program and your choice of mentors for achieving your career goals.

Please limit your statement to no more than one page.

2. Personal Statement: Briefly outline why you are a strong candidate for this program.

Please limit your statement to a half page.

3. Provide a short description of any previous research experiences and training.

Please limit your statement to a half page.

4. List all publications, abstracts, or manuscripts published or in preparation. Provide full title, full names of all authors, and full citation.

5. Please describe your Research Plan: This should include your project title, a statement of the problem, hypotheses to be tested, experimental design, and a timeline for completion. Be sure to include:  An explicitly stated hypothesis and a summary of any preliminary data based on your work or the work of others in your lab.  Clearly stated clinical/translational AND basic science components of your research plan (see [link to definitions on TL1 page]) for definitions.

Please limit your Research Plan to 2 pages.

PART THREE: APPLICANT EDUCATION

Education – Post- Degree Date Received Major Field of Study High School Received – mm/yy

GRE scores: ______GPA: UF Graduate Work* ______Prior Graduate Work*______BA/BS*______*Please attach copies of transcripts (unofficial copies are acceptable) PART FOUR: APPLICATION SUBMISSION Please submit your application packet, mentors’ letters of recommendation, and copies of transcripts and GRE scores as Word or .pdf documents to Eve Johnson by e-mail at [email protected]

Paper documents will not be accepted.