SECTION 1: Applicant Information
SECTION 2: Applicant Eligibility Checklist
SECTION 3: Detailed Eligibility Criteria
SECTION 4: Current and Previous Funding and Grant Submissions
SECTION 5: Mentors and Collaborators
SECTION 6: Project Information
Last name
* must provide value
First name
* must provide value
Department (primary appointment)
* must provide value
UM email address
* must provide value
Phone number where you can be easily reached if clarifications are needed
* must provide value
NIH eRA Commons usernameAn NIH eRA account is required for the full application and for all your future NIH submissions. If you do not have an NIH eRA account, you must request one via UM Office of Research .
* must provide value
Eligibility #1: CITIZENSHIP
For exact definitions of the options listed below, click here.
* must provide value
I am a permanent resident of the U.S. (U.S. citizen, legal permanent resident of the U.S, or non-citizen national).
I applied for U.S. residency. I acknowledge that if my residency is not approved by the application date, I will NOT be eligible to apply for this award. No exception will be granted. A proof of residency will be required.
I am not a permanent resident of the U.S. and have not applied for permanent U.S. residency.
Date of application to U.S. residency
* must provide value
MD/DO - Specify the year the MD/DO was obtained
Other degree -Specify the degree(s) and year obtained
Other degree(s) and year(s) obtained
In what year did you complete your fellowship training?
* must provide value
Eligibility #3: ACADEMIC RANK
* must provide value
I am NOW a FULL-TIME ASSISTANT PROFESSOR at the University of Miami
I am NOT YET a FULL-TIME ASSISTANT PROFESSOR at the University of Miami. I understand that only full-time Assistant Professors are eligible for this award, and acknowledge that if by the due date of the full application, my appointment to full-time Assistant Professor is not approved, I will NOT be eligible for this award. No exception will be granted. A proof of appointment from your department will be required.
What is the projected date of your faculty appointment?
* must provide value
Date of Assistant Professor faculty appointment at the University of Miami (MM/YYYY)
* must provide value
Before my faculty appointment at UM, I had an Assistant Professor appointment at another institution
* must provide value
True False
Name and location of previous institution
* must provide value
Date of previous Assistant Professor appointment at other institution (MM/YYYY)
* must provide value
Are you currently or were you in the past the PI of any Career Development Award ( CDA) funded by a federal or state agency, foundation, or industry (e.g., K01, K08, K22, K23, K99, ACS, DoD, etc.) ?
* must provide value
I have never applied to any CDA
I am the CURRENT OR PREVIOUS RECIPIENT of a FEDERALLY funded CDA
I applied to a CDA but was not awarded
I recently applied to a CDA, and it's currently UNDER REVIEW
I received a career development award funded by a FOUNDATION, PROFESSIONAL ASSOCIATION, or INDUSTRY (e.g., ASCO, SSO, etc.)
If you are a current or past recipient of a CDA funded by funded by a foundation, professional association, or industry:
(1) Provide the following information in the box below:
RFA link to your award (must include details about award duration and funding) Rationale for why an additional CDA is necessary for your research and career development, and how the K12 will complement and expand on current/previous training (2) Contact the program administrator as soon as possible to determine your eligibility: Vaughn Edelson
* must provide value
List the funder (federal, industry, foundation) , type, and date of submission for all CDAs currently UNDER REVIEW. (e.g., ASCO CDA, submitted October 2022)
* must provide value
Specify the funder of the award, award number, and years funded (e.g., SSO, #AWD5555, 2020-2022)
* must provide value
Are you currently or were you in the past the PI or MPI of any major award (e.g., R01, R29, P01, P50 or equivalent) funded by a federal (NIH, NSF, etc.) or state agency, foundation, or industry? Notes: - Multiple PI (MPI) has equal responsibility and authority as the lead PI - Pilot grants (e.g., R21) are not considered major awards
* must provide value
I have never applied to any major award as PI or MPI
I am the CURRENT OR PREVIOUS PI or MPI of a major award funded by a federal or state agency, foundation, or industry
I applied as a PI or MPI to a major award funded by a federal or state agency, foundation, or industry, but WAS NOT AWARDED
I recently applied to a major award as PI or MPI and it's currently UNDER REVIEW
PRIMARY MENTOR: Full name, degree(s), Department/Division, and role (clinical or basic/translational research mentor)
* must provide value
SECONDARY MENTOR: Full name, degree(s), Department/Division, and role (clinical or basic/translational research mentor)
* must provide value
Collaborators: Full name, degree(s), Department/Division, and role (brief description)
* must provide value
Project title
* must provide value
Briefly describe the background and overall purpose of the proposed project (LIMIT: 150 words)
* must provide value
State your research question (LIMIT: 50 words)
* must provide value
State your Specific Aims
* must provide value
How will you obtain your data? Check all that apply
* must provide value
Clinical trial, patient population
Animal studies
Cell lines
Existing database
Existing biorepository
Other source - Specify
Other source of data
* must provide value
Significance of the project: How will your project findings translate to solutions for diagnosis, prevention, or treatment of disease, or advance translation to practice or policy? (LIMIT: 150 words)
* must provide value
Upload your up-to-date NIH biosketch.
* must provide value
Submit
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