samplsampletabr25-all

Name/ Degree	Rank	Primary (& Secondary) Appointment(s)	Research Interest	Role (% Effort only for Program Director)
Holmes, J., Ph.D.	Prof.	Molecular Biology	Regulation of Vascular K-ATPase	Program Director, 10%
Terry, W., Ph.D.	Prof. & Chr	Biochemistry & Molecular Biophysics	Allograft Rejection	Mentor
Smythe, A., M.D.	Asst. Prof	Pharmacology (Biochemistry)	Cellular Mutagenesis	Mentor
Fisher, J., Ph.D.	Assoc. Prof	Physiology (Pharmacology)	Imaging of Regional Myocardial Perfusion	Mentor

Instructions: List each training faculty member with his/her degree(s), academic rank, primary departmental affiliation and secondary
appointments, role in the proposed training grant program, and research interests that are relevant to this program.

Rationale: This information allows reviewers to assess the distribution of junior versus senior faculty and clinical versus basic scientists participating
in the training program, as well as their distribution by department. The data concisely summarize the scientific areas of the training faculty.

Table 2. Training Grant Support Available to Participating Faculty and Departments

(NIH and non-NIH Programs)

Sample Table 2

Faculty Member or Department	Funding Source, Grant or Contract, No. and Title	Program Director	Project Period	No. of Positions Pre/Post
Davies, J.	NIH T32DK12345 Training in Molec Biology	Holland, R.	06/03-05/08	0/6
George, B.	NIH T32AI32109 Training in Transplant Immunology	Series, H.	06/04-05/09	4/5
Department of Medicine	NIH T32HL43213 Training in Lung Health and Med.	Brand, J.	05/04-04/09	2/6
Gavett, M.	Undergraduate Summer Internship Program Yale	Heilman, R.	06/05-05/10	12/0

Faculty Member or Department

Funding Source, Grant or Contract, No. and Title

Program Director

Project Period

No. of

Positions

Pre/Post

Davies, J.

NIH T32DK12345 Training in Molec Biology

Holland, R.

06/03-05/08

0/6

George, B.

NIH T32AI32109

Training in Transplant

Immunology

Series, H.

06/04-05/09

4/5

Department

of Medicine

NIH T32HL43213 Training in Lung Health and Med.

Brand, J.

05/04-04/09

2/6

Gavett, M.

Undergraduate

Summer Internship Program

Yale

Heilman, R.

06/05-05/10

12/0

Instructions: List all other training grant support currently held by faculty members and departments participating in this training
grant application. If none of the participating faculty or department(s) have other training support, this should be indicated.

Rationale: This information provides insight into the training environment in each preceptor's laboratory, as well asthe demands on his or her time to interact with participants.

Table 3. Current and Pending Research Grant and Contract Support of the Training Faculty

Faculty Member	Funding Source, Grant or Contract No., and Title	Current Year Direct Costs Awarded (Pending) ¹	Project Period (Pending)
Gavett, M.	None	None	None
Holmes, J.	American Heart Association Established Investigator Molecular Cloning of Heart K+ Channels	-03 $ 35,000	07/04-06/08
Holmes, J.	NIH 2 R01 HL46789 Regulation of Vascular K-A TPase	-06 $ 198,250	03/06-02/10
Smythe, A.	NSF PCM 81-27741 Cellular Mutagenesis	-01 $ 30,500	07/06-06/09
Terry, W.	NIH 1 R01 AI12345 Immunological Reactivity and Allograft Response	-01 $ (97,150)	(07/07-06/11)
Terry, W.	Novartis Corporation Regulation of Enothelial Growth and Immunological Suppression of Myocardial Antigens	-04 $ 80,000	06/05-05/08

¹Awarded figures for funded grants or contracts, or requested costs for pending applications.

Instructions: For each participating faculty member, list active and pending research grant and contract support from all sources
(including Federal and non-Federal grant and contract support) that will provide the context for research training experiences. If none,
state “None”. Include the source of support and grant number; title; status (active or pending) and dates of the entire project period;
annual direct costs. (This table should replace Research Support of the “Biographical Sketch Format Page” of the SF424 application
kit for each faculty member.)

Rationale: One component of the overall strength and suitability of the training environment is the pool of active and pending research grant and contract support held by the preceptors.

Table 4. Training Record of Participating Faculty for the Previous Ten Years

Faculty Member Holmes, J.	Participant (Predoc¹/ Postdoc)	Training Period	Institution Date & Type of Degree Awarded²	Title of Research Project	Current Position or Source of Support³
Past Participants	Safer, P. (Medical student)	03-06	UCSD, 2003 B.S.	PKC Cardiac Protection	Postdoc Univ. Texas
Past Participants	Spotter, R. (Postdoc)	01-03	Harvard, 2001, Ph.D.	Ca antagonists and preconditioning	Asst. Prof. Yale Univ.
Current Participants	Browne, A. (Undergraduate student)	06-		Selective inhibition K-ATP-ase	T35HL3244
Current Participants	Witmer, G. (Postdoc)	04-	JHU,2004 Ph.D.	Oxygen radicals in myocardial protection	F32HL4666

Faculty Member Stuart, G.	Participant (Predoc¹/ Postdoc)	Training Period	Institution Date & Type of Degree Awarded²	Title of Research Project	Current Position or Source of Support³
Past Participant	Raney, H. (Graduate student)	02-04	UCSF, 2002 B.S.	Collateral vessel Development and MI	Postdoc Baylor Coll. Med.
Past Participant	Fillups, L. (Postdoc)	02-04	Boston U. 2001, MD/PhD	Growth factors in coronary vessel signaling	Asst. Prof. Univ. Penn.
Current Participants	None	None	None	None	None

³For former participants, list current positions; for current participants, list source of support.

Instructions: For each faculty member identified in this application, list all past and current students for whom he/she has served as thesis advisor or sponsor (past 10 years only). If a faculty member has not had predoctoral or postdoctoral students, state “None”.

Rationale: The training experience success of a preceptor can be gauged by the number of previous participants he/she has sponsored and their subsequent career paths.

Table 5. Undergraduate and Health Professional School Applicant Pool1

Table 5. Undergraduate and Health Professional School Applicant Pool ¹

Sample Table 5

Year/ Department or Program Applicant ^2,3,4	Institution	GPA	Offered Admission (x)	Entered Program (x)	US Citizen (US) Perm Res (PR) Foreign (F)

2006/Molecular Biology Program
1*	U. MI	3.70	x	x	US
2*	Stanford	3.78	x		PR
3	MSU	N/A	x	x	F
2006/Department of Pharmacology
1 *	U. Texas	3.46	x	x	PR
2 *	U. Penn	3.80	x		US

¹ Complete this table only if the applicant institution has/had an undergraduate/health professional school students training program.

² Applicants may be identified by numbers, rather than by names, to safeguard privacy.

³ Provide date for all programs/departments that are relevant to this application.

⁴ Designate applicants who are eligible for R25 training grant support (based on citizenship or permanent residency status) with an asterisk (*).

Instructions: Anonymously indicate the credentials and application outcomes of the applicant pool for the most recent year for each participating department and unit.

Rationale: These data can be used to evaluate the size and quality of the applicant pool from which participants may be selected.

Table 5. Undergraduate and Health Professional School Applicant Pool 1

Sample Table 5

Year/ Department or Program Applicant 2,3,4

Institution

GPA

Offered Admission (x)

Entered Program (x)

US Citizen (US) Perm Res (PR) Foreign (F)

2006/Molecular Biology Program

2006/Department of Pharmacology

Table 5. Undergraduate and Health Professional School Applicant Pool ¹

Year/ Department or Program Applicant ^2,3,4

Offered Admission
(x)

Entered Program
(x)

US Citizen (US)
Perm Res (PR)
Foreign (F)