NIH Office of Intramural Training & Education

Postbaccalaureate/Technical IRTA Program

Program Application

OMB No. 0925-0299
Expiration Date 03/31/2014
Respondent Burden

Before you begin, watch a new video: Applying to the NIH Postbac Program.

Instructions:

Before you begin, you may want to review some helpful hints on using this electronic form and our privacy statement.

This form allows you to save a partially completed application. To take advantage of this feature, please proceed as follows:

Complete the first section of the form and enter as much additional information into the form as you would like.
Press "Save Partial Application & Quit" to save the information you have entered thus far, and return later to complete your application.
When you first submit your partial application, you will automatically receive a confirmation e-mail containing login information and instructions for accessing the online tool that allows you to review, modify, and complete your application.

Once you complete your application, press "Preview Completed Application." You will be taken to a page displaying the information you have provided. To submit your completed application, you must then click the "Save" button on the Preview page.

IMPORTANT NOTE: NIH investigators and administrators can access completed applications only; they cannot review partial applications.

Tips for Applying Successfully:

If you are applying to the Postbac IRTA program, review the Postbac IRTA program description and the associated "Frequently Asked Questions" before beginning your online application. If you are applying to the Technical IRTA Program, review the Technical IRTA program description and "Frequently Asked Questions" for that program before beginning your online application.
Be sure that the e-mail addresses you provide for your references are accurate. Incorrect e-mail addresses will delay the processing of your application and could result in your application's not receiving full consideration.
Please note that this form accepts plain text inputs only. This means that special characters and formatting such as bullets, "smart quotes," bold or italic fonts, Greek letters, etc., will be lost or altered. To ensure your data appears as you intend it to, compose your inputs to the longer fields on this form using a plain text editor (e.g., Notepad, for PC users, or TextEdit, for Mac users). In place of special formatting, you will need to rely on the use of capital letters, white space, asterisks, and other standard keyboard characters.
Proofread your application thoroughly for accuracy and completeness; false or inaccurate information may be grounds for denying your candidacy or removing you from the program.
Complete your application as soon as possible and encourage your references to submit their letters promptly using our online system.
NOTE: There is no deadline for applying to either the Postbac IRTA program or the Technical IRTA program; applications are accepted on a rolling basis.

Eligibility Criteria:

All candidates must be U.S. citizens or permanent residents.
Candidates for the Postbac IRTA Program must have received their bachelor's degree no more than 2 years prior to the date they begin the program. They must also intend to apply to graduate or professional (medical, dental, pharmacy, nursing) school during the program. The general expectation is that applicants will have received their bachelor's degrees from accredited colleges or universities in the U.S.; however, U.S. citizens whose degrees are from other nations may apply for a waiver of this requirement. Permanent residents must have received their bachelor's degrees from U.S. institutions to be eligible to participate.
Candidates for the Technical IRTA program must have graduated from a fully accredited U.S. college or university with a bachelor's or master's degree.

Indicates a required field!

1. Personal Information
You must enter this information if you wish to save your application.

Training Program:

Postbaccalaureate IRTATechnical IRTA

Name:

Prefix

First

Last

Month/Day of Birth:

(mm/dd)

E-mail Address:

Format: user@server.com
To obtain a free e-mail address, click here

Preferred Phone Number:

Format: (999) 999-9999

Citizenship Status:

Month and Year Bachelor's
Degree Received/Expected:

(mm/yyyy)

Bachelor's Degree is from an Accredited U.S. Institution?

YesNo

Master's Degree Earned?

YesNo

Master's Degree Received/Expected (if applicable):

/ (mm/yyyy)

Master's Degree is from an Accredited U.S. Institution?

YesNoNot Applicable

Personal Information - Continued

Permanent Address:
City:
State:	(Use DC for District of Columbia and NA if your permanent address is not in the U.S.)
Zip Code:
Country/Region:
Permanent Home Phone:	Format: (999) 999-9999
Relative at NIH/FDA:	YesNo Help: Definition of "relative" If yes, enter the Name and Institute/Center of each Relative (please list all):

2. Academic Information

Bachelor's Institution:
Bachelor's Degree Cumulative GPA:
Bachelor's Degree Institution Grading Scale:
	Note: If you select 'Other', please explain in Section 3, Coursework and Grades. Be sure to describe your school's grading scale and your current cumulative average relative to that scale.
Undergraduate Academic Major:	or
Bachelor's Degree Type:

Master's Institution (if applicable):
Master's Degree Cumulative GPA (if applicable):
Master's Degree Institution Grading Scale (if applicable):
Master's Degree Type (if applicable):

Education Plans:	or
	Note: Please indicate the degree you plan to pursue after completing your time at NIH.

3. Coursework and Grades
Please enter all the courses you have completed, not just your science courses, Also enter any courses you are currently taking or in which you will enroll during your final semester. As you receive grades for these courses, add them here using the Modify Application tool.
Course Title Grade

4. CV/Resume
Copy and paste a plain text version of your curriculum vitae into this space. Minor reformatting may be necessary. Include education, relevant research experience, scientific publications, honors and awards, etc.

5. References

Once you submit your completed application, an e-mail request for a letter of recommendation will automatically be sent to each of the following individuals:

Reference 1:

Name:

Prefix

First

Last

Address:

Phone:

E-mail:

Format: user@server.com

Reference 2:

Name:

Prefix

First

Last

Address:

Phone:

E-mail:

Format: user@server.com

Reference 3:

Name:

Prefix

First

Last

Address:

Phone:

E-mail:

Format: user@server.com

6. Research Interests
6a. Areas of Scientific Interest:

1.
2.
3.

6b. Medical Entity/Disease:

1.
2.
3.

7. Cover Letter:
Please write a cover letter outlining your research interests, career goals, and reasons for applying for training at the NIH.

Training Locations

Training occurs on several sites including the main campus in Bethesda, MD. To help our investigators, please indicate ALL locations where you would be willing to train. Required Field

Bethesda, MD (main NIH campus)
Frederick, MD (some NCI labs)
Baltimore, MD (most NIA labs and all NIDA labs)
Research Triangle Park (Raleigh/Durham), NC (NIEHS only)
Hamilton, MT (limited positions in NIAID)
Phoenix, AZ (limited positions in NIDDK)
Detroit, MI (limited positions in NICHD)
Framingham, MA (limited positions at NHLBI)

Notice to all applicants:
It is your responsibility to ensure that all of the above information is correct. False or inaccurate information contained in this application may be grounds for denying your candidacy or removing you from the program.