U.S. Department of Health and Human Services
National Institutes of Health and
Agency for Healthcare Research and Quality
Ruth L. Kirschstein National Research Service Award
Individual Fellowship Application
PHS 416-1 (Revised 8/2012)
All notable changes made to PHS 416-1 are listed at the bottom of this page (Updated 9/17/2012).
** PHS 416-1 IS TO BE USED ONLY FOR A CHANGE OF SPONSORING INSTITUTION APPLICATION **
COMPETING NEW, RENEWAL OR RESUBMISSION FELLOWSHIP APPLICATIONS MUST USE THE SF424 (R&R) FELLOWSHIP APPLICATION PACKAGE AND APPLICATION GUIDE FOR ELECTRONIC SUBMISSION VIA GRANTS.GOV. ANY NEW, RENEWAL OR RESUBMISSION APPLICATION SUBMITTED USING THE PHS 416-1 WILL BE RETURNED AND NOT REVIEWED.
Downloadable Instructions and Form Files
Some of the MS Word and PDF files are large and may take a few minutes to download.
| Instructions | ||
|---|---|---|
| Ruth L. Kirschstein National Research
Service Award Individual Fellowship Application (PHS 416-1) |
MS Word (687 KB) | PDF (370 KB) |
| Specific Instructions for a Change of Sponsoring Institution Application | MS Word (48 KB) | PDF (40 KB) |
PHS 416-1 Fillable Forms
The links below allow for downloading of individual form files in MS Word and PDF formats. Please see the Adobe Acrobat or PDF Forms section of the "Help Downloading Files" page for information on using the fillable PDF forms.
| Fillable Individual PHS 416-1 Forms | ||
|---|---|---|
| Form Page 1: Face Page | MS Word (76 KB) | PDF (310 KB) |
| Form Page 2 Sponsor/Co-Sponsor Contact Information and Description | MS Word (56 KB) | PDF (258 KB) |
| Form Page 3: Goals, Activities Planned, Training Sites, Human Embryonic Stem Cells | MS Word (76 KB) | PDF (276 KB) |
| Project/Performance Site Format Page - use only if additional space is needed | MS Word (92 KB) | PDF (288 KB) |
| Form Page 4: Table of Contents | MS Word (83 KB) | PDF (504 KB) |
| Sponsor/Co-Sponsor Biographical Sketch Format Page | MS Word (40 KB) | not provided |
| Sponsor/Co-Sponsor Biographical Sketch SAMPLE | MS Word (63 KB) | not provided |
| Checklist Form Page | MS Word (58 KB) | PDF (272 KB) |
| Continuation Page | MS Word (35 KB) | PDF (214 KB) |
For Questions Related to:
- Application Procedures/Forms Submission: contact GrantsInfo at grantsinfo@nih.gov or 301-435-0714.
Note: Other software packages for completing these applications may be available from other sources; however, it is essential that the type size and format specifications are met. Otherwise, application processing may be delayed, or the application may be returned to the applicant without review.
Disclaimer: Reference to these software packages neither constitutes nor should be inferred to be an endorsement or recommendation of any product, service, or enterprise by the National Institutes of Health, any other agency of the United States Government, or any employee of the United States Government. No warranties are stated or implied.
Notable Changes Made to PHS 416-1
- New PHS 416-1 (Rev. 08/12) instructions and forms posted 9/17/2012. See the NIH Guide Notice NOT-OD-12-152 for important details regarding changes made to this version. (9/17/2012)
- ** PHS 416-1 IS TO BE USED ONLY FOR A CHANGE OF SPONSORING INSTITUTION APPLICATION **
COMPETING NEW, RENEWAL OR RESUBMISSION FELLOWSHIP APPLICATIONS MUST USE THE SF424 (R&R) FELLOWSHIP APPLICATION PACKAGE AND APPLICATION GUIDE FOR ELECTRONIC SUBMISSION VIA GRANTS.GOV. ANY NEW, RENEWAL OR RESUBMISSION APPLICATION SUBMITTED USING THE PHS 416-1 WILL BE RETURNED AND NOT REVIEWED. (07/30/2009)
Go to NIH Forms and Applications Page