Program Director/Principal Investigator (Last, First, Middle):
BIOGRAPHICAL SKETCH
Provide the following information for the Senior/key personnel and other significant contributors in the order listed on Form Page 2.
Follow this format for each person. DO NOT EXCEED FOUR PAGES.
NAME
POSITION TITLE
eRA COMMONS USER NAME (credential, e.g., agency login)
EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, include postdoctoral training and
residency training if applicable.)
DEGREE
INSTITUTION AND LOCATION
MM/YY
FIELD OF STUDY
(if applicable)
Please refer to the NIH application instructions in order to complete sections A, B, C, and D of the Biographical
Sketch. DO NOT EXCEED FOUR PAGES
A. Personal Statement
(describe your training, experience and goals, and how the AMNTP will help achieve your goals)
B. Positions and Honors
(list honors and awards and year/s of receipt)
C. Peer-Reviewed Publications (please list in chronological order)
D. Research Support
(list of scholarships, fellowships, funding with corresponding year/s)
PHS 398/2590 (Rev. 06/09)
Page
Biographical Sketch Format Page