FHCRC Interdisciplinary Training Program Application Form

For your application:

  1. Fill out form below completely (including an abstract of 250 words) and submit online.

  2. Send your CV and proposal as attached word documents in an e-mail to Laima Abele, labele@fhcrc.org. The proposal should be no more than 3 single spaced pages (12 pt. type) for all sections. The general NIH format should be used [Specific Aims, Background and Significance, Preliminary Studies (not required), Research Design and Methods, Literature Cited].

    The proposal must include all of the following information on the interdisciplinary nature of the project. This should be in a separate section at the beginning of the proposal:

    • Emphasize the interdisciplinary aspects of the training received.
    • Specifically address in detail how each mentor will contribute in a meaningful way to the training. We expect that the applicant will have "hands on" training in each discipline.
    • Give specifics of how time will be divided between the two groups.
    • Is this a new collaboration?

  3. Request signed letters from each mentor agreeing to involvement in the training program. Mentors should include information regarding the research support available for the project.

    Letters should be sent to:

    Laima Abele
    1100 Fairview Ave. N., C3-168
    P.O. Box 19024
    Seattle, WA 98109-1024
    Fax: (206) 667-4023

  4. Request letters of recommendations from 2 individuals other than the mentors.



  5. For graduate students applying, include your graduate school transcripts

    Letters should be sent to:

    Laima Abele
    1100 Fairview Ave. N., C3-168
    P.O. Box 19024
    Seattle, WA 98109-1024
    Fax: (206) 667-4023

Please complete the following:

Name: 
Degree: 
Current Position: 
Laboratory: 
Division: 
Mailstop: 
Phone#: 
E-mail: 
Project Title: 
Proposed Mentor #1: 
Mentor's Division: 
Proposed Mentor #2: 
Mentor's Division: 
Reference #1: 
Reference #2: 
Applying For:   Predoctoral
 Postdoctoral
US Citizen or
Permanent Resident:		   Yes
 No
Optional: Are you of Hispanic origin,
such as Mexican-American, Latin American,
Puerto Rican or Cuban?		   Yes
 No
Optional: What is your race?
Please check all that apply.		   American Indian or Alaska Native
 Asian American
 African American/Black
 Caucasian/White
 Pacific Islander
Optional: Are you from a
disadvantaged background?		   Yes
 No
Eligible for NIH
Training Grant:		   Yes
 No
Years of Training Grant
Eligibility Left:		 
Current Source
of Funding:
 
Duration: 
Abstract:
(Copy and paste
an abstract of less
than 250 words.)		 
   

Thank you for your application.


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