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Summer Institute on Design and Conduct of Randomized Clinical Trials
Involving Behavioral Interventions

Application Instructions and Form

Sixth Annual Institute
July 9-21, 2006

Table of Contents

Qualifications
 

Priority will be given to individuals who have their PhD or MD (equivalent degrees accepted) and two years of subsequent research experience.  Applicants should not yet have achieved a tenured position at their institution.  Beyond these eligibility criteria we are seeking researchers who have demonstrated research experience and who will benefit from this summer institute on randomized controlled clinical trials.

Further, those who have extensive research experience will be considered only after more junior investigators have been evaluated.  Preference will be given to individuals who are not employees of NIH.  While we will consider and may even accept applicants who do not meet these criteria, those who do will have higher priority.

 

Restrictions

 

Due to the limited number of spaces in the course, applicants must be citizens or non-citizen nationals of the United States, or must have been lawfully admitted to the United states for permanent residence (i.e., possess a currently valid Alien Registration Receipt Card I-551, or other legal verification of such status).  Women, minorities, and individuals with disabilities are encouraged to apply. See http://obssr.od.nih.gov/Conf_Wkshp/RCT/RCT_Info.htm#eligibility

Notices

 

If you require reasonable accommodations because of a disability in order to participate in this activity, please include this information with your application or inform Michaela Shank at least 60 business days before the course begins. A request for reasonable accommodation to a disability will not influence the selection process.

Please note that this course is not associated with the National Institute of Mental Health, nor the social work interventions training program which is also sponsored by OBSSR.

 

Submission

 

Applications are to be e-mailed directly to Michaela Shank at mds2114@columbia.edu.

Email notification will be sent to each applicant upon receipt of completed application.

Fellowship invitations will be sent out, via email, only on or after March 31, 2006.

If you have any questions regarding the application or the electronic submission requirements for applying, please contact Michaela Shank at mds2114@columbia.edu or 212.342.4494.

Application Form: Three Steps

Step 1: Provide information requested. "Cut and paste" information, including the statements about citizenship and intention to attend, into  the body of your e-mail message.

You may also use the posted MS Word File.

 

Name:       

Professional Title:

Academic/Professional Degree(s):           

Year(s) Obtained:             

Department or Division:   

University or Institution:   

Street Address:     

City, State, Zip:    

Telephone:           

Email:       

Fax:          

Preferred mailing address for FedEx

:

   

3-5 Key Words which best identify your main area(s) of interest:

 

 

By submitting this application I confirm that I am an U.S. citizen or a non-citizen with permanent resident status. 

I also state my understanding that the Summer Institute can accommodate only a limited number of applicants and that an applicant who fails to attend after acceptance denies another worthy applicant the opportunity to participate. Therefore, I assure the National Institutes of Health that, if accepted, I will participate in the full program of the Summer Institute from 6:00 PM on July 9 to 3:00 PM on July 21, 2006.

Step 2: Attach required supporting materials to e-mail application.

 

  1. Personal Statement indicating the basis of your interest in the Institute, your research goals and how the course would be beneficial to your pursuit of those goals. (2 pages maximum, attached as a Word .doc or Acrobat .pdf file)

  2. Current Curriculum Vitae. Attached as a Word .doc or Acrobat .pdf file.

  3. Sponsor Letter from someone who is familiar with you and your research
    2 pages maximum, attached as a Word .doc or Acrobat .pdf file. 
    If your sponsor prefers to mail a hard copy, please contact Michaela Shank for further instructions. mds2114@columbia.edu or 212.342.4494.

Step 3: E-mail application with attachments.
 

Attach all 3 required support materials as Word or PDF documents to your email.

E-mail complete application to

mds2114@columbia.edu
By Tuesday, January 31, 2006
 
 
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