Att8_Biographical Sketch.pdf
PDF 53 KB Posted
- Solicitation number
- 75N96025R00001
About this file
This is a biographical sketch template form used for NIEHS's Assessment of Immunotoxicity solicitation (#75N96025R00001). The template requires senior/key personnel and other significant contributors to provide their professional background information in a structured format not exceeding five pages.
The form contains sections for: basic identifying information (name, organization, position); education/training history (including degrees and dates); personal statement explaining suitability for the project; positions/appointments/honors; contributions to science (up to 5 significant accomplishments); and research/development projects from the past 10 years. For the R&D projects section, respondents must list both ongoing and completed research, focusing on those most relevant to the proposed work, including project goals and responsibilities but excluding person-months and direct costs. The form is derived from OMB No. 0925-0001 and 0925-0002 (Rev. 10/2021) and is approved through September 30, 2024.
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| Att14_Disclosure of Lobbying Activities.pdf | ||
| Att2_Statement of Work.pdf | ||
| Att3_NIH Form 2043.pdf | ||
| Att13_Point-of-Contact.pdf | ||
| 75N96025R00001 Immunotox RFP.pdf | ||
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| Att7_Experience Form.docx | DOCX document | |
| Att15_Instructions2706.pdf |
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Text version
Assessment of Immunotoxicity – In Vitro and In Vivo Assessment of Immune Function for NIEHS
Modified from OMB No. 0925-0001 and 0925-0002 (Rev. 10/2021 Approved Through 09/30/2024)
BIOGRAPHICAL SKETCH
Provide the following information for the Senior/key personnel and other significant contributors.
Follow this format for each person. DO NOT EXCEED FIVE PAGES.
NAME:
ORGANIZATION:
POSITION TITLE:
EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, include postdoctoral training and residency training if applicable. Add/delete rows as necessary.)
INSTITUTION AND LOCATION
DEGREE
(if applicable)
Completion Date
MM/YYYY
FIELD OF STUDY
A. Personal Statement
Briefly describe why you are well-suited for your role(s) in the project described in this proposal. The relevant factors may include aspects of your training; your previous experimental work on this specific topic or related topics; your technical expertise; your collaborators or scientific environment; and your past performance in this or related fields (you may mention specific contributions to science that are not included in Section C). Also, you may identify up to four peer reviewed publications that specifically highlight your experience and qualifications for this project.
B. Positions, Scientific Appointments, and Honors
List in chronological order previous positions, concluding with the present position. List any honors. Include professional society membership(s). Include present membership on any Federal Government public advisory committee.
C. Contributions to Science
Briefly describe up to five of your most significant accomplishments/experience. For each contribution, indicate the background that frames the scientific problem; the central finding(s) or outcome(s); and your specific role in the described work. For each of these contributions, reference up to four peer-reviewed publications or other non-publication research products (can include audio or video products; patents; data and research materials;
databases; educational aids or curricula; instruments or equipment; models; protocols; and software or netware) that are relevant to the described contribution. The description of each contribution should be no longer than one half page including figures and citations. Also provide a URL to a full list of your published work as found in a publicly available digital database such as SciENcv or My Bibliography, which are maintained by the US National Library of Medicine.
D. Research & Development Projects
List both selected ongoing and completed research projects for up to the past ten years (Federal or non- Federally-supported), notably those with a similar scope, size and complexity. Begin with the projects that are most relevant to the research proposed in the RFP. Briefly indicate the overall goals of the projects and responsibilities of the key person identified on the Biographical Sketch. Do not include number of person months or direct costs.
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