Att9_Biographical Sketch Form.pdf

Quality Assessment Support 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

Quality Assessment Support for NIEHS

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.