NC TraCS KL2- Gene Orringer Career Development Award
Application for 2018 cycle- due by 8 am Wednesday January 31, 2018
Instructions:
Use this format to complete the application keeping in mind the page limits.
· There are 2 mentoring agreements that require signatures by your lead mentor(s) and other mentors. Please do your best to have these signed and included within this application.
· Required letters of support:
o Department Chair
o All mentors
o Two letters from non-mentors who you will identify in a table at the end of the application
We understand that letters come at different times and writers may prefer to send a letter directly to us. You should include any letters you have at the end of the application (within the single PDF file). Otherwise, letters can go to Susan Pusek . No hard copy is needed.
· No budget is required with this application because the NIH rules for KL2 budgets state funds for research and training are determined after we confirm the final Scholars. However, each year you can plan on receiving $10,000-$15,000 for training and research costs. If you anticipate your project and training will greatly exceed this amount, and you cannot identify other resources (e.g. mentors or department funds), you should contact Susan Pusek to discuss whether this mechanism is appropriate to support the proposed plans.
· To assist you in the completion of the training plan, we have provided an Individual Development Plan (IDP) populated with the required activities of the TraCS KL2 Program. You should add your own research, training, and career development goals to this table along with the proposed timelines and plan to obtain training.
Once you are satisfied with the application, please create a single PDF file titled “Lastname, Firstname KL2App2018” and email it to Susan Pusek by the deadline.
Any questions:
Susan Pusek
919-966-0128
COVERSHEET
Degree(s):
Department:
School:
Title of Project: (should match current or future IRB or IACUC materials):
Abstract (250 words) Include the research and training aims:
Mentors: Note it is a requirement of the KL2 Program that mentors come from different disciplines. If you are proposing mentors from the same department you should describe in the narrative the unique skills each mentor will bring to the research and training.
Mentor name #1:Department:
Organization:
Has this mentor been on the mentoring team for prior institutional or individual K Scholars?
Mentor name #2:
Department:
Organization:
Has this mentor been on the mentoring team for prior institutional or individual K Scholars?
(add same information for additional mentors)
Applicant email:
Applicant UNC ONYEN (if you are applying from a non-UNC school and need info on how to obtain an Onyen, contact Susan Pusek):
Applicant ERA Commons ID:
Do you consider yourself to be Hispanic or Latino?
What race to you consider yourself to be?
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Are you a US citizen?
If you are not a citizen, do you have a permanent resident card or have an application pending? (must be approved before we can appoint you to KL2 grant)
Requested start date of KL2 funding (should be between May-August and is the time you are prepared to devote 75% time to research and training):
Please list any other currently pending grants (for example, NIH K23 submitted in October 2017):
Is this a resubmission of a career development award application, either institutional or individual?
Application Narrative
Please assemble the application in the order below. Font size should be 11 or larger. If you include any images that need to be in color please make sure the PDF is in color. Any other format questions contact Susan.
A. NIH Biosketch
B. Curriculum Vitae
C. Candidate background & career goals (up to 2 pages): Organize the narrative according to the following subsections:
C.1 Background and Research Training
C. 2 Research Interests
C. 3 Short and Long-Term Career Goals
D. Career Development/Training Plan (maximum 3 pages not including the table below)
D. 1 Individualized Development Plan. Using the Individualized Development Plan template below, identify your research, training and career development goals during the course of KL2 funding. Activities that are already populated in the form are those that are required by the KL2 Program. The narrative section should describe your rationale for the additional training proposed, including goals of any coursework.
KL2 Scholar Draft Individual Development PlanSkill/Activity / Proposed Mechanism / Format / Outcome / Year 1 / Year 2 / Year 3
“what you want to learn” / “what way will you learn it” / “what kind of program” / “how we measure success” / “when”
Activities Required by KL2 Program: (You can propose further training in these skills areas below.)
Responsible Conduct of Research (RCR) / TraCS 1-week RCR course / 1 week workshop / Completed course / x / (x) as discussion leader / (x) as discussion leader
Mentoring skills / Mentor Training Workshop / In person workshop / Completed course, actively mentoring / X as participant / X as co-facilitator / X as leader
Proposal Development / K Seminar / 2x/month workshop for 2 hours / Submission of grant proposal / x / x / x
Rigor and Reproducibility / K Seminar, and 2 dedicated sessions / Selected Fridays when not in K Seminar / Completed course / x
Networking / Translational Science Meeting / Annual national meeting / Attendance at one meeting / (x) must attend at least once during time on KL2 but may go more often
Peer Review / Participate in TraCS study section / In person meeting 1-2x/year / Attendance and completion of reviews of assigned pilot proposals
Activities Specific to Your Research and Training Plan (add rows and edit as necessary)
Skill/Activity / Proposed Mechanism / Format / Outcome / Year 1 / Year 2 / Year 3
D.2 Narrative of Career Development and Mentoring Activities Proposed (maximum 3 pages)
E. Research Project(s) (maximum 4 pages):
a. Specific Aims
b. Background and Clinical Significance
c. Research Plan
F. Description of translational components of the research project and training plan. According to the NIH, translation is “The process of turning observations in the laboratory, clinic and community into interventions that improve the health of individuals and the public — from diagnostics and therapeutics to medical procedures and behavioral changes.” (1 paragraph).
G. Describe the relevance of anticipated results of the proposed research on other research fields and/or diseases (1 paragraph).
H. Resources available for the Research (maximum 1 page)
I. Mentors
Proposed Mentors: (add more lines as necessary)
Name / Department/School / Institution / If not UNC, provide organizationInclude for each mentor proposed:
NIH Biosketch
Mentor Training Table: An existing, but updated, NIH or other type of table may be used but make sure it includes the following information:
Trainee Name, pre or postdoc / Dates of training / Previous Degree / Institution / Research topic / Current Position and sources of grant support(Note: Trainee tables that are not updated to reflect the current positions and sources of research support for former mentees may make it harder for reviewers to assess the strength of proposed mentors.)
LEAD Mentor Agreement
Applicant Name:
You have been named as the Lead Mentor for the above applicant to the KL2/BIRCWH K12 Career Development Programs. The goal of these programs is to launch the careers of the next generation of clinical/translational researchers. Because the KL2 and BIRCWH programs accept Scholars in diverse areas of science it is absolutely essential that Scholars have mentors who can provide ongoing content expertise, networking assistance and strategic career planning in the Scholar’s specific field of research. Our experience tells us that, for Scholars to successfully transition to their own independent funding, there needs to be a single Lead Mentor who is primarily responsible for: (1) insuring that the Scholar makes progress on their research and training plans; (2) assisting the Scholar to identify an appropriate mentoring team and to work effectively with this team; (3) updating the TraCS ETCD Program Leadership at least every 6 months regarding progress/changes in Scholars’ training or research activities (e.g., funding opportunities, mentors, direction of research, non-research commitments); and (4) working with ETCD Program Leadership to identify resources to facilitate the Scholar’s career development.
Specific functions of the Lead Mentor:
1. The Lead Mentor has primary responsibility for guiding the Scholar toward research independence. Together with the Scholar, the Lead Mentor will identify other investigators to serve on the Mentoring Team. This Mentoring Team will provide Scholars with the scientific and methodological expertise for each of their research projects.
2. The Lead Mentor has primary responsibility for helping the Scholar develop both hypotheses and research proposals by providing the initial "peer review" that helps assess the scientific merit of all proposals; helping the Scholar to obtain appropriate interdisciplinary consultations; and assisting with all phases of grant preparation and the development of effective presentations and publications.
3. The Lead Mentor, along with the Scholar and Mentoring Team, will develop: (a) clearly delineated specific expectations of the substantive learning/research skills to be achieved; and (b) specific milestones and timelines for achieving the Scholar’s career development goals while on the KL2/BIRCWH.
4. The Lead Mentor, along with the Scholar and Mentoring Team, will define an appropriate schedule for the frequency of meetings. This plan should be included with the KL2/BIRCWH application and endorsed by each member of the Mentoring Team in their letters of support.
5. Lead Mentors are encouraged to attend meetings and seminars at which the Scholar is presenting their work. The Lead Mentor must attend the mock review(s) of the Scholar’s grant proposals.
6. The Lead Mentor will be responsible for submitting information about the Scholar’s progress when required by the NIH (at least annually). The Lead Mentor may also be contacted through the CTSA program as part of ongoing evaluation efforts.
If you agree to accept these responsibilities please sign and return this document as a PDF or in hard copy to: Susan Pusek at or Room 223 TraCS Institute, CB #7064.
______(Lead Mentor’s signature) date____/____/____
______(Scholar’s signature) date____/____/____
Mentor-MENTEE TEAM Agreement
Applicant Name:
The goal of the KL2 and BIRCWH career development programs is to launch the careers of the next generation of clinical/translational researchers. Because the KL2 and BIRCWH programs accept Scholars in diverse areas of science it is absolutely essential that Scholars have mentors who can provide ongoing content expertise, networking assistance and strategic career planning in the Scholar’s specific field of research. Since the emphasis of the KL2 and BIRCWH programs is translational science, each Scholar is required to propose a mentoring team that consists of a Lead Mentor and other individuals who have defined roles in assisting the Scholar to achieve the goals set forth in their application to the programs. This document clarifies the expectations of the mentoring team and the mentee.
Mentors agree to:
1. Under the direction of the Lead Mentor, guide the Scholar toward research independence. The Mentoring Team will provide Scholars with the scientific and methodological expertise for each of their research projects.
2. Help the Scholar develop both hypotheses and research proposals by providing the initial "peer review" that helps assess the scientific merit of all proposals; help the Scholar to obtain appropriate interdisciplinary consultations; and assist with relevant phases of grant preparation and the development of effective presentations and publications.
3. Attend meetings and seminars at which the Scholar is presenting their work as their schedule allows.
4. Work in conjunction with faculty from the KL2 Program for the benefit of the Scholar.
5. Submit information about the Scholar’s progress at the time of required progress reports by the NIH, or respond to requests for information as part of the ongoing CTSA evaluation process.
Mentees agree to:
1. Define their career goals and priorities and work with the mentoring team to determine appropriate milestones and timelines.
2. Identify the most efficient method of communication with individual mentors and the mentoring team and to keep the mentoring team informed at regular intervals of their progress.
3. Maintain notes of communication with the mentoring team including formal meetings.
4. Inform the mentoring team of any challenges impacting the agreed upon research plan or milestones.
5. Agree to accept feedback from the mentoring team.
The mentee and members of the mentoring team agree to:
1. Develop: (a) clearly delineated specific expectations of the substantive learning/research skills to be achieved by the Scholar; and (b) specific milestones and timelines for achieving the Scholar’s career development goals while on the KL2/BIRCWH.
2. Define an appropriate schedule for the frequency of meetings. This plan should be included with the KL2/BIRCWH application and endorsed by each member of the Mentoring Team in their letters of support.
3. Keep discussions confidential and respectful.
4. Inform the KL2 or BIRCWH Program Leadership of changes to the research plan or other issues impacting the Scholar’s progress or change in composition of the mentoring team.
If you agree to accept these responsibilities please sign and return this document as a PDF or in hard copy to: Susan Pusek at or Room 223 TraCS Institute, CB #7064.
Applicant/Scholar Signature / DateMentor Signature / Date
Mentor Signature / Date
Mentor Signature / Date
J. References
K. Letters of support:
These letters should document the level of support you will receive and the resources you will have access to (e.g. time, protected schedule, start-up funds, etc.) while participating in the KL2 Program. Please place letters you are including in this order:
1. Department chair
2. Lead mentor
3. Other mentors
4. Additional letters of support (2): These letters can be from any individual who can speak to your potential to be an independently funded clinical/translational researcher.
Names of individuals who will be providing 2 additional letters of support / Institution / Optional: Is there an administrative contact? (in case we need to track down the letter)Application end
Please create a single PDF file titled “Lastname, Firstname KL2App2018” and email it to Susan Pusek by the deadline.
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