NIH Diversity Supplement Candidate Interest Form

NIH Diversity Supplement Candidate Interest Form

Please fill out all the required fields and attach your resume below.

First Name*

Last Name*

Email*

Phone Number*

Current Educational Status*

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How did you hear about this program?

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Are you or have you ever been previously affiliated with Fred Hutch?*

Explore our database of Diversity Supplement eligible parent grants at Fred Hutch Cancer Center

Diversity Supplement Eligible Parent Grant List

If there is a Project Title and/or Principal Investigator that interests you – please indicate those preferences in the text boxes below. Please answer the prompt below to the best of your ability.

I'm not sure – but I'm still interested!

Additional Information (optional)

Project Title (Parent Grant)

Project Principal Investigator

Why are you interested in this Research Project, Investigator, and/or the Diversity Supplement Program?*

Please upload a copy of your CV or Resume

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NIH Diversity Supplement Eligibility Requirements

The NIH has specific requirements for eligibility:

- Individuals from racial and ethnic groups that have been shown by the National Science Foundation to be underrepresented in health-related sciences on a national basis. The following racial and ethnic groups have been shown to be underrepresented in biomedical research: Blacks or African Americans, Hispanics or Latinos, American Indians or Alaska Natives, Native Hawaiians and other Pacific Islanders.

- Individuals with disabilities, who are defined as those with a physical or mental impairment that substantially limits one or more major life activities, as described in the Americans with Disabilities Act of 1990, as amended.

- Individuals from disadvantaged backgrounds (see this link for specific criteria).

Please note: Literature shows that women from the above backgrounds (categories A, B, and C) face particular challenges at the graduate level and beyond in scientific fields. However, identifying as a woman, in and of itself will not qualify you for an NIH Diversity Supplement. You must also qualify under one of the above criteria.

Do you affirm that you identify as an underrepresented minority in research, which includes but is not limited to, Black or African American; Hispanic or Latino; American Indian or Alaska Native; Native Hawaiian; and other Pacific Islander. By checking this box you certify that you identify as one of the following categories: Black or African American; Hispanic or Latino; American Indian or Alaska Native; Native Hawaiian; and other Pacific Islander; an individual with a disability, and/or an individual from a disadvantaged background?

For more information on eligibility please see: https://grants.nih.gov/grants/guide/notice-files/NOT-OD-20-031.html

To the best of my knowledge I meet at least one of these requirements.

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Send me a copy of my responses

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