STARs Award Notification for Health Institutions

STARs Award Notification for Health Institutions

Date Submitted*

Institution*

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Contact Name*

Contact Email*

Faculty Status*

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Faculty Name*

FORMAT: Last Name, First Name, Middle Name or Initial (optional)

Ethnic/Racial Background

(Optional)

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Gender

(Optional)

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Field of Expertise/Discipline*

Award Amount*

Enter numbers only

Award Date*

IF KNOWN...IF NOT, ENTER DATE OF AWARD LETTER

New Hire Faculty - enter effective employment date
Active Faculty - enter date award was offered/accepted

Award Type (Health)*

Amounts awarded above the maximum in any category will require a complete justification in the Use of Funds and Award Rationale sections below.

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Use of Funds

Enter a brief description below of how STARs funds will be used. Attach a research plan and budget (within the guidelines for the use of funds), as well as a description of institutional funds and resources committed as part of the STARs award.

Award Rationale

Enter a brief description below of why the candidate is worthy of this STARs award. Attach additional information such as the extent to which the recruitment/retention will provide outstanding scientific leadership, enhance existing programs and/or collaboration, target a significant area of importance to the institution, etc. This may also include recruitment/retention of a Nobel Laureate, Emerging Researcher, the promise of election to National Academy of Medicine, National Academy of Sciences, Institute of Medicine, etc.

File Upload*

Attach the award letter, research plan, budget, and current CV for the awardee, as well as additional information to support the institution's decision to provide a STARs award to the faculty member.

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