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Proposed Research Title *

Proposed Starting Date of Research Training *

Additional Sources of Research Funding (Current)

Please describe any current sources of research funding and the duration of commitment for that funding.

Additional Sources of Research Funding (Pending)

Please describe any pending sources of funding, the period for which that funding is requested, and the date that a decision is anticipated.

Award Length Acknowledgement *

The Stanley and Susan Plotkin and Sanofi Pasteur Fellowship Award provides $50,000 a year for up to two years. First-year fellows may apply for up to two years, and second-year fellows are eligible to apply for a 1-year ($50,000) award. 

I am applying for a 2-year award.

I am applying for a 1-year award.

I wish to also be considered for the St. Jude-PIDS Fellowship Award. *

The St. Jude-PIDS Fellowship Award is for three full years. 

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First Name *

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Institution/Organization *

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Supporting Materials *

The following materials must be included with your application submission:

1. Applicant’s biosketch in current NIH format (5-page limit)
2. Mentor’s biosketch in current NIH format (5-page limit)
3. Personal statement from the applicant (1 page)
4. Research proposal (5-page limit, including the statement of overall hypothesis and specific aims)
5. References (no page limit) 
6. Budget justification (no page limit)
7. Letter of support from the applicant’s division director or fellowship program director 
8. Letter of support from the prospective research mentor, which should include a detailed career development plan for the applicant

Biosketch Format Pages, Instructions and Samples

Please upload the requested documents in a single PDF file.

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