2025-26 R01 Boot Camp Mentee Application Form 2025-26 R01 Boot Camp Mentee Application Form Name(Required) First Last Email address(Required) Title (e.g. Assistant professor)(Required) College(Required) Department(Required) Do you have a joint appointment?(Required)YesNoIf yes, please list the college and department:(Required) Is your primary faculty appointment in COM?(Required)YesNoIf no, please list the college and department:(Required) Have you previously participated in the R01 bootcamp? (Required)NoYesIf so, when and in what capacity? (e.g. 24-25 mentee)(Required)What kind of proposal will you submit?(Required)NewResubmissionAre you planning to submit a PI or an MPI proposal?(Required)PIMPIIf MPI, please list the names and emails of the other investigators here:(Required)First NameLast NameEmail Add RemoveHave you received NIH funding before?(Required)YesNoIf yes, please list the type of award(s) received:(Required)Award Type Add RemoveCover Letter(Required)Cover page with contact informationAccepted file types: pdf, doc, docx, Max. file size: 125 MB.Specific Aims(Required)1 page maximumAccepted file types: pdf, doc, docx, Max. file size: 125 MB.Supplementary Research Description(Required)Include brief description of study design, existing preliminary data, and collaborators if known (2 pages maximum).Accepted file types: pdf, doc, docx, Max. file size: 125 MB.Biosketch(Required)NIH format (5 pages maximum).Accepted file types: pdf, doc, docx, Max. file size: 125 MB.Letter of Support from Department Chair or Division Head(Required)The letter should: 1) indicate support for the mentee’s participation in the R01 Boot Camp Program; 2) confirm protected time for program participation and proposal development; and 3) acknowledge financial requirements ($4,500 reimbursement to the R01 Boot Camp Program if the mentee does not submit an R01 or equivalent grant to the NIH at the program’s conclusion).Accepted file types: pdf, doc, docx, Max. file size: 125 MB.Name of Internal Subject Matter Expert(Required)Please note: (1) you should discuss this with the person you’d like to serve as your internal subject matter expert (ISME) before listing them here; (2) your ISME cannot be a co-investigator or consultant on your proposal; (3) ISMEs of all mentees accepted into the bootcamp will be asked to sign a commitment letter First Last Email of Internal Subject Matter Expert(Required)
