Mentored Fellowship Award Application "*" indicates required fields Applicant Name* First Last Institution*Email* Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Please select your training level:* Internal medicine residency Rheumatology fellowship (clinical) SpA subspecialty fellowship (clinical) Postdoctoral fellowship (PhD) Applicants must be clinician MDs/DOs currently in training at the level of internal medicine residency, rheumatology fellowship or SpA subspecialty fellowship, or PhD postdoctoral fellows.Mentor name:*Institution:*Email* Phone*Project title:* Required Sections and Page Limits Required Sections and Page Limits Within a maximum of 4 pages, with a font size of no smaller than Arial 11 in the main document with half-inch margins, and tables with font size of no smaller than Arial 9, please include the following in your application: Abstract (250 words): Succinctly summarize the research question(s) and hypotheses of your proposal, and how your research will be undertaken. Briefly describe how your proposal fits with the mission and goals of SPARTAN. Keywords: At least 3, including designation of whether your research is basic, translational, or clinical. Specific Aims Background: Highlighting significance and innovation. Research Approach: Including analytic methods and power calculations, if relevant. Preliminary results may be included in this section, if available. Comment on potential pitfalls and alternative approaches. Tables and figures should be included within this section. Brief Budget Justification Timeline: Completion of project milestones within the funding period. Additional pages outside of the 4-page limit should include: References: May be added as an appendix (maximum 2 pages). Mentor Biosketch (NIH format): Maximum 5 pages. Mentee CV or Biosketch: Maximum 5 pages with publications from the last 5 years. Mentor Letter of Support: Include research and mentoring track records, especially as it pertains to spondyloarthritis. Please comment on the mentee’s career trajectory, particularly as it relates to their commitment and likelihood of remaining in spondyloarthritis research. Institutional Letter of Support: From the director of fellowship, residency, or doctoral program, stating the availability of time and support for the trainee to engage in the proposed research project. Please upload your Research Proposal (4 pages)*Max. file size: 100 MB.Please upload additional pages as a single PDF*Max. file size: 100 MB. Δ