Spondyloarthritis Research Fellowship Application Name First Last Email InstitutionApplicant Job titleAddress 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 PhoneRequired sections and page limits For the application, please use 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. Mentee (applicant) section Personal statement (1 page): include a summary of research experience overall and pertinent to SpA explicitly state future research interests in the SpA field and how the current proposal aligns with the SPARTAN mission and goals include a discussion why the mentee wishes to work with this particular mentor CV or NIH template biosketch (5 pages) Institutional Letter of support (1 page) from their current training program, or current academic division or section. Other support page Mentor section Letter of support (1 page): include mentor’s research experience and mentoring experience statement of support for the mentee, including funds to support research costs not covered by the SPARTAN award comment on institutional environment If basic or translational research, specify lab space and equipment If clinical research, specify access to programmers/data analysts Specify access to other experts with relevant areas of focus (e.g., if clinical research project access to a biostatistician, epidemiologist) CV or NIH template biosketch (5 pages) Research proposal (4 pages) 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 for completion of project milestones within the funding period. Application for future funding can be included in this section. References/citations: maximum 2 pages, outside of the 4 page limit Career development/Training plan (1-2 pages): formal and informal training in methods required for the proposed project additional didactics that the mentee will be exposed to during the course of the fellowship (e.g., conferences that are part of the host institution’s rheumatology fellowship program) may also include here additional mentors, advisors, collaborators that the mentee will be working with Upload application in a single PDF fileMax. file size: 100 MB. Δ