BIRCWH Scholar Progress Report

BIRCWH Scholar Progress Report
Name

First NameLast Name
Date

MonthDayYear
Department
Date Entered Program

MonthDayYear
Primary Mentor

First NameLast Name
Co-Mentor

First NameLast Name
Describe progress since entering BIRCWH

Didactic Training
Didactic research training planned
Didactic research training completed to date
Mentored Research Training
Describe interactions with mentor, Advisory Committee, frequency of meetings, etc
Since entering BIRCWH, what proportion of your professional time is being spent on RESEARCH and TRAINING:
Since entering BIRCWH, what proportion of your professional time is being spent on OTHER activities (clinical, teaching, administrative, etc):
On a yearly basis, what percent of your effort is spent on research and/or training?
On a yearly basis, what percent of your effort is spent on other professional activities (e.g. teaching, clinical, administration)
Total Effort (should be 100%)
Research Project
Describe Progress on Research Project
Grant Applications
List grant applications submitted and received since entering the program and include the status of the application and score received (if applicable).
Attach Comments of Review Panel (if applicable)

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Publications and Presentations
List publications since entering the program
List presentations since entering the program
Honors and Awards
List all honors and awards received since entering the program
Plans for the next 6 months and justification for continued funding by the BIRCWH program
Research Plans
Didactic Training
Seminars, Conferences, and Meetings
Grants
Any other comments
Attach Updated NIH Biosketch

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Attached Updated CV

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BIRCWH Scholar Progress Report

Describe progress since entering BIRCWH