Application for NIH/CBB Predoctoral Fellowships
2009/2010

Due May 15, 2009

New Application CBB Fellowship Renewal
(please select one)
*=required field

.

Applicant Information

*Name: *UI Identification #:

*Telephone: (home) (xxx-xxx-xxxx)* (work) (xxx-xxx-xxxx) Under Represented Minority

*Birth Date: (xx/xx/xxxx) *Birth Place:

*Nationality: *Visa Status: *Visa Expiration Date: (xx/xx/xxxx)

University of Iowa Affiliation

College: Department:

Date Joined: (xx/xx/xxxx) Expected Date for Completion of Ph.D.: (xx/xx/xxxx)

Ph.D. Comps Taken? Yes No GPA:

Ph.D. Mentor:

Please forward a current copy (not official) of your University of Iowa Transcript to Nancy Ream, Center for Biocatalysis and Bioprocessing, C100 MTF, Oakdale Research Park or email PDF copy to nancy-ream@uiowa.edu.

Bachelors Degree

*Institution: *Year: *Undergraduate GPA:

Graduate Record Exam Scores

*Verbal: *Quantitative: *Analytical: *Advanced:

Post-Baccalaureate Education/Training

Institution: Dates:

Nature of Experience:

Additional Degrees Earned: GPA:

Biocatalysis Courses Taken:

*Responsible Conduct of Research Taken: Yes No

Honors and/or Awards

Publications or Presentations

Career Plans

Industrial Internships

*Select one:

The industrial internship must be arranged or taken by the end of the second year or the fellowship will not be renewed in the third year.

Statement of Research Goals - New Applicants

This should summarize research already accomplished and plans for the future. List publications, abstracts, etc. (limit this to approximately 700 words).

*Summary of Progress - Renewals

A brief (no more than four, double-spaced pages) summary of progress.

New Applicants

Please ask for letters of recommendation from three referees who can comment on training and potential for conducting research in the field of Biotechnology/Biocatalysis/Bioprocessing. These should be sent directly by the referee to Nancy Ream, Center for Biocatalysis and Bioprocessing, C100 MTF, Oakdale Research Park, for inclusion in the applicant's file.

Reference 1 (name, address, telephone):

Reference 2 (name, address, telephone):

Reference 3 (name, address, telephone):

NIH/CBB Fellowship Renewals

Students seeking to renew fellowships do not need three letters of recommendation. A letter of recommendation from your research advisor concisely summarizing the progress the student has made in the past year is required. Forward to Nancy Ream, Center for Biocatalysis and Bioprocessing, C100 MTF, Oakdale Research Park.

Questions

Please call the Center for Biocatalysis and Bioprocessing (5-4903) or the Executive Committee Member from your department listed below:

Shahram Khademi, Biochemistry, 5-6515
Chi-lien Cheng, Biological Sciences, 5-2583
Tonya Peeples, Chemical and Biochemical Engineering, 5-2251
Amnon Kohen, Chemistry, 5-0234
Tim Mattes, Civil and Environmental Engineering, 5-5065
Alexander Horswill, Microbiology, 5-7783
Kevin Rice, Medicinal and Natural Products Chemistry, 5-9903

 

Applications are due at the Center for Biocatalysis and Bioprocessing,
C100 MTF, Oakdale Research Park by
May 15, 2009

To Whom It May Concern:

I hereby give permission to The University of Iowa committee screening applications for fellowships in biocatalysis to examine and reproduce materials in my confidential files for the purpose of evaluating my application for either an NIH Training Grant, or a Center for Biocatalysis and Bioprocessing fellowship.

*Name: *Date:

 *Email: