Attachment 6. Survey for Early Independence Principal Investigator with tracked changes (Versions A & B).
OMB# 0925-0665 EXP. DATE: 12/31/2015
Public
reporting burden for this collection of information is estimated to
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the completed form to this address.
1. 1. Have you changed institutions since you received the Early Independence Award? Yes No
(If respondents answer NO to Question 1, respondent will complete version A of the online survey
(If respondents answer YES to Question 1, respondent will complete version B of the online survey
Version A - EIA Principal Investigators who HAVE NOT CHANGED institutions.
2.
During the past
fiscal year, has your position (roles and responsibilities) changed?
REMOVED
Yes
Why
was it changed and how has it changed?
No
2. Please provide the title of your current position. _____________________________________________ ADDED
3. 3. Overall, how do you feel the level of commitment from your host institution compares to what it was last year?
A. Increased B. Stayed the same C. Decreased
4.
4.
How has the level of commitment from your host institution changed?
REWORDED
[If A or C are checked in Question 3 above.] If the level of commitment from your host institution has changed (increased or decreased), please explain.
5.
5. During the past
fiscal year, have you negotiated changes with your host institution
regarding
your position, and/or
in
the type and level of support you
receive? REWORDED
Yes
What
type of resources and level of support have you negotiated to change
with your host institution?
What changes were made and why?
No
6.
During the past fiscal year, what scientific collaborative activities
have you participated in? REMOVED
(Please
check all that apply)
Laboratory
meetings with other PIs
Institutional
scientific retreats
One-on-one
meetings with collaborators within the institution
One-on-one
meetings with collaborators outside the institution
Faculty/Division/Department
Seminar series
Other
(please specify):
7.
During the past fiscal year, what steps has your host institution
taken to integrate you and your NIH EIA scientific project into the
institutional scientific culture and the faculty community? REMOVED
8.
During the past fiscal year, what steps have you taken to protect
your scientific independence? REMOVED
9.
During the past fiscal year, what steps has your host institution
taken to maintain your scientific independence? REMOVED
10.
How satisfied are you with your host institution’s efforts to
maintain your scientific independence? REMOVED
Very Satisfied Satisfied
Dissatisfied Very Dissatisfied
Please
comment:
6. How many collaborations are you currently involved in? _________________________________ ADDED
6a. How many of these collaborations are related to your EIA research project? ______________________
6b. Overall, what is the estimated percentage of your time dedicated to collaborations?_________________
6c. Of the time dedicated to collaborations, what is the estimated percentage related specifically to the EIA research project?________________________________________________________________________________
6d. Please elaborate on your collaborations related to the EIA research project (e.g., topic, expected outcomes, collaborators inside or outside the institution, etc.) _____________________________________________
6e. Please elaborate on your collaborations not related to the EIA research project (e.g., topic, expected outcomes, collaborators inside or outside the institution, etc.) _____________________________________________
7.
11.
During the past fiscal year, which of the following challenges or
barriers have you encountered as EIA PI? (Please check all that
apply) REWORDED
None
Administrative
(e.g., lack of support staff, inadequate
inefficient
ordering systems,
etc.)
Please
describe the challenges, if they were addressed, and how. Please
describe the challenges, steps taken by you and the host institution
to address them, and if the challenges are still ongoing.
Operations
(e.g., difficulty
setting up the laboratory difficulties
managing day-to-day activities of the laboratory,
difficulty
obtaining/maintaining
needed
equipment
and
supplies, accessing
research resources,
etc.)
Please
describe the challenges, if they were addressed, and how. Please
describe the challenges, steps taken by you and the host institution
to address them, and if the challenges are still ongoing.
Recruitment (e.g., difficulty recruiting or hiring staff to work in the laboratory and/or on the project, etc.)
Please
describe the challenges, if they were addressed, and how. Please
describe the challenges, steps taken by you and the host institution
to address them, and if the challenges are still ongoing.
Supervising staff (e.g., challenges delegating tasks, problems addressing low productivity, etc.)
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are still ongoing.
Career Development (e.g., relevant training not offered, lack of opportunities to attend training, conferences, etc.)
Please
describe the challenges, if they were addressed, and how. Please
describe the challenges, steps taken by you and the host institution
to address them, and if the challenges are still ongoing.
Collaboration within the institution (e.g., unable to establish collaborations with senior scientists within the institution, etc.)
Please
describe the challenges, if they were addressed, and how. Please
describe the challenges, steps taken by you and the host institution
to address them, and if the challenges are still ongoing.
Collaboration outside the institution (e.g., unable to access senior scientists outside the institution, etc.)
Please
describe the challenges, if they were addressed, and how. Please
describe the challenges, steps taken by you and the host institution
to address them, and if the challenges are still ongoing.
Teaching (e.g., heavy teaching load, etc.)
Please
describe the challenges, if they were addressed, and how. Please
describe the challenges, steps taken by you and the host institution
to address them, and if the challenges are still ongoing.
Scientific
Independence (e.g., limited
time to engage in research project, unproductive interactions with
faculty regarding research project,
institution
expectation that
you to
work under senior
faculty, etc.)
Please
describe the challenges, if they were addressed, and how. Please
describe the challenges, steps taken by you and the host institution
to address them, and if the challenges are still ongoing.
Institution Leadership (e.g., lack of access to leadership within the institution, division, or department, etc.)
Please
describe the challenges, if they were addressed, and how. Please
describe the challenges, steps taken by you and the host institution
to address them, and if the challenges are still ongoing.
Funding (e.g., unable to identify and apply for other sources of funding, institution not facilitating transition to other sources of funding, etc.)
Please
describe the challenges, if they were addressed, and how. Please
describe the challenges, steps taken by you and the host institution
to address them, and if the challenges are still ongoing.
Integration into Institution Structures
Please
describe the challenges, if they were addressed, and how. Please
describe the challenges, steps taken by you and the host institution
to address them, and if the challenges are still ongoing.
Management
(e.g., unproductive
interactions with lab staff that work with him/her,
challenges overseeing the
budget,
not effective in
securing resources,
challenges
managing time, etc.)
Please
describe the challenges, if they were addressed, and how.
Please
describe the challenges, steps taken by you and the host institution
to address them, and if the challenges are still ongoing.
Other (please specify): ____________________________________________________________________
8.
12.
Overall,
how satisfied were
you with your host institution’s responses to the challenges
discussed in Question 117?
REWORDED
Very Satisfied Satisfied Dissatisfied Very Dissatisfied Not Applicable
Please comment: ____________________________________________________________________________
9.
13.
During the past fiscal year, has your institution formally evaluated
you and the progress made in your NIH EIA research project?
Yes
Describe the evaluation process, the issues discussed, and who performed the evaluation _____________________
No
Will you be formally evaluated in the future? If so, when and what process will be used to conduct your evaluation?
_____________________________________________________________________________________________
14.
During the past fiscal year, what type and level of support have you
received from leadership at your host institution? (e.g., Department
Chair, Division Head, Dean, etc.) REMOVED
15.
How satisfied are you with the support that you received from the
leadership at your host institution during the past fiscal year?
(e.g., Department Chair, Division Head, Dean, etc.) REMOVED
Very Satisfied Satisfied
Dissatisfied Very Dissatisfied
Please
comment:
10.
16. Have
there been any changes in the advisory structure in place for the EIA
program at your host institution?
Yes
REWORDED
Please
explain
No
17.
During the past fiscal year, how often have you met with your
advisor(s) and what issues were discussed during the meeting?
REWORDED
Please comment on the advisory structure in place for the EIA program at your host institution and any changes in the past fiscal year. Include how often you met with your advisor (s) and what issues were discussed during the meeting (s). _______________________________________________________
11.
18.
During the past fiscal year, how satisfied are
were
you with the
faculty in their advisory role
your
advisor(s) associated with the EIA program?
REWORDED
Very Satisfied Satisfied Dissatisfied Very Dissatisfied Not Applicable
Please comment: ____________________________________________________________________________
12.
19. During
the past fiscal year, what type and level of support have you
received from senior colleagues (excluding advisors) at your host
institution?
REWORDED
Please comment on the type and level of support you have received from senior colleagues (excluding advisors) and leadership (e.g., Department Chair, Division Head, Dean, etc.) at your host institution during the past fiscal year?
20.
How satisfied are you with the support that you received from senior
colleagues (excluding advisors) during the past fiscal year?
REMOVED
Very Satisfied Satisfied
Dissatisfied Very Dissatisfied
Please
comment:
21.
During the past fiscal year, what administrative and/or support
resources were provided to you? (e.g., human resources, supply and
equipment ordering systems, administrative assistance, budget
manager, etc.)
REMOVED
13.
22.
How satisfied are you with the administrative and/or support
resources that were provided to you during the past fiscal year?
REWORDED
Very Satisfied Satisfied Dissatisfied Very Dissatisfied
Please
comment:
[If Dissatisfied or Very Dissatisfied are checked] Please comment on the administrative and/or support resources provided during the past fiscal year (e.g., human resources, supply and equipment ordering systems, administrative assistance, budget manager, etc.).
23.
During the past fiscal year, what career development resources were
provided to you, and which ones did you use? (e.g., courses in
laboratory management, grant writing, staff supervision, etc.)
REMOVED
14.
24.
How satisfied are
you with the career development resources that you used during the
past fiscal year? REWORDED
Very Satisfied Satisfied Dissatisfied Very Dissatisfied
Please
comment:
[If Dissatisfied or Very Dissatisfied are checked] Please comment on your experience with your institution’s career development resources during the past fiscal year (e.g., courses in laboratory management, grant writing, staff supervision, etc.).
15.
25.
During the past fiscal year, did you teach a course?
Yes
Please describe the type of courses taught and your teaching load_________________________________________
No
16.
26.
During the past fiscal year, which of the following sources of
funding have you applied for? Please check all that apply.
I have NOT applied for additional sources of funding during the past year
NIH
What is the status of this funding request?
Applied, but did not receive funding Applied, awaiting notification Funding received
Please list the name of the Institute or Office of the Director, the name of the program, the amount, and the period of funding _________
Government Agencies (excluding NIH)
What is the status of this funding request?
Applied, but did not receive funding Applied, awaiting notification Funding received
Please list the name of the organization, the name of the program, the amount, and the period of funding _____
Institutional Resources
What is the status of this funding request?
Applied, but did not receive funding Applied, awaiting notification Funding received
Please list the name of the organization, the name of the program, the amount, and the period of funding _____
Private (e.g., foundations, industry, etc.)
What is the status of this funding request?
Applied, but did not receive funding Applied, awaiting notification Funding received
Please list the name of the organization, the name of the program, the amount, and the period of funding _____
Other: ___________________
What is the status of this funding request?
Applied, but did not receive funding Applied, awaiting notification Funding received
Please list the name of the organization, the name of the program, the amount, and the period of funding _____
17.
27.
Which of the following have occurred during the past fiscal year?
Please check all that apply. REWORDED
I am applying for tenure
I filed a patent application or have been granted a patent
I expanded my research group (e.g., added staff)
I formed new partnerships/collaborations
Please
describe the partnership/collaboration
I received an award(s)
What award(s) did you receive? ________________________________________
I was promoted
What promotion did you receive? ______________________________________
I published an original, peer-reviewed article
Are you the senior or corresponding author? _________________________________
Please provide the URL or citation ________________________________________
I published a book or other non-periodical, one time publication (e.g., monograph, any significant publication in the proceedings of a one-time conference or in the report of a one-time study, commission, or the like).
Please provide the URL or citation___________________________________________________________
I produced other publications such as conference papers and presentations
Please provide the URL or citation____________________________________________________________
I have expanded my research focus
Please explain ____________________________________________________________________________
I changed my research focus
Please explain ____________________________________________________________________________
My work has been
was
featured in the
popular press and/or media
In what popular press and/or media has your work been featured? Please provide the URL or citation _______
I served as a grant reviewer
Please
explain
provide
the name of the institution and the
topic_____________________________________
Other (please specify): ______________________________________________________________________
18.
28. What
products
resources
resulted
from your scientific project during the past fiscal year? Please
check all that apply. REWORDED
I do not have any
products
resources
to report
Website(s) or other Internet site(s)
Please provide URL for the website or other internet sites that you can attribute to EIA funding and the percent attribution ______________________________________________________________________________
Technologies or techniques
Please list all your technologies or techniques that you can attribute to EIA funding and the percent attribution_
Inventions, patent applications, and/or licenses
Please list all your inventions, patent applications, and/or licenses that you can attribute to EIA funding and the percent attribution __________________________________________________________________________
Other products
resources
Please
check the products
resources
that
you can attribute to EIA funding and the percent attribution
Databases
Please describe and provide the percent attribution to EIA funding ______
Physical collections
Please describe and provide the percent attribution to EIA funding ______
Audio or video products
Please describe and provide the percent attribution to EIA funding ______
Software or
NetWare
Please describe and provide the percent attribution to EIA funding ______
Models
Please describe and provide the percent attribution to EIA funding ______
Educational aids or curricula
Please describe and provide the percent attribution to EIA funding ______
Instruments or equipment
Please describe and provide the percent attribution to EIA funding ______
Data & Research Material (e.g., cell lines, DNA probes, animal models, etc.)
Please describe and provide the percent attribution to EIA funding ______
Other (Please specify
describe
and indicate the
percent attribution to EIA funding): _____________________
19.
29.
Gender (Please choose only one)
Male
Female
20.
30.
Ethnicity (Please choose only one)
Hispanic or Latino
Not Hispanic or Latino
21.
31.
Race (Please choose all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
32.
What is your institution? _______________________
REMOVED
33.
What additional support would be useful from the NIH during your time
as an awardee?
REMOVED
22.
34.
Please feel free to share any other thoughts you might have related
to the EIA program.
THANK YOU!
Version B - EIA Principal Investigators who HAVE CHANGED institutions.
2. When did you change host institutions? (month/date/year) _____________
3. What was your position at your old host institution (e.g., tenure track faculty, non-tenure track research fellow, etc.)?
4. What is your current position and title at your new host institution (e.g., tenure track faculty, non-tenure track research fellow, etc.)? REWORDED
5. What were the reasons for changing institutions?
6. Were there challenges associated with changing institutions? If so, what were they and how were they addressed?
7. How many collaborations are you currently involved in? _________________________________ ADDED
7a. How many of these collaborations are related to your EIA research project? ______________________
7b. Overall, what is the estimated percentage of your time dedicated to collaborations?_________________
7c. Of the time dedicated to collaborations, what is the estimated percentage related specifically to the EIA research project?________________________________________________________________________________
7d. Please elaborate on your collaborations related to the EIA research project (e.g., topic, expected outcomes, collaborators inside or outside the institution, etc.) _____________________________________________
7e. Please elaborate on your collaborations not related to the EIA research project (e.g., topic, expected outcomes, collaborators inside or outside the institution, etc.) _____________________________________________
PLEASE
NOTE QUESTIONS 7-27
8-16
APPLY TO
YOUR NEW INSTITUTION
7.
What are your roles and responsibilities as an Early Independence
Principal Investigator (PI) at your host institution?
REMOVED
8.
During the past fiscal year, what scientific collaborative activities
have you participated in?
REMOVED
(Please
check all that apply)
Laboratory
meetings of other PIs
Institutional
scientific retreats
One-on-one
meetings with collaborators within the institution
One-on-one
meetings with collaborators outside the institution
Faculty/Division/Department/Seminar
series
Formal
introductions to the scientific community at the new host institution
Other
(please specify):
9.
During the past fiscal year, what steps has your host institution
taken to integrate you and your NIH EIA scientific project into the
institutional scientific culture and the faculty community?
REMOVED
10.
During the past fiscal year, what steps have you taken to protect
your scientific independence?
REMOVED
11.
During the past fiscal year, what steps has your host institution
taken to maintain your scientific independence?
REMOVED
12.
How satisfied are you with your host institution’s efforts to
maintain your scientific independence?
REMOVED
Very Satisfied Satisfied
Dissatisfied Very Dissatisfied
Please
comment:________________________________________________________________________
8.
13.
During the past fiscal year, which of the following challenges or
barriers have you encountered as EIA PI? (Please check all that
apply) REWORDED
None
Administrative
(e.g., lack of support staff, inadequate
inefficient
ordering systems,
etc.)
Please
describe the challenges, if they were addressed, and how. Please
describe the challenges, steps taken by you and the host institution
to address them, and if the challenges are still ongoing.
Operations
(e.g., difficulty
setting up the laboratory difficulties
managing day-to-day activities of the laboratory,
difficulty
obtaining/maintaining
needed
equipment
and
supplies, accessing
research resources,
etc.)
Please
describe the challenges, if they were addressed, and how. Please
describe the challenges, steps taken by you and the host institution
to address them, and if the challenges are still ongoing.
Recruitment (e.g., difficulty recruiting or hiring staff to work in the laboratory and/or on the project, etc.)
Please
describe the challenges, if they were addressed, and how. Please
describe the challenges, steps taken by you and the host institution
to address them, and if the challenges are still ongoing.
Supervising staff (e.g., challenges delegating tasks, problems addressing low productivity, etc.)
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are still ongoing.
Career Development (e.g., relevant training not offered, lack of opportunities to attend training, conferences, etc.)
Please
describe the challenges, if they were addressed, and how. Please
describe the challenges, steps taken by you and the host institution
to address them, and if the challenges are still ongoing.
Collaboration within the institution (e.g., unable to establish collaborations with senior scientists within the institution, etc.)
Please
describe the challenges, if they were addressed, and how. Please
describe the challenges, steps taken by you and the host institution
to address them, and if the challenges are still ongoing.
Collaboration outside the institution (e.g., unable to access senior scientists outside the institution, etc.)
Please
describe the challenges, if they were addressed, and how. Please
describe the challenges, steps taken by you and the host institution
to address them, and if the challenges are still ongoing.
Teaching (e.g., heavy teaching load, etc.)
Please
describe the challenges, if they were addressed, and how. Please
describe the challenges, steps taken by you and the host institution
to address them, and if the challenges are still ongoing.
Scientific
Independence (e.g., limited
time to engage in research project, unproductive interactions with
faculty regarding research project,
institution
expectation that
you to
work under senior
faculty, etc.)
Please
describe the challenges, if they were addressed, and how. Please
describe the challenges, steps taken by you and the host institution
to address them, and if the challenges are still ongoing.
Institution Leadership (e.g., lack of access to leadership within the institution, division, or department, etc.)
Please
describe the challenges, if they were addressed, and how. Please
describe the challenges, steps taken by you and the host institution
to address them, and if the challenges are still ongoing.
Funding (e.g., unable to identify and apply for other sources of funding, institution not facilitating transition to other sources of funding, etc.)
Please
describe the challenges, if they were addressed, and how. Please
describe the challenges, steps taken by you and the host institution
to address them, and if the challenges are still ongoing.
Integration into Institution Structures
Please
describe the challenges, if they were addressed, and how. Please
describe the challenges, steps taken by you and the host institution
to address them, and if the challenges are still ongoing.
Management
(e.g., unproductive
interactions with lab staff that work with him/her,
challenges overseeing the
budget,
not effective in
securing resources,
challenges
managing time, etc.)
Please
describe the challenges, if they were addressed, and how.
Please
describe the challenges, steps taken by you and the host institution
to address them, and if the challenges are still ongoing.
Other (please specify): ____________________________________________________________________
9.
14.
Overall,
how satisfied were
you with your host institution’s responses to the challenges
discussed in Question 138?
REWORDED
Very Satisfied Satisfied Dissatisfied Very Dissatisfied Not Applicable
Please comment: ____________________________________________________________________________
10.
15.
During the past fiscal year, has your institution formally evaluated
you and the progress made in your NIH EIA research project?
Yes
Describe the evaluation process, the issues discussed, and who performed the evaluation _____________________
No
Will you be formally evaluated in the future? If so, when and what process will be used to conduct your evaluation?
_____________________________________________________________________________________________
16.
During the past fiscal year, what type and level of support have you
received from leadership at your host institution? (e.g., Department
Chair, Division Head, Dean, etc.) REMOVED
17.
How satisfied are you with the support that you received from the
leadership at your host institution during the past fiscal year?
(e.g., Department Chair, Division Head, Dean, etc.) REMOVED
Very Satisfied Satisfied
Dissatisfied Very Dissatisfied
Please
comment:
11.
18. Have
there been any changes in the advisory structure in place for the EIA
program at your host institution?
Yes
REWORDED
Please
explain
No
19.During
the past fiscal year, how often have you met with your advisor(s) and
what issues were discussed during the meeting?
REWORDED
Please comment on the advisory structure in place for the EIA program at your host institution and any changes in the past fiscal year. Include how often you met with your advisor (s) and what issues were discussed during the meeting (s). _______________________________________________________
12.
20.
During the past fiscal year, how satisfied are
were
you with the
faculty in their advisory role
your
advisor(s) associated with the EIA program?
REWORDED
Very Satisfied Satisfied Dissatisfied Very Dissatisfied Not Applicable
Please comment: ____________________________________________________________________________
13.
21. During
the past fiscal year, what type and level of support have you
received from senior colleagues (excluding advisors) at your host
institution?
REWORDED
Please comment on the type and level of support you have received from senior colleagues (excluding advisors) and leadership (e.g., Department Chair, Division Head, Dean, etc.) at your host institution during the past fiscal year?
22.
How satisfied are you with the support that you received from senior
colleagues (excluding advisors) during the past fiscal year?
REMOVED
Very Satisfied Satisfied
Dissatisfied Very Dissatisfied
Please
comment:
23.
During the past fiscal year, what administrative and/or support
resources were provided to you? (e.g., human resources, supply and
equipment ordering systems, administrative assistance, budget
manager, etc.)
REMOVED
14.
24.
How satisfied are you with the administrative and/or support
resources that were provided to you during the past fiscal year?
REWORDED
Very Satisfied Satisfied Dissatisfied Very Dissatisfied
Please
comment:
[If Dissatisfied or Very Dissatisfied are checked] Please comment on the administrative and/or support resources provided during the past fiscal year (e.g., human resources, supply and equipment ordering systems, administrative assistance, budget manager, etc.).
25.
During the past fiscal year, what career development resources were
provided to you, and which ones did you use? (e.g., courses in
laboratory management, grant writing, staff supervision, etc.)
REMOVED
15.
26.
How satisfied are
you with the career development resources that you used during the
past fiscal year? REWORDED
Very Satisfied Satisfied Dissatisfied Very Dissatisfied
Please
comment:
[If Dissatisfied or Very Dissatisfied are checked] Please comment on your experience with your institution’s career development resources during the past fiscal year (e.g., courses in laboratory management, grant writing, staff supervision, etc.).
16.
27.
During the past fiscal year, did you teach a course?
Yes
Please describe the type of courses taught and your teaching load_________________________________________
No
PLEASE
NOTE QUESTIONS 28-36
17-23
APPLY TO THE
TIME AT BOTH YOUR OLD AND NEW INSTITUTIONS
17.
28.
During the past fiscal year, which of the following sources of
funding have you applied for? Please check all that apply.
I have NOT applied for additional sources of funding during the past year
NIH
What is the status of this funding request?
Applied, but did not receive funding Applied, awaiting notification Funding received
Please list the name of the Institute or Office of the Director, the name of the program, the amount, and the period of funding _________
Government Agencies (excluding NIH)
What is the status of this funding request?
Applied, but did not receive funding Applied, awaiting notification Funding received
Please list the name of the organization, the name of the program, the amount, and the period of funding _____
Institutional Resources
What is the status of this funding request?
Applied, but did not receive funding Applied, awaiting notification Funding received
Please list the name of the organization, the name of the program, the amount, and the period of funding _____
Private (e.g., foundations, industry, etc.)
What is the status of this funding request?
Applied, but did not receive funding Applied, awaiting notification Funding received
Please list the name of the organization, the name of the program, the amount, and the period of funding _____
Other: ___________________
What is the status of this funding request?
Applied, but did not receive funding Applied, awaiting notification Funding received
Please list the name of the organization, the name of the program, the amount, and the period of funding _____
18.
29.
Which of the following have occurred during the past fiscal year?
Please check all that apply. REWORDED
I am applying for tenure
I filed a patent application or have been granted a patent
I expanded my research group (e.g., added staff)
I formed new partnerships/collaborations
Please
describe the partnership/collaboration
I received an award(s)
What award(s) did you receive? ________________________________________
I was promoted
What promotion did you receive? ______________________________________
I published an original, peer-reviewed article
Are you the senior or corresponding author? _________________________________
Please provide the URL or citation ________________________________________
I published a book or other non-periodical, one time publication (e.g., monograph, any significant publication in the proceedings of a one-time conference or in the report of a one-time study, commission, or the like).
Please provide the URL or citation___________________________________________________________
I produced other publications such as conference papers and presentations
Please provide the URL or citation____________________________________________________________
I have expanded my research focus
Please explain ____________________________________________________________________________
I changed my research focus
Please explain ____________________________________________________________________________
My work has been
was
featured in the
popular press and/or media
In what popular press and/or media has your work been featured? Please provide the URL or citation _______
I served as a grant reviewer
Please
explain
provide
the name of the institution and the
topic_____________________________________
Other (please specify): ______________________________________________________________________
19.
30. What
products
resources
resulted
from your scientific project during the past fiscal year? Please
check all that apply. REWORDED
I do not have any
products
resources
to report
Website(s) or other Internet site(s)
Please provide URL for the website or other internet sites that you can attribute to EIA funding and the percent attribution ______________________________________________________________________________
Technologies or techniques
Please list all your technologies or techniques that you can attribute to EIA funding and the percent attribution_
Inventions, patent applications, and/or licenses
Please list all your inventions, patent applications, and/or licenses that you can attribute to EIA funding and the percent attribution __________________________________________________________________________
Other products
resources
Please
check the products
resources
that
you can attribute to EIA funding and the percent attribution
Databases
Please describe and provide the percent attribution to EIA funding ______
Physical collections
Please describe and provide the percent attribution to EIA funding ______
Audio or video products
Please describe and provide the percent attribution to EIA funding ______
Software or
NetWare
Please describe and provide the percent attribution to EIA funding ______
Models
Please describe and provide the percent attribution to EIA funding ______
Educational aids or curricula
Please describe and provide the percent attribution to EIA funding ______
Instruments or equipment
Please describe and provide the percent attribution to EIA funding ______
Data & Research Material (e.g., cell lines, DNA probes, animal models, etc.)
Please describe and provide the percent attribution to EIA funding ______
Other (Please specify
describe
and indicate the
percent attribution to EIA funding): _____________________
20.
31.
Gender (Please choose only one)
Male
Female
21.
32.
Ethnicity (Please choose only one)
Hispanic or Latino
Not Hispanic or Latino
22.
33.
Race (Please choose all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
34.
What is your institution? _______________________
REMOVED
35.
What additional support would be useful from the NIH during your time
as an awardee?
REMOVED
23.
36.
Please feel free to share any other thoughts you might have related
to the EIA program.
THANK YOU!
File Type | application/msword |
Last Modified By | Perryman |
File Modified | 2013-08-16 |
File Created | 2013-08-16 |