Form 1 2019 Salzman Award Abstract

Conference, Meeting, Workshop, and Poster Session Registration Generic Clearance (OD)

2019 Salzman Award Abstract

Annual Norman P. Salzman Memorial Award and Symposium in Virology (NCI)

OMB: 0925-0740

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OMB No.: 0925-0740
Expiration Date: 07/31/2022
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2019 Application: Norman P. Salzman Memorial Award in Virology

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2019 Application: Norman P. Salzman Memorial Award in Virology
Application Deadline: Monday, September 30, 2019, 5:00 PM ET.
Email application to SalzmanSymposium@mail.nih.gov.
Eligible candidates are Postdoctoral Fellows, Research Fellows, or Clinical Fellows in intramural
NIH, CBER, or Leidos laboratories who have received their first doctoral degree no more than 6
years before November 18, 2019. Individuals who have been promoted from one of these
positions after Sept. 30, 2019 to Staff Scientist, tenure-track investigator or Assistant
Clinical Investigator also are eligible to apply. The application abstract must cover research
conducted only during one of the indicated eligible positions, under the
mentorship of a single scientist in an intramural NIH, CBER, or Leidos laboratory.
Award selection will be based on the quality and significance of the applicant's research
contribution to the field of virology, with special emphasis on the creativity and the rigor
with which the research has been performed. Applications will be judged by a committee of
scientists from NIH and other institutions. The work submitted must have been published
or accepted for publication in a peer-reviewed journal, with the applicant being first
Applicants who applied in previous years
or joint-first author on the publication.
but were not awarded are encouraged to update their applications and resubmit, if
eligible.
The overall winner will receive a $2500 cash award and will be expected to present a 20 min
talk at the Symposium; in addition, the next three top abstracts will be selected for a poster
presentation for which they will receive awards of $200.
Applicant
Name: ________________________________________________________________________
Phone: ____________________________

E-mail: ___________________________________

Affiliation: _____________________________________________________________________
Address: ______________________________________________________________________

______________________________________________________________________________
____________________________________________________________________________
Post-secondary degrees, dates awarded, and institutions:
(Date of first doctoral degree must be no more than 6 years before November 18, 2019)
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

2019 Application: Norman P. Salzman Memorial Award in Virology

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Verification of the following two points is required (indicate Yes):
☐
I agree to present a talk or poster if selected.
☐
I confirm that the research was conducted only during one of the indicated eligible
positions, under the mentorship of a single scientist in an intramural NIH, CBER, or Leidos
laboratory.
Mentor
As verification of mentor approval, the application email must be copied to the mentor; the
mentor may be contacted for information regarding in-press manuscripts.
Name: ________________________________________________________________________
Phone: ____________________________

E-mail: ___________________________________

Affiliation: _____________________________________________________________________
Address: ______________________________________________________________________

______________________________________________________________________________
____________________________________________________________________________
Applicant’s publications related to the submitted abstract: Please list only publications
(published or in press) that are relevant to the work described in the abstract and were
conducted under the indicated mentor. Please provide PDFs of the relevant published articles
and manuscripts in press. Insert additional pages as needed, or use “additional notes” page at
end of document.

2019 Application: Norman P. Salzman Memorial Award in Virology

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Applicant’s relevant meeting presentations: Please indicate oral or poster. List only
presentations under the indicated mentor that are relevant to the work in the abstract. Insert
additional pages as needed, or use “additional notes” page at end of document.

2019 Application: Norman P. Salzman Memorial Award in Virology

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Abstract title:

Abstract: 400 words maximum. Work must be published or in press. For work that is in
press, please attach official confirmation from the journal. Insert additional pages as needed,
or use “additional notes” page at end of document.

2019 Application: Norman P. Salzman Memorial Award in Virology

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CV
Please note you must attach your full CV when submitting this application.
☐

My CV is attached.

Additional Notes:

2019 Application: Norman P. Salzman Memorial Award in Virology

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