FMS Application Module draft (section 13.6.1, pages 132-

Form Approved

OMB No. 0920-0765

Exp. Date 03/31/2023

Fellowship Management System (FMS)

Privacy Act and Public Burden Information

Privacy Act Information

The Privacy Act applies to this information collection. Information collected will be kept private as noted in the System of Records Notice is 09-20-0112, Fellowship Program and Guest Researcher Records.

Public Burden Information

Form Approved

OMB No. 0920-0765

Exp. Date 03/31/2023

Public reporting burden of this collection of information is an estimated average of 87 minutes per response, with an additional 15 minutes for the reference letter writers (total 102 min), and including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-0765).

FMS Application Module Draft

Table of Contents

Contents

Table of Contents 2

1. Introduction 3

1.1 Document Structure 4

2. Sign-In & Sign-Up Pages 5

2.1 Sign-In Page 5

2.2 Sign-Up Page (For New Users) 5

3. eFMS System Help Desk Ticket 5

4. Application Welcome Page 5

5. Applicant Profile 5

5.1 Create a Profile to Get Started 5

5.2 Applicant Name 5

5.3 Email Address 5

5.4 Phone Number 5

5.5 Mailing Address 5

5.6 Emergency Contact 5

6. Eligibility 5

6.1 Get Started 5

6.2 Citizenship Status 5

6.3 TOEFL Score 5

6.4 PMR/F 5

6.4.1 Eligibility 5

6.4.2 Commissioned Corps 5

6.4.3 Public Health Work Experience 5

6.5 PHIFP 5

6.5.1 Eligibility 5

6.6 SAF 5

6.6.1 Teaching Experience 5

6.7 EEP 5

6.7.1 Academic Endorsement 5

6.8 PHAP 5

6.8.1 Special Requirements 5

6.9 FLIGHT 5

6.9.1 Clinical Category & Training 5

6.9.2 Current EIS Position 5

6.9.3 Current Primary Supervisor 5

6.9.4 Scientific Experience 5

6.10 PH-TIPP 5

6.10.1 Eligibility 5

6.10.2 Program & Organization 5

6.10.3 Host Site Position Description 5

6.11 ELI 5

6.11.1 Organization Details 5

6.11.2 Educational Experience 5

6.11.3 Work Experience 5

6.11.4 e-Learning Content Example 5

6.12 EIS, LLS, FLIGHT, PE, PHIFP 5

6.12.1 Federal Student Loan Repayment Interest 5

6.13 Confirming Accuracy & Minimum Eligibility 5

7 Education & Licenses 5

7.1 Adding Education or Licenses 5

7.2 Choose Category 5

7.3 Coursework Type 5

7.4 Location 5

7.5 College/University 5

7.6 Status 5

7.7 Degree 5

7.8 Additional Coursework 5

7.9 License 5

7.10 Dates 5

7.11 Incomplete Reason 5

8 Work & Volunteer Experience 5

8.1 Adding Work or Volunteer Experience 5

8.2 Choose Category 5

8.3 Organization Details 5

8.4 Position Details 5

8.5 Dates 5

8.6 Position Location 5

9 Additional Training & Skills 5

9.1 Adding Additional Training & Skills 5

9.2 Choose Category 5

9.3 Clinical Training 5

9.4 U.S. Board Certifications and Specialty 5

9.5 Additional Training, Certifications, or Professional Development 5

9.6 Institution Details and Location 5

9.7 Dates 5

9.8 Language Skills 5

10 Publications, Presentations, Working Papers, Monographs or Reports, Grants, Honors and Awards 5

10.1 Adding Publications, Presentations, Working Papers, Monographs or Reports, Grants, Honors and Awards 5

10.2 Choose Category 5

10.3 Details 5

11 Personal Statement 5

11.1 All Fellowships except FLIGHT 5

11.2 FLIGHT 5

11.3 Location Preferences 5

11.4 CDC Fellowship Participation 5

12 Standardized Letters of Recommendation (SLOR) 5

12.1 SLOR Requests 5

12.1.a Starting a SLOR Request 5

12.2 System Emails to Letter Writers 5

12.3 Letters of Recommendation 5

12.3.1 Section A 5

12.3.2 Section B 5

12.3.3 Section C 5

13 Final Application Sections 5

13.1 Self-Assessment of Skills 5

13.1.1 PHIFP 5

13.1.2 PE 5

13.2 Applicant Survey 5

13.3.3 EEP Rotation Preferences & Topic/Subject Areas 5

13.3.1 Rotation Preferences 5

13.3.2 Topic & Subject Areas 5

13.3.3 Location Preferences 5

13.4 SAF Public Health Interests 5

13.5 EIS CIO Assignment Interests 5

13.6. Writing Samples 5

13.6.1 EIS Writing Samples 5

14 Match 5

14.1 Match or Prematch Rank/Rating Form 5

15 Selection Status Acceptance Form 5

16 EIS Conference Interview Time Selection Form 5

Appendix 5

I. Field Value Tables 5

II. Lookup Tables 5

• Introduction

The purpose of this document is to list all the data elements collected online through the Fellowship Management System (FMS). The FMS online application module is a streamlined mechanism for applicants of the Centers for Disease Control and Prevention (CDC) fellowships to submit their information online and track statuses of the application processes (e.g., all required materials received, invited for interviews). The FMS is a robust flexible framework and the FMS Application Module is tailored successfully for various CDC fellowships:

1. Epidemic Intelligence Service (EIS)

2. CDC E-learning Institute (ELI)

3. Epidemiology Elective Program (EEP)

4. Future Leaders in Infections and Global Health Threats (FLIGHT)

5. Laboratory Leadership Service (LLS)

6. CDC Steven M. Teutsch Prevention Effectiveness (PE) Fellowship

7. Public Health Associate Program (PHAP)

8. Public Health Informatics Fellowship Program (PHIFP)

9. Science Ambassador Fellowship (SAF)

10. Preventive Medicine Residency and Fellowship (PMR/F)

11. Population Health Training in Place Program (PH-TIPP)

1. Document Structure

This document is broken down by the major pages of the FMS Application. In this document, each page of the FMS Application has sections and some sub-sections. In addition, application instructions, login, and registration pages are included. Instructions and emails in the FMS Application are tailored to each CDC fellowship’s requirements, eligibility criteria, information, and timeline.

Following the screenshots in each section is a table that shows the status of the collection of data elements by each CDC fellowships. The following labels indicate the status of the collection:

• “Yes” indicates that the fellowship collects the information and that applicants are required to submit this information.

• “No” indicates that the fellowship does not collect this information.

• “Open Text Response” indicates an open-ended response prompt

In addition, the table shows the data values of each data element, and for ones that have a list of dropdown values, the data value category is hyperlinked to its list located in the Appendix.

• Sign-In & Sign-Up Pages

  • Sign-In Page

INSTRUCTIONAL TEXT:

Privacy Act Information

The Privacy Act applies to this information collection. Information collected will be kept private as noted in the System of Records Notice 09-20-0112, Fellowship Program and Guest Researcher Records

Public Burden Information

Form Approved

OMB No. 0920-0765

Exp Date 03/31/2023

Participation in this information collection is required for fellowship applicants and fellowship recipients. CDC uses information submitted through eFMS to select recipients, match recipients to opportunities, monitor progress, and improve the effectiveness of fellowship programs. CDC’s authority to collect this information is provided by the Public Health Service Act in §301, Title 42 U.S.C. §241(a)

Fellowship Application Module

Public reporting burden of this collection of information is estimated to average 75 minutes per response, including the 15 minutes for the reference of letter writers, and including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74 Atlanta, Georgia 30333; ATTN: PRA (0920-0765).

Table 2.1-a. Sign-In Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Email

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Password

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

• Sign-Up Page (For New Users)

INSTRUCTIONAL TEXT:

Enter an email address and choose a password to create a new account.

Table 2.2-a. Sign-Up Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Email

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Password

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Confirm Password

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

• eFMS System Help Desk Ticket

CDC ENTERPRISE FELLOWSHIP MANAGEMENT SYSTEM

System Help Desk Ticket

Please submit help desk tickets for system related (technical) issues or needs only. If you have a fellowship program related question or need, please contact the fellowship program directly.

Table 3-a. eFMS System Help Desk Ticket Fields

Field	Values	EIS	LLS	FLIGHT	EEP	SAF	PMR/F	PH-TIPP	PHIFP	PE	ELI	PHAP
Your Name:	Open text response	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Sign-In Email:	Open text response	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Contact Phone Number (optional):	Open text response	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Fellowship:	See Appendix p. 120	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
What type of issue or need do you have?	1. System Error Message 2. Sign-In or Password 3. Smart Card Sign-In 4. Data Not Saving 5. Unable to Submit 6. Reset application back to "Draft" 7. Withdraw Fellowship Application 8. Other	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
URL where the issue is occurring:	Open text response	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Error code message:	Open text response	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Please describe your issue or need:	Open text response	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Screenshot of error or issue (optional):	File Upload	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes

• Application Welcome Page

[Program] Fellowship Application Portal

Profile

Welcome to the [program] Fellowship Application Portal

Please contact the [program] program at [program]@cdc.gov

Privacy Act and Public Burden Information

Technical Support: For technical support to address a system issue, or to withdraw your application, please submit a System Help Desk Ticket

1. Letter writers having any issues should email the [program] program [program]@cdc.gov

• Applicant Profile

  • Create a Profile to Get Started

INSTRUCTIONAL TEXT:

Create a profile to get started

• Applicant Name

Table 5.2-a. Applicant Name Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

First Name:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Middle Name:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Last Name:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Suffix:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Other Name:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Preferred Name:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

• Email Address

Table 5.3-a. Email Address Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Primary Email Address: Note: Your primary email will be used to communicate with you throughout the application process. Make sure your primary email is typed in correctly. Do not use a college or university email as your primary email

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

By checking this box, you confirm that the email address above is accurate:

1. I confirm that the email address above is accurate.

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Secondary/Alternate Email Address:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

• Phone Number

­­­

Table 5.4-a. Phone Number Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Phone Code:

See Appendix p. 120

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Primary Phone Number: Note: the primary phone number may be used to contact you during the application process. Make sure your primary phone number is typed in correctly.

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

By checking this box, you confirm that the phone number above is accurate:

1. I confirm that the phone number above is accurate.

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Secondary/Alternate Phone Number:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

• Mailing Address

Table 5.5-a. Mailing Address Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Mailing Address:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Mailing Address Line 2:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Mailing Address Line 3:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Country:

See Appendix p. 120

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

State/Territory:

See Appendix p. 120

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

State/Province:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

City:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Zip/Postal Code:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

• Emergency Contact

Table 5.6-a. Emergency Contact Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

EC Full Name:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

EC Relationship:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

EC Phone Number:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

EC Email:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

• Eligibility

  • Get Started

Table 6.1-a. Get Started

INSTRUCTIONAL TEXT:

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Application and documents must be submitted by <date> 05:00pm (ET)

Yes

Yes

No

Yes

Yes

No

No

No

No

No

No

Complete all sections of the online application -Each section must have at least 1 entry to successfully submit -All supporting materials, including letters of recommendation, must be received by the deadline -Please review the fellowship website for further instructions about supporting materials -Re-applicants must click the "add another" button to create a new application. Re-submitting your old application will not count as a submission for this year.

Yes

Yes

No

Yes

Yes

No

No

No

No

No

No

• Citizenship Status

Table 6.2-a. Citizenship Status Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Country of Birth:

See Appendix p. 120

No

No

No

No

No

Yes

Yes

No

No

No

Yes

Country of Citizenship:

See Appendix p. 120

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

If Country of Citizenship is not the United States, then display text: “Please be aware that non-U.S. Citizens will not be able to travel internationally and will be limited to positions focused on domestic work."

Are you a U.S. permanent resident?

1. Yes 2. No

Yes

Yes

No

No

No

Yes

Yes

Yes

Yes

Yes

Yes

Do you currently live in the U.S.?

1. Yes 2. No

Yes

Yes

No

No

No

Yes

Yes

Yes

Yes

Yes

Yes

Visa Type:

1. F-1 2. H-1B 3. J-1 4. O-1 5. TN 6. Other

Yes

Yes

No

No

No

Yes

Yes

Yes

Yes

No

Yes

Specify Visa Type:

Yes

Yes

No

No

No

Yes

Yes

Yes

Yes

No

Yes

Visa Expiration Date:

Yes

Yes

No

No

No

Yes

Yes

Yes

Yes

No

Yes

Do you have a completed degree from the approved TOEFL exempt countries list?

1. Yes 2. No

Yes

Yes

No

No

No

No

No

Yes

No

No

No

Which country is your degree from?

Approved Country List

Yes

Yes

No

No

No

No

No

Yes

No

No

No

Please Upload CV

File Upload Field

Yes

Do you have or are you in the process of completing a PhD degree?

Yes No

Yes

• TOEFL Score

Table 6.3-a. TOEFL Score Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

New Instructional Text: Test of English as a Foreign Language (TOEFL) for Non-U.S. Citizens and Non-U.S. Permanent Residents: • Non-U.S Citizens and Non-U.S. Permanent Residents must demonstrate their English Proficiency either by: o Indicating they were born in a country in which English is the native Language and that English is their native language, or o Providing TOEFL scores equal to 100 or higher on the internet-based TOEFL, 250 on the computer-based TOEFL, or 600 on the paper-based TOEFL • For more information about the TOEFL Requirements please click here • Please contact the PHIFP program via email at PHIFP@cdc.gov if you have any additional questions.

Yes

TOEFL Test Type:

1. Internet-Based Test 2. Computer-Based Test 3. Paper-Based Test

Yes

No

No

No

No

Yes

Yes

Yes

No

No

No

TOEFL Score:

-

Yes

No

No

No

No

Yes

Yes

Yes

No

No

No

TOEFL Score Upload:

File Upload field-

Yes

No

No

No

No

Yes

Yes

Yes

No

No

No

• PMR/F

  • Eligibility

Table 6.4.1-a. Eligibility Fields

Field	Values	EIS	LLS	FLIGHT	EEP	SAF	PMR/F	PH-TIPP	PHIFP	PE	ELI	PHAP
Select preventive medicine program you are applying for:	1. 12-month Preventive Medicine Residency 2. 24-month Preventive Medicine Residency (needs MPH) 3. 24-month Preventive Medicine Residency (does not need MPH)	No	No	No	No	No	Yes	No	No	No	No	No
Select your primary degree that makes you eligible to apply for this training program:	Graduate Degree Lookup Field						Yes
Are you a physician with an active, unrestricted license in a U.S. jurisdiction; have applied for or are currently on active duty in the US Public Health Service; and have one or more years of U.S. ACGME-accredited training in a clinical specialty (outside of Pathology training)?	1)Yes 2)No						Yes
Do you have experience in applied epidemiology?	Yes No						Yes
New Instructional Text: You do not meet eligibility criteria to apply for the Residency, please review the eligibility criteria.							Yes
New Instructional Text: You do not meet eligibility criteria to apply for the PMR/F without previous applied epidemiology experience.							Yes
Do you have experience in applied epidemiology, and 2 or more years of experience in Program Administration, Population Health Improvement, and Grants Management?	1) Yes 2) No						Yes
How many years of completed post-graduate clinical training do you have in an accredited Canadian post-graduate clinical training program?	Numeric response						Yes
Please describe the type and duration of any completed post-graduate clinical training.	Open text response						Yes
Policy Analysis and Development	Open text response						Yes
Program Evaluation	Open text response						Yes
Program Administration	Open text response						Yes
Population Health Improvement	Open text response						Yes
Grant Proposal Evaluation and Development	Open text response						Yes
You are likely eligible for the 24-month Internal Preventive Medicine Residency Track that requires obtaining an MPH. Do you want to continue and apply for this Track?”	1) Yes 2) No						Yes
You are likely eligible to apply for the 24-month Internal Residency Track. Do you wish to continue and apply for this Track?	Yes No						Yes
You are likely eligible to apply for the 12-month Internal Residency Track. Do you wish to continue and apply for this Track?	Yes No						Yes
You are likely eligible to apply for the 12-month External Residency Track. Do you wish to continue and apply for this Track?	Yes No						Yes
You are likely eligible to apply for the 12-month Fellowship Track. Do you wish to continue and apply for this Track?	1)Yes 2)No						Yes
Are you either an EIS Officer or Alumnus?	1. Yes 2. No	No	No	No	No	No	Yes	No	No	No	No	No
Has your EIS experience been within the past two years?	1. Yes 2. No	No	No	No	No	No	Yes	No	No	No	No	No
EIS Activity Report Upload:	File Upload	No	No	No	No	No	Yes	No	No	No	No	No
INSTRUCTIONAL TEXT: It is desirable that PMR/F applicants have applied epidemiology experience similar to that of a tier-2 mid-level epidemiologist according to CDC’s competencies for applied epidemiologists in governmental public health agencies. Please describe your experience in the following areas so the selection committee can determine your eligibility for this program:
Conduct or participate in a field investigation of a potentially serious public health problem that requires a timely response:	Open text response	No	No	No	No	No	Yes	No	No	No	No	No
Design, conduct, and interpret an epidemiologic analysis:	Open text response	No	No	No	No	No	Yes	No	No	No	No	No
Evaluate a public health surveillance system:	Open text response	No	No	No	No	No	Yes	No	No	No	No	No
Give an in-depth public health talk on your original work or in your field of study:	Open text response	No	No	No	No	No	Yes	No	No	No	No	No
Write a scientific manuscript for a peer-reviewed journal:	Open text response	No	No	No	No	No	Yes	No	No	No	No	No
Communicate complex scientific concepts to a lay audience:	Open text response	No	No	No	No	No	Yes	No	No	No	No	No
Provide epidemiologic support:	Open text response	No	No	No	No	No	Yes	No	No	No	No	No
Are you seeking certification by the American Board of Preventive Medicine?	1. Yes 2. No	No	No	No	No	No	Yes	No	No	No	No	No
What personnel system are you currently in?	1. Federal Employee - Title 42 2. Federal Employee - Title 5 3. Federal Employee - U.S. Public Health Service 4. Federal Employee - Military 5. Not a current Federal Employee	No	No	No	No	No	Yes	No	No	No	No	No
Have you applied or do you plan on applying to be a Commissioned Officer in the U.S. Public Health Service within the next 6 months?	1. Yes 2. No	No	No	No	No	No	Yes	No	No	No	No	No
What is the status of your application?	1. Pending Application 2. Accepted 3. Under Review 4. Rejected	No	No	No	No	No	Yes	No	No	No	No	No
What is the date of your Commission?	Open text response	No	No	No	No	No	Yes	No	No	No	No	No
What is your current temporary rank?	1. O1 2. O2 3. O3 4. O4 5. O5 6. O6 7. O7	No	No	No	No	No	Yes	No	No	No	No	No
Are you a Foreign Medical Graduate?	1. Yes 2. No	No	No	No	No	No	Yes	No	No	No	No	No
How many years of completed post-graduate clinical training do you have in an Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA) – accredited program? (note that Pathology training is not currently accepted as clinical training for this specialty by ACGME or the American Board of Preventive Medicine)?	Numeric Response	No	No	No	No	No	Yes	No	No	No	No	No
Do you have a current, full, and unrestricted medical license from a U.S. licensing jurisdiction?	1. Yes 2. No	No	No	No	No	No	Yes	No	No	No	No	No
Do you have an MPH or equivalent coursework from a CEPH-accredited school?	1. Yes 2. No	No	No	No	No	No	Yes	No	No	No	No	No
Warning: You may not be eligible for the PMR/F. You can continue the application if you think you are eligible. Do you want to continue the application?	1. Yes 2. No	No	No	No	No	No	Yes	No	No	No	No	No
You are likely eligible to apply for the 12- Month Mid-Career Residency Track. Do you wish to continue and apply for this Track?	1. Yes 2. No	No	No	No	No	No	Yes	No	No	No	No	No
Instructional Text: Each applicant to the Mid-Career Residency Track must have a letter of support from their host site and proposed clinical site on company letterhead and signed/dated within the last 3 months of the time of application in order for their application to be considered.
Host Site Letter of Support Upload	File Upload	No	No	No	No	No	Yes	No	No	No	No	No
Clinical Site Letter of Support Upload	File Upload	No	No	No	No	No	Yes	No	No	No	No	No

INSTRUCTIONAL TEXT:

Thank you for your interest. Please consider reapplying should your eligibility change.

You are not eligible at this time to apply to the CDC Preventative Medicine Residency or Fellowship. Review PMR/F eligibility requirements on the PMR/F website. If you feel this is an error, please feel free to email the program at PrevMed@cdc.gov

• Commissioned Corps

Table 6.4.2-a. Commissioned Corps Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Are you currently a U.S. Public Health Service Commissioned Corps Officer?

1. Yes 2. No

No

No

No

No

No

Yes

No

No

No

No

No

Corps Rank:

1. O-3 LT 2. O-4 LCDR 3. O-5 CDR 4. O-6 CAPT 5. O-7 RADM 6. O-8 RADM

No

No

No

No

No

Yes

No

No

No

No

No

6.4.3 Public Health Work Experience

Table 6.4.3-a. Public Health Work Experience Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Indicate where you have had Public Health/Population based work experience:

1. National or deferral level or CDC headquarters 2. State or local health department 3. Both State or local health department and National or deferral level or CDC headquarters 4. Other

No

No

No

No

No

Yes

No

No

No

No

No

• PHIFP

  • Eligibility

Table 6.5.1-a. PHIFP - Eligibility Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

INSTRUCTIONAL TEXT: Do you have doctoral (PhD, MD, PharmD) or masters level experience from an accredited academic institute in one of the following Public health informatics General Informatics or related field Data Science and computer science Information technology Statistics and epidemiology Medicine Healthcare research and practice

New Instructional Text: Instructions: Please review the PHIFP website (https://www.cdc.gov/phifp/application/eligibility.html) for eligibility criteria for master-level vs. doctoral-level applications. PHIFP requires 3 years of experience in Public Health Informatics and Public Health for Master-level (e.g., MPH, MSc) applicants; however, that is not required for doctoral-level applicants (e.g., PhD, MD). All applicants need to demonstrate research/evaluation experience, and your academic degree has to be from an accredited academic institution.

Degree level selection:

1. Doctoral 2. Masters 3. None

No

No

No

No

No

No

No

Yes

No

No

No

How many years of experience do you have in public health or related field?

Numeric response

Yes

How many years of experience do you have in informatics and/or data science?

Numeric Response

Yes

Informatics experience selection: (1 Year)

1. Yes 2. No

No

No

No

No

No

No

No

Yes

No

No

No

Public health experience selection: (1 Year)

1. Yes 2. No

No

No

No

No

No

No

No

Yes

No

No

No

Informatics experience selection: (3 Years)

1. Yes 2. No

No

No

No

No

No

No

No

Yes

No

No

No

Public health experience selection: (3 Years)

1. Yes 2. No

No

No

No

No

No

No

No

Yes

No

No

No

Do you have documented experience in performing research or evaluation during or after academic training? This includes publications, thesis, poster presentations, or a research or evaluation proposal.

1. Yes 2. No

No

No

No

No

No

No

No

Yes

No

No

No

Please Specify: (note to admin: field used when previous question is “YES”)

Open text response

Yes

INSTRUCTIONAL TEXT:

You are eligible to apply to the CDC Public Health Informatics Fellowship Program

You are not eligible at this time to apply to the CDC Public Health Informatics Fellowship Program. Please review the eligibility requirements on the PHIFP website. If you feel this is an error, you can email the program at PHIFP@cdc.gov

• SAF

  • Teaching Experience

Table 6.6.1-a. Teaching Experience Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Grade Levels Ever Taught (select all that apply):

1. Elementary School (grades K-5) 2. Middle School (grades 6-8) 3. High School (grades 9-12) 2. Community College 3. College (Undergraduate) 4. College (Graduate) 5. Other: Curriculum Development 6. Other: Professional Development 7. Other (Specify)

No

No

No

No

Yes

No

No

No

No

No

No

Specify Current Grade Level(s) Taught (select all that apply):

1. Elementary School (grades K-5) 2. Middle School (grades 6-8) 3. High School (grades 9-12) 2. Community College 3. College (Undergraduate) 4. College (Graduate) 5. Other: Curriculum Development 6. Other: Professional Development 7. Other (Specify)

No

No

No

No

Yes

No

No

No

No

No

No

Specify Grade Level Taught:

Open text response

No

No

No

No

Yes

No

No

No

No

No

No

In the past 5 years, in which ways have you interacted with the Science Ambassador program? (Select all that apply)

Attended a CDC Science Ambassador regional training workshop Previously applied to the CDC Science Ambassador Fellowship Used CDC NERD Academy curriculum in my classroom Used CDC Science Ambassador lesson plans in my classroom None of the above Other

No

No

No

No

Yes

No

No

No

No

No

No

• EEP

  • Academic Endorsement

Table 6.7.1-a. Academic Endorsement Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Academic Endorsement Form:

Upload File

No

No

No

Yes

No

No

No

No

No

No

No

• PHAP

  • Special Requirements

Table 6.8.1-a. Special Requirements Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

What is the highest degree you will have attained by the start of the program?

1. Bachelor’s degree 2. Master’s degree 3. Doctorate 4. Other

No

No

No

No

No

No

No

No

No

No

Yes

Please specify:

Open text response

No

No

No

No

No

No

No

No

No

No

Yes

Actual or anticipated date of attained degree:

Open text response

No

No

No

No

No

No

No

No

No

No

Yes

What is/was your overall GPA on a 4.0 scale for your highest degree attained by the start of the program?

Open text response

No

No

No

No

No

No

No

No

No

No

Yes

Do you have a preference in location where you are willing to relocate? Please note that your preference of location does not affect your rating or eligibility into the program. The information, when possible, is used for matching purposes only. There are no assignments at CDC headquarters in Atlanta, Georgia. Most importantly, while geographic preference may be taken into consideration, assignment offers in selected areas are not guaranteed and are non-negotiable. If you answered yes, please rank up to 5 locations where you are willing to relocate for this program (1-5 highest to lowest preference). Please note that PHAP does not pay for relocation expenses and does not guarantee offers in selected areas.

1. Yes 2. No

No

No

No

No

No

No

No

No

No

No

Yes

1st Choice:

See Appendix p. 120

No

No

No

No

No

No

No

No

No

No

Yes

2nd Choice:

See Appendix p. 120

No

No

No

No

No

No

No

No

No

No

Yes

3rd Choice:

See Appendix p. 120

No

No

No

No

No

No

No

No

No

No

Yes

4th Choice:

See Appendix p. 120

No

No

No

No

No

No

No

No

No

No

Yes

5th Choice:

See Appendix p. 120

No

No

No

No

No

No

No

No

No

No

Yes

Please select any additional areas you would accept an assignment match:

See Appendix p. 120

No

No

No

No

No

No

No

No

No

No

Yes

Table 6.8.1-b. Special Requirements Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Would you be willing to work in a rural setting?

1. Yes 2. No

No

No

No

No

No

No

No

No

No

No

Yes

Would you be willing to work on an Indian reservation?

1. Yes 2. No

No

No

No

No

No

No

No

No

No

No

Yes

Do you have a preference in the subject area you would like to work on? Please rank up to 5 subject area(s) that you would prefer to work in? (1-5 highest to lowest preference). Please note that your preference of subject area does not affect your rating or eligibility into the program. The information, when possible, is used for matching purposes only. Most importantly, while preferences may be taken into consideration, assignment offers are non-negotiable.

1. Yes 2. No

No

No

No

No

No

No

No

No

No

No

Yes

1st Choice:

Subject Area Field Value Table

No

No

No

No

No

No

No

No

No

No

Yes

2nd Choice:

Subject Area Field Value Table

No

No

No

No

No

No

No

No

No

No

Yes

3rd Choice:

Subject Area Field Value Table

No

No

No

No

No

No

No

No

No

No

Yes

4th Choice:

Subject Area Field Value Table

No

No

No

No

No

No

No

No

No

No

Yes

5th Choice:

Subject Area Field Value Table

No

No

No

No

No

No

No

No

No

No

Yes

Please select any additional subject areas you would accept an assignment match:

Open text response

No

No

No

No

No

No

No

No

No

No

Yes

Do you have a valid Driver’s license from a state/territory in the USA?

1. Yes 2. No

No

No

No

No

No

No

No

No

No

No

Yes

Do you own a car (privately owned vehicle: POV)?

1. Yes 2. No

No

No

No

No

No

No

No

No

No

No

Yes

• FLIGHT

  • Clinical Category & Training

Table 6.9.1-a. Clinical Category & Training Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Clinical Category:

1. Physician 2. Veterinarian

No

No

Yes

No

No

No

No

No

No

No

No

Please Upload CV:

File Upload Field

Yes

Have you taken FACT training?

1. Yes 2. No

No

No

Yes

No

No

No

No

No

No

No

No

Training Month:

Open text response

No

No

Yes

No

No

No

No

No

No

No

No

Training Year:

Open text response

No

No

Yes

No

No

No

No

No

No

No

No

• Current EIS Position

Table 6.9.2-a. Current EIS Position.

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Team:

Open text response

No

No

Yes

No

No

No

No

No

No

No

No

Center/Division/Branch:

See Appendix p. 120

No

No

Yes

No

No

No

No

No

No

No

No

Specify:

Open text response

No

No

Yes

No

No

No

No

No

No

No

No

• Current Primary Supervisor

Table 6.9.3-a. Current Primary Supervisor

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

First Name:

Open text response

No

No

Yes

No

No

No

No

No

No

No

No

Last Name:

Open text response

No

No

Yes

No

No

No

No

No

No

No

No

CDC Email:

Open text response

No

No

Yes

No

No

No

No

No

No

No

No

Work Phone:

Open text response

No

No

Yes

No

No

No

No

No

No

No

No

• Scientific Experience

Table 6.9.4-a. Scientific Experience

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

First-authored manuscripts published in peer reviewed journals over the last ten years:

Open text response

No

No

Yes

No

No

No

No

No

No

No

No

First-authored manuscript submitted and currently being considered for publication in a peer reviewed journal:

Open text response

No

No

Yes

No

No

No

No

No

No

No

No

First-authored manuscripts currently undergoing CDC clearance:

Open text response

No

No

Yes

No

No

No

No

No

No

No

No

First-authored manuscripts currently in draft stage:

Open text response

No

No

Yes

No

No

No

No

No

No

No

No

First-authored abstracts presented at scientific conferences during EIS:

Open text response

No

No

Yes

No

No

No

No

No

No

No

No

Awards received during EIS:

Open text response

No

No

Yes

No

No

No

No

No

No

No

No

• PH-TIPP

  • Eligibility

Table 6.10.1-a. Eligibility

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Do you have an MPH or equivalent coursework from a CEPH-accredited school?

1. Yes 2. No

No

No

No

No

No

No

Yes

No

No

No

No

Warning: You may not be eligible for the PH-TIPP. You can continue the application if you think you are eligible. Do you want to continue the application?

1. Yes 2. No

No

No

No

No

No

No

Yes

No

No

No

No

Select your primary degree that makes you eligible to apply for this training program:

Graduate Degree Look Up Field

Yes

Will you be able to attend the Summer Orientation Session in Atlanta, Georgia?

1. Yes 2. No

No

No

No

No

No

Yes

Yes

No

No

No

No

Will you be able to attend all Monthly Group Check-in Webinars?

1. Yes 2. No

No

No

No

No

No

Yes

Yes

No

No

No

No

Will you be able to attend all monthly Preventative Medicine Grand Rounds Webinars?

1. Yes 2. No

No

No

No

No

No

Yes

Yes

No

No

No

No

New Instructional Text: All physicians seeking ABPM certification must apply through the CDC Preventive Medicine Residency Application.

Yes

Are you seeking certification by the American Board of Preventive Medicine?

1)Yes 2)No

Yes

Are you an EIS Officer or Alumnus?

Yes No

Yes

Has your EIS experience been within the past two years?

Yes No

Yes

EIS Activity Report Upload:

File Upload Field

Yes

Conduct or participate in a field investigation of a potentially serious public health problem that requires a timely response:

Open text response

Yes

Design, conduct, and interpret an epidemiologic analysis:

Open text response

Yes

Evaluate a public health surveillance system:

Open text response

Yes

Give an in-depth public health talk on your original work or in your field of study:

Open text response

Yes

Write a scientific manuscript for a peer-reviewed journal:

Open text response

Yes

Communicate complex scientific concepts to a lay audience:

Open text response

Yes

Provide epidemiologic support:

Open text response

Yes

What personnel system are you currently in?

1. Federal Employee - Title 42 2. Federal Employee - Title 5 3. Federal Employee - U.S. Public Health Service 4. Federal Employee - Military 5. Not a current Federal Employee

Yes

Have you applied or do you plan on applying to be a Commissioned Officer in the U.S. Public Health Service within the next 6 months?

Yes No

Yes

What is the status of your application?

1. Pending Application 2. Accepted 3. Under Review 4. Rejected

Yes

What is the date of your Commission?

Date field

Yes

What is your current temporary rank?

1. O1 2. O2 3. O3 4. O4 5. O5 6. O6 7. O7

Yes

New Instructional Text: Each applicant must have a letter of support from their Supervisor and Institution in order for their application to be considered.

Yes

Host Site Letter of Support Upload

File Upload

No

No

No

No

No

No

Yes

No

No

No

No

Clinical Site Letter of Support Upload

File Upload

No

No

No

No

No

No

Yes

No

No

No

No

INSTRUCTIONAL TEXT:

Thank you for your interest. Please consider reapplying should your eligibility change.

• Program & Organization

Table 6.10.2-a. Program & Organization

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

What is the name of the program?

Open text response

No

No

No

No

No

Yes

Yes

No

No

No

No

What is the name of the organization?

Open text response

No

No

No

No

No

Yes

Yes

No

No

No

No

Are you located at a CDC center?

1. Yes 2. No

No

No

No

No

No

Yes

Yes

No

No

No

No

Center/Division/Branch:

See Appendix p. 112

No

No

No

No

No

Yes

Yes

No

No

No

No

Specify:

Open text response

No

No

No

No

No

Yes

Yes

No

No

No

No

Country:

See Appendix p. 112

No

No

No

No

No

Yes

Yes

No

No

No

No

State/Territory:

See Appendix p. 112

No

No

No

No

No

Yes

Yes

No

No

No

No

State/Province:

Open text response

No

No

No

No

No

Yes

Yes

No

No

No

No

City:

Open text response

No

No

No

No

No

Yes

Yes

No

No

No

No

• Host Site Position Description

Table 6.10.3-c. PH-TIPP – Host Site Position Description

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Host Agency Information: Describe the activities of the agency, your immediate team, and key partnerships relevant to the projects proposed. Describe how the agency will support you during this training-in-place program.

Open text response

No

No

No

No

No

Yes

Yes

No

No

No

No

Leadership Opportunities: Summarize opportunities for you to gain leadership and management experience outside of your usual position during the training year.

Open text response

No

No

No

No

No

Yes

Yes

No

No

No

No

INSTRUCTIONAL TEXT: Learner Support: Describe specific support available to assist in completion of projects.

Yes

Yes

SMEs and Consultants:

Open text response

No

No

No

No

No

Yes

Yes

No

No

No

No

Education and Training Staff:

Open text response

No

No

No

No

No

Yes

Yes

No

No

No

No

Support Staff:

Open text response

No

No

No

No

No

Yes

Yes

No

No

No

No

Travel Funding:

Open text response

No

No

No

No

No

Yes

Yes

No

No

No

No

INSTRUCTIONAL TEXT: Major Duties List one or more projects that will use population health approaches to develop learning and management skills in policy analysis and development as well as program evaluation. All projects must be completed within the training period (12 months starting in July). For multi-year projects, define a component that can be accomplished within the training period. Performance requirements and examples of activities are provided below.

Policy Analysis and Development:

Open text response

No

No

No

No

No

Yes

Yes

No

No

No

No

Program Evaluation:

Open text response

No

No

No

No

No

Yes

Yes

No

No

No

No

• ELI

  • Organization Details

INSTRUCTIONAL TEXT:

ELI Eligibility

Table 6.11.1-a. Organization Details Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Organization Name:

Open text response

No

No

No

No

No

No

No

No

No

Yes

No

Is this a public health organization?

1. Yes 2. No

No

No

No

No

No

No

No

No

No

Yes

No

Public Health Organization Type:

1. State 2. Local 3. Territorial 4. Tribal 5. International Health 6. University 7. Hospital 8. Other

No

No

No

No

No

No

No

No

No

Yes

No

Specify Public Health Organization Type:

Open text response

No

No

No

No

No

No

No

No

No

Yes

No

Position Title:

Open text response

No

No

No

No

No

No

No

No

No

Yes

No

• Educational Experience

Table 6.11.2-a. Educational Experience Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Your Highest Degree Attained:

1. Bachelors 2. Masters or higher 3. Other related Certification 4. No Degree or Certification

No

No

No

No

No

No

No

No

No

Yes

No

Degree or Certification Type:

1. Education 2. Public Health / Sciences 3. Technology 4. Business 5. Other

No

No

No

No

No

No

No

No

No

Yes

No

Specify Degree or Certification Type:

Open text response

No

No

No

No

No

No

No

No

No

Yes

No

Degree or Certification Transcript:

Open text response

No

No

No

No

No

No

No

No

No

Yes

No

• Work Experience

Table 6.11.3-a. Work Experience Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

What is your role in the development of training? (Select all that apply)

1. Instructional Designer or Trainer 2. Subject Matter Expert (SME) 3. Training Coordinator 4. Learning Management (LMS) Coordinator 5. Other

No

No

No

No

No

No

No

No

No

Yes

No

Specify Role:

Open text response

No

No

No

No

No

No

No

No

No

Yes

No

Do you have experience in developing training for public health audiences?

1. Yes 2. No

No

No

No

No

No

No

No

No

No

Yes

No

Please rate your experience:

1. Highly Experienced (Degree/certification or 5 - 10 years of experience) 2. Experienced (No degree but at least 5 years of experience) 3. Limited Experience (No degree and less than 5 years of experience)

No

No

No

No

No

No

No

No

No

Yes

No

How long have you been developing e-learning?

1. 0 years 2. Less than 1 year 3. 1 - 2 years 4. 3 years or more

No

No

No

No

No

No

No

No

No

Yes

No

Please describe your experience:

Open text response

No

No

No

No

No

No

No

No

No

Yes

No

Approximately how many training activities such as online courses or webinars does your organization create annually?

1. 1 - 10 2. 11 - 50 3. 51+

No

No

No

No

No

No

No

No

No

Yes

No

What percentage of your organization’s training activity is e-learning?

1. 0 - 25% 2. 26 - 50% 3. 51 - 75% 4. 76 - 100%

No

No

No

No

No

No

No

No

No

Yes

No

• e-Learning Content Example

INSTRUCTIONAL TEXT:

We require that you submit an example of the content you would like to develop as e-learning.

Table 6.11.4-a. e-Learning Content Example Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Select the format of your e-learning content example submission:

-Document upload -Video File upload -Website link to content

No

No

No

No

No

No

No

No

No

Yes

No

Content Example Upload:

Select a file to upload

No

No

No

No

No

No

No

No

No

Yes

No

Website Link to Content Example:

Open text response

No

No

No

No

No

No

No

No

No

Yes

No

6.12 EIS, LLS, FLIGHT, PE, PHIFP

6.12.1 Federal Student Loan Repayment Interest

Table 12.1 Federal Student Loan Repayment Interest

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

INSTRUCTIONAL TEXT: The flowing information will not be used in the selection process. Do you have U.S. Federal Student loans? If response is No, STOP ELRPHP questions and go to next section

1.Yes 2.No

Yes

Yes

Yes

No

No

No

No

Yes

Yes

No

No

6.12.2 Before applying, were you aware of the Educational Loan Repayment Program for Health Professionals in which CDC/ATSDR recruits can receive up to $50,000 a year in loan repayment for a minimum 2-year service agreement? *Only ask if answered yes to question 6.12.1

1.Yes 2.No

Yes

Yes

Yes

No

No

No

No

Yes

Yes

No

No

Are you interested in Federal student loan repayment? (To learn more please visit the Educational Loan Repayment for Health Professionals information on the website). *Only if answered yes to question 6.12.1.

1.Yes 2.No

Yes

Yes

Yes

No

No

No

No

Yes

Yes

No

No

6.12.5 Did the availability of this loan repayment program influence your decision to apply for this fellowship? *Only if answered “yes” to interest in student loan repayment (6.12.4)

1.Yes 2.No

1. Confirming Accuracy & Minimum Eligibility

Table 6.12-a. Confirming Accuracy & Minimum Eligibility Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

By selecting the option below, you confirm that the information given in this form is true, complete, and accurate and that you meet the minimum eligibility requirements for this fellowship program?

1. I confirm that the information given in this form is true, complete, and accurate and that I meet the minimum eligibility.

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

INSTRUCTIONAL TEXT (depending on answer):

You are not eligible at this time to apply to this fellowship. Please review the eligibility requirements on the fellowship website. If you feel this is an error please contact the program.

7. Education & Licenses

1. Adding Education or Licenses

INSTRUCTIONAL TEXT:

Education & Licenses

Action required

Table 7.1-a. Adding Education or Licenses

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Please include educational background starting with your undergraduate experience. Medical and/or veterinary school information is required.

Open text response

No

No

No

Yes

No

No

No

No

No

No

No

Applicants who have received a foreign academic degree will be required to submit their transcripts for a foreign credential evaluation. This evaluation helps ensure that foreign degree requirements are equivalent to that in the United States.

New Instructional text

Yes

INSTRUCTIONAL TEXT:

You need to have a minimum of one item in this list to submit your entry. [Export .CSV] [Add New Item]

2. Choose Category

Table 7.2-a. Choose Category Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Do you want to proceed?

1. Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

No

Yes

What do you want to add? (Active U.S. Clinical License for clinical applicants only)

1. Undergraduate Education 2. Graduate Education (includes degrees in progress) 3. Additional Coursework 4. Active U.S. Clinical License

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

No

Yes

1. Coursework Type

Table 7.3-a. Coursework Type Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Which type of coursework do you need to add?

Open text response

No

No

No

No

No

Yes

Yes

Yes

No

No

No

2. Location

Table 7.4-a. Location Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Country:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

No

Yes

State/Province:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

No

Yes

11. College/University

Table 7.5-a. College/University Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

College/University:

See Appendix p. 120

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

No

Yes

College/University:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

No

Yes

If your college/university is not listed, please contact the System Help Desk Ticket

Open text response

Yes

Yes

No

Yes

Yes

No

No

No

No

No

No

1. Status

Table 7.6-a. Status Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Degree Status:

1. Current (Ongoing) 2. Graduated (Degree program) 3. Completed (Nondegree program) 4. Did not complete

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Has your degree been conferred?

1. Yes 2. No

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Course Status:

1. Current 2. Completed

No

No

No

No

No

Yes

Yes

Yes

No

No

Yes

License Status:

1. Expected 2. Received

Yes

Yes

Yes

No

No

Yes

Yes

No

No

No

Yes

7.7 Degree

Table 7.7-a. Degree Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Undergraduate Degree:

Undergraduate Degree List

Yes

Yes

Yes

Yes

Yes

No

No

No

No

Yes

Yes

Graduate Degree:

Graduate Degree List

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Other Degree:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Major 1:

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Major 1 Classification:

Major Classification List

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Is this degree a double major?

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

Yes

Major 2:

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

Yes

Major 2 Classification:

Major Classification List

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

Yes

Minor/Certificate/Specialty:

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

Yes

Grade Point Average (GPA):

Open text response

Yes

Yes

No

Yes

No

No

No

No

No

Yes

Yes

Did you complete a thesis or dissertation?

Yes No

Yes

Yes

No

Yes

No

Yes

Yes

Yes

Yes

No

Yes

Title And Abstract

Multi-line response

No

No

No

No

No

Yes

Yes

Yes

Yes

Is this a master’s thesis or dissertation?

Yes No

No

No

No

No

No

Yes

Description of Dissertation

Open text response

Yes

Yes

No

No

No

No

No

No

No

No

No

Did you receive academic honors?

1. Yes 2. No

Yes

Yes

No

Yes

No

Yes

Yes

Yes

No

No

Yes

Honor Types:

Honor List

Yes

Yes

No

Yes

No

Yes

Yes

Yes

No

No

Yes

Transcript Upload:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

No

Yes

MPH Certificate Upload:

Open text response

No

No

No

No

No

Yes

Yes

No

No

No

No

Please acknowledge that you have uploaded a foreign credential evaluation for transcript issued by a non-U.S. institution.

1. Yes 2. No

No

Yes

No

No

No

No

No

No

No

No

No

2. Additional Coursework

Table 7.8-a. Additional Coursework Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Number of Credits:

Open text response

No

No

No

No

No

Yes

Yes

Yes

No

No

Yes

Course Name:

Open text response

No

No

No

No

No

Yes

Yes

Yes

No

No

Yes

3. License

Table 7.9-a. License Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Issuing State:

See Appendix p. 120

Yes

Yes

Yes

No

No

Yes

Yes

No

No

No

No

License Number:

Open text response

Yes

Yes

Yes

No

No

Yes

Yes

No

No

No

No

License Upload:

Open text response

Yes

Yes

Yes

No

No

Yes

Yes

No

No

No

No

7.10 Dates

Table 7.10-a. Date Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Attended From:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

No

Yes

Attended To:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

No

Yes

Expected Completion Date:

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

Yes

Degree Conferral Date:

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

Yes

PhD Defense Date:

Open text response

Yes

Yes

No

No

No

Yes

Yes

Yes

Yes

No

Yes

License Expected Date:

Open text response

Yes

Yes

Yes

No

No

Yes

Yes

No

No

No

No

License Received Date:

Open text response

Yes

Yes

Yes

No

No

Yes

Yes

No

No

No

No

License Expiration Date:

Open text response

Yes

Yes

Yes

No

No

Yes

Yes

No

No

No

No

1. Incomplete Reason

Table 7.11-a. Incomplete Reason Field

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Incomplete Reason (Note: List expected graduation date if degree is still in progress):

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

No

Yes

16. Work & Volunteer Experience

8.1 Adding Work or Volunteer Experience

INSTRUCTIONAL TEXT:

Work & Volunteer experience

Action required

Please list work and volunteer experience in chronological order

You need to have a minimum of 1 item in this list in order to submit your entry. [Export .CSV] [Add New Item]

8.2 Choose Category

Table 8.2-a. Choose Category Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Do you want to proceed?

1. Yes

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

What do you want to add? For Volunteer Experience, please list activities outside your normal working hours/responsibilities.

1. Work Experience 2. Volunteer Experience

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

3. Organization Details

Table 8.3-a. Organization Details Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Organization Name

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

Organization Type

1. Additional education or training (including degree or residency programs, fellowships and post-doctoral research positions) 2. Government – CDC (including contractor work) 3. Government – non-CDC federal government (including contractor work) 4. Government – state, tribal, local, or territorial health agency (including contractor work) 5. Non-governmental, community, or other organization (NGO) 6. Academia (as faculty or staff) 7. Industry (private, non-clinical business) 8. Clinical work

Yes

Yes

No

Yes

No

Yes

Yes

Yes

Yes

No

No

Does your organization, school or school district receive Title 1 financial assistance?

1. Yes 2. No 3. N/A 4. Prefer not to respond

No

No

No

No

Yes

No

No

No

No

No

No

May we contact your supervisor?

1. Yes 2. No

Yes

Yes

No

Yes

No

Yes

Yes

Yes

Yes

No

No

Supervisor Name

Open text response

Yes

Yes

No

Yes

No

Yes

Yes

Yes

Yes

No

No

Supervisor Phone Number

Open text response

Yes

Yes

No

Yes

No

Yes

Yes

Yes

Yes

No

No

Supervisor Email

Open text response

Yes

Yes

No

Yes

No

Yes

Yes

Yes

Yes

No

No

Reason

Open text response

Yes

Yes

No

Yes

No

Yes

Yes

Yes

Yes

No

No

3. Position Details

Table 8.4-a. Position Details Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Title

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

Hours Per Week

Open text response

Yes

Yes

No

Yes

No

Yes

Yes

Yes

Yes

No

No

Is this position related to public health?

1. Yes 2. No

Yes

Yes

No

Yes

No

Yes

Yes

Yes

Yes

No

No

Duties and Responsibilities

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

Accomplishments

Open text response

Yes

No

No

No

No

Yes

Yes

Yes

No

No

No

Extracurricular Duties/Responsibilities (e.g., advisor, board member, committee chair, coach, teacher association president)

Open text response

No

No

No

No

Yes

No

No

No

No

No

No

Full-time or part-time?

1. Part Time (<30 hours per week) 2. Full Time (>30 hours per week)

No

No

No

Yes

No

No

No

No

No

No

No

3. Dates

Table 8.5-a. Date Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Dates From

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

Is this a current position?

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

Dates To

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

Reason for Leaving

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

3. Position Location

Table 8.6-a. Position Location Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Address

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

Address Line 2

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

Address Line 3

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

Country

See Appendix p. 120

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

State/Territory:

See Appendix p. 120

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

State/Province

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

City

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

Zip/Postal Code

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

12. Additional Training & Skills

2. Adding Additional Training & Skills

INSTRUCTIONAL TEXT:

Please list only the most relevant training and skills pertinent to your EIS application. List experiences in chronological order.

Additional Training & Skills

Action Required

You need to have a minimum of 1 item in this list in order to submit your entry [Export .CSV] [Add New Item]

2. Choose Category

Table 9.2-a. Choose Category Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Do you want to proceed?

1. Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

No

What do you need to add?

1. Clinical Training 2. U.S. Clinical Board Certification 3. Additional Training, Certification or Professional Development 4. Language Skill 5. None of the Above

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

No

9.3 Clinical Training

Table 9.3-a. Clinical Training Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Title:

Open text response

Yes

Yes

No

No

No

Yes

Yes

Yes

No

No

No

Certification of completion of clinical training upload:

Upload Field

Yes

May we contact your supervisor?

1. Yes 2. No

Yes

Yes

No

No

No

Yes

Yes

Yes

No

No

No

Supervisor Name:

Open text response

Yes

Yes

No

No

No

Yes

Yes

Yes

No

No

No

Supervisor Email:

Open text response

Yes

Yes

No

No

No

Yes

Yes

Yes

No

No

No

Supervisor Phone Number:

Open text response

Yes

Yes

No

No

No

Yes

Yes

Yes

No

No

No

Reason:

Open text response

Yes

Yes

No

No

No

Yes

Yes

Yes

No

No

No

9.4 U.S. Board Certifications and Specialty

Table 9.4-a. Clinical Training Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Status:

1. Certified 2. Eligible

Yes

Yes

Yes

No

No

Yes

Yes

No

No

No

No

Certificate of Completion Upload:

Upload Field

Yes

Specialty:

See Appendix p. 120

Yes

Yes

Yes

No

No

Yes

Yes

Yes

No

No

No

Specify Specialty:

Open text response

Yes

Yes

Yes

No

No

Yes

Yes

Yes

No

No

No

9.5 Additional Training, Certifications, or Professional Development

Table 9.5-a. Additional Training, Certifications, or Professional Development Fields

INSTRUCTIONAL TEXT:

Include significant trainings or other experiences providing at least 8 hours of training or resulting in a certification.

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Training Name:

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

Description:

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

Certification Upload:

Open text response

Yes

Yes

No

No

No

Yes

Yes

Yes

Yes

No

No

2. Institution Details and Location

Table 9.6-a. Institution Details and Location Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Institution Name:

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

Country:

See Appendix p. 120

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

State/Territory:

See Appendix p. 120

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

State/Province:

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

City:

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

2. Dates

Table 9.7-a. Date Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Dates From:

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

Are you currently pursuing?

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

Dates To:

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

Expected Date:

Open text response

Yes

Yes

Yes

No

No

Yes

Yes

No

No

No

No

Most Recent Issuance Date:

Open text response

Yes

Yes

Yes

No

No

Yes

Yes

No

No

No

No

Most Recent Expiration Date:

Open text response

Yes

Yes

Yes

No

No

Yes

Yes

No

No

No

No

2. Language Skills

Table 9.8-a. Language Skill Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Language:

See Appendix p. 120

Yes

Yes

Yes

Yes

No

Yes

Yes

Yes

Yes

No

Yes

Other Language:

Open text response

Yes

Yes

Yes

Yes

No

Yes

Yes

Yes

Yes

No

Yes

Read:

1. Poor 2. Fair 3. Good 4. Excellent

Yes

Yes

Yes

Yes

No

Yes

Yes

Yes

Yes

No

Yes

Write:

1. Poor 2. Fair 3. Good 4. Excellent

Yes

Yes

Yes

Yes

No

Yes

Yes

Yes

Yes

No

Yes

Speak:

1. Poor 2. Fair 3. Good 4. Excellent

Yes

Yes

Yes

Yes

No

Yes

Yes

Yes

Yes

No

Yes

Table 9.9-a. Additional Skills: Computer and Statistical Software Skills

Please select the statistical software package(s) for which you have Proficient/Skilled or Mastery/Expert competency [SELECT ALL THAT APPLY]:

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

SAS

Proficient/Skilled Master/Expert

No

No

No

Yes

No

No

No

No

No

No

No

STATA

Proficient/Skilled Master/Expert

No

No

No

Yes

No

No

No

No

No

No

No

Epi-Info

Proficient/Skilled Master/Expert

No

No

No

Yes

No

No

No

No

No

No

No

R

Proficient/Skilled Master/Expert

No

No

No

Yes

No

No

No

No

No

No

No

Excel

Proficient/Skilled Master/Expert

No

No

No

Yes

No

No

No

No

No

No

No

Other (Specify and Provide Rating)

Proficient/Skilled Master/Expert

No

No

No

Yes

No

No

No

No

No

No

No

8. 10. Publications, Presentations, Working Papers, Monographs or Reports, Grants, Honors and Awards

10.1 Adding Publications, Presentations, Working Papers, Monographs or Reports, Grants, Honors and Awards

INSTRUCTIONAL TEXT

Please enter your publications listed in chronological order following Pubmed/Medline format https://www.nlm.nih.gov/bsd/policy/cit_format.html

Publications, Presentations, Grants, Working Papers, Honors and Awards

Action required

You need to have a minimum of 1 item in this list in order to submit your entry.

10.2 Choose Category

Table 10.2-a. Choose Category Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Do you want to proceed?

1. Yes

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

What do you want to add? FOR LLS: For Honors and Awards, please do not list academic scholarships. INSTRUCTIONAL TEXT: Separate oral presentations and poster presentations

1. Publications 2. Presentations 3. Grants 4. Honors or Awards 5. Monographs or Reports 6. Research Grants 7. Working Papers (Job Market Papers)

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

10.3 Details

INSTRUCTIONAL TEXT

Publications

Please enter all publications in the same entry; do not create a separate entry for each publication.

In the Details box below, please list all publications and include the following information for each:

6. Citation

Presentations

Please enter all presentations in the same entry; do not create a separate entry for each presentation.

In the Details box below, please list all presentations and include the following information for each:

1. Citations

2. Types of presentations

3. Titles

4. Conferences

5. Dates of Conferences

Monographs or Reports

Please enter all monographs or reports in the same entry; do not create a separate entry for each monograph or report.

In the Details box below, please list all monographs or reports and include the following information for each:

1. Citations (or descriptions if no formal citations)

Working Papers (Job Market Papers)

Please enter all working papers (job market papers) in the same entry; do not create a separate entry for each working paper.

In the Details box below, please list all working papers (job market papers) and include the following information for each:

7. Titles

8. Abstracts

Grants

Please enter all grants in the same entry; do not create a separate entry for each grant.

In the Details box below, please list all grants and include the following information for each:

1. Titles

2. Your roles

3. Dates awarded

4. Funding agencies

5. Amounts awarded

Research Grants

Please enter all research grants in the same entry; do not create a separate entry for each research grant.

• In the Details text box below, please list all competitive research grants and include the following for each:

• Titles

• Your roles

• Dates awarded

• Funding agencies

• Amounts awarded

• Abstracts

Honors or Awards

Please enter all honors and awards in the same entry; do not create a separate entry for each honor/award.

In the Details box below, please list all honors or awards and include the following information for each:

6. Names of Organizations Bestowing

7. Names of honors or awards

8. Types

9. Dates awarded

INSTRUCTIONAL TEXT: Refer to the National Library of Medicine sample references for preferred citation format

Table 10.3-a. Detail Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Details:

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

No

No

11 Personal Statement

11.1 All Fellowships except FLIGHT

INSTRUCTIONAL TEXT

Write your personal statement by considering these questions (in 300 words for each):

1. What influenced you to consider a career in public health service?

2. Describe how this fellowship/program will help you achieve your goals.

3. Understanding that there are different topical and geographical assignments, in which do you prefer to work and why?

4. For re-applicants: When did you apply and what has changed since your last application?

Figure 11.1-a. Personal Statement Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

What influenced you to consider a career in public health service?

Open text response

Yes

Yes

No

Yes

No

Yes

No

Yes

Yes

No

Yes

Describe how this fellowship/program will help you achieve your goals.

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

No

Yes

No

Yes

What are your goals and how will this program help you achieve your goals?

Open text response

No

No

No

Yes

Yes

Yes

Yes

Yes

Yes

No

Yes

Describe your greatest professional challenge so far and how you overcame it.

Multi-line text

No

No

No

No

No

No

No

No

Yes

No

No

Describe your use of economic or decision-analytic methods. What methods would you like to learn more about?

Multi-line text

No

No

No

No

No

No

No

No

Yes

No

No

Why are you interested in this fellowship/program?

Open text response

No

No

No

No

No

No

No

No

Yes

Yes

Yes

What makes you a good candidate for this fellowship/program?

Open text response

No

No

No

No

No

Yes

Yes

No

Yes

Yes

Yes

Why do you want to join the CDC?

Open text response

No

No

No

No

No

No

No

No

Yes

No

No

How do your values align with the core CDC values?

Open text response

No

No

No

No

No

No

No

No

No

No

Yes

Understanding that there are different topical and geographical assignments, in which do you prefer to work and why?

Open text response

Yes

No

No

Yes

No

Yes

Yes

No

No

No

No

How do you anticipate using the concepts and skills learned in this fellowship/program? Be as specific as possible.

Open text response

No

No

No

No

Yes

No

No

No

Yes

Yes

No

Describe the two most important skills you want to develop or improve during this fellowship/program.

Open text response

No

Yes

No

No

No

No

No

No

No

Yes

No

What do you believe are facilitators at your organization for developing e-learning?

Open text response

No

No

No

No

No

No

No

No

No

Yes

No

What do you believe are barriers at your organization for developing e-learning?

Open text response

No

No

No

No

No

No

No

No

No

Yes

No

Describe your proficiency using e-learning software. Include the authoring tool/s used at your current organization.

Open text response

No

No

No

No

No

No

No

No

No

Yes

No

What is your experience incorporating new content into your curricula? Please provide at least one example.

Open text response

No

No

No

No

Yes

No

No

No

No

No

No

Describe your experience related to data management and analysis, including the use of statistical software packages such as Excel, SAS, STATA, R, or Epi Info. Please provide specific examples. Note that this question will be used to assist the program with matching applicants to appropriate host sites.

Open text response

No

No

No

No

No

No

No

No

Yes

No

No

For re-applicants: When did you apply and what has changed since your last application?

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

No

No

No

No

11.2 FLIGHT

Table 11.2-a. FLIGHT Personal Statement Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

1. Tell us the characteristics, skills, and abilities that make you the best candidate for this scientific leadership program.

Open text response

No

No

Yes

No

No

No

No

No

No

No

No

2. Tell us what the two most important skills you want to develop or improve after finishing EIS.

Open text response

No

No

Yes

No

No

No

No

No

No

No

No

3. Elaborate on your most significant accomplishment during your EIS fellowship.

Open text response

No

No

Yes

No

No

No

No

No

No

No

No

4. Describe the biggest challenge you faced during EIS, and how you overcame that challenge.

Open text response

No

No

Yes

No

No

No

No

No

No

No

No

5. Tell us your career goals after graduating from this leadership program, and how this leadership program will help you achieve them.

Open text response

No

No

Yes

No

No

No

No

No

No

No

No

11.3 Location Preferences

Table 11.3-a. Location Preference Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

What is your preference for location of assignment?

1. I am only interested in CDC Headquarters assignments. 2. I am only interested in state assignments 3. I am interested in CDC Headquarters assignments and state assignments.

Yes

Yes

No

No

No

Yes

No

Yes

Yes

No

No

To which states or territories would you be willing to relocate for the duration of the 2-year EIS fellowship?”

State/Territory List

Yes

No

No

No

No

Yes

No

Yes

Yes

No

No

Do you have geographic constraints on where you can relocate for your fellowship/program?

1. Yes 2. No

Yes

Yes

No

Yes

No

Yes

Yes

Yes

Yes

No

Yes

Please explain:

Open text response

Yes

Yes

No

Yes

No

Yes

Yes

Yes

Yes

No

Yes

11.4 CDC Fellowship Participation

Table 11.4-a. CDC Fellowship Participation Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Have you participated in any CDC fellowship programs?

1. Yes 2. No

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Please select all CDC fellowships that you have participated in:

CDC Fellowship List

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

6. 12Standardized Letters of Recommendation (SLOR)

12.1 SLOR Requests

12.1.1 Starting a SLOR Request

INSTRUCTIONAL TEXT:

Letters of Recommendation

Action Required

You need to have a minimum of 1 item in this list in order to submit your entry [Export .CSV] [Add New Item]

INSTRUCTIONAL TEXT FOR LLS:

Identify two people who can provide recommendations on your behalf using our standardized online form.

Select 2 individuals who have served in a supervisory or mentoring role and are familiar with your academic achievements, aspirations, personal qualities, and professional attributes. These individuals should provide recommendations specific to your LLS fellowship application.

Avoid requesting letters from colleagues or friends. Recommendations must be written in English.

Request/confirm their email address.

Tell recommendation writers to expect a system-generated email from LLS@cdc.gov with instructions for electronically submitting their responses to questions in a standardized recommendation form.

One of the two standardized letters of recommendation must be from persons who are not currently employed at the CDC.

Table 12.1.2-a. LOR Request Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Recommender's Name:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Organization:

Open text response

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Job Title:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Dean of Medical School?

1. Yes

Yes

No

No

Yes

No

Yes

Yes

Yes

Yes

No

Yes

Phone:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Email:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Relationship to you:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Note to the recommender:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

You confirm that your supervisor is aware and in support of your application to this fellowship?

1. Yes, I confirm

No

No

No

No

No

No

No

No

No

Yes

No

You confirm that your supervisor is aware that the deliverable of this fellowship is an e-learning product that takes less than 20 minutes to complete and that your product must be submitted at the end of the fellowship and listed on the TRAIN network?

1. Yes, I confirm

No

No

No

No

No

No

No

No

No

Yes

No

Letter of Recommendation Waiver Agreement:

1. "In order to be considered for the fellowship program, I agree to waive my right to view any recommendations submitted for me."

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

By selecting the option below, you confirm that the application information given in this form is true, complete, and accurate. Three standardized letters of recommendation are required from persons familiar with your academic achievements, aspirations, personal qualities, and professional attributes. Two of the standardized letters of recommendation must be from persons who are not currently employed at the CDC. If you are currently employed at CDC, you may request a fourth letter if, in addition to 2 letters from non-CDC employees, you would like to submit 2 letters from current CDC employees. -Recommenders should typically be current or former supervisors or professors. Avoid requesting letters from colleagues or friends. -Recommendations must be written in English. -Let recommenders know you are requesting a recommendation and tell them to expect an email with a link to the online form that they should use to complete the standardized letter of recommendation. Traditional narrative letters of recommendation and MSPE (Dean’s letter format) are not accepted.

Open text response

Yes

No

No

No

No

No

No

No

No

No

No

12.2 System Emails to Letter Writers

12.3 Letters of Recommendation

12.3.1 Section A

INSTRUCTIONAL TEXT:

Provide as much relevant detail as you can for each response

Figure 12.3.1-a. Section A Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Name of person submitting the recommendation form:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Title of person submitting the recommendation form:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Organization name:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Phone number:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Number of persons with similar background to the candidate that you supervised over last 5 years:

1. <= 1 2. 2 - 5 3. 6 - 10 4. > 10

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Name of person for whom this recommendation is being submitted:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

In what role are you providing this reference?

1. Supervisor 2. Advisor 3. Program director 4. Dean 5. Professor 6. Faculty member 7. Thesis committee member 8. Other (Explain)

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Explain:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

How long have you known the candidate?

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Describe your role working or collaborating with this person:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

On average, how often have you worked with, or do you work with, the candidate (For example: average of 5 days per week over the past 6 months, or occasional interaction over the past 10 years).

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

12.3.2 Section B

Table 12.3.2-a. Section B Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Compared with other similar individuals at similar points in their careers, how do you rank this candidate at developing effective working relationships with a variety of different people?

1. Below average (Bottom 50%) 2. Average (50% to 75%) 3. Above Average (Top 25%) 4. Excellent (Top 10%) 5. Superior (Top 2%) 6. Not able to judge

Yes

Yes

No

Yes

Yes

Yes

Yes

No

No

Yes

Yes

Please provide an example(s) about this candidate’s experience developing effective working relationships, e.g., with internal or external partners, team members, or state/local health professionals.

Open text response

Yes

Yes

No

No

No

Yes

Yes

Yes

Yes

Yes

Yes

Compared with other similar individuals at similar points in their careers, how do you rank this candidate at managing tasks or projects?

1. Below average (Bottom 50%) 2. Average (50% to 75%) 3. Above Average (Top 25%) 4. Excellent (Top 10%) 5. Superior (Top 2%) 6. Not able to judge

No

Yes

No

Yes

No

Yes

No

No

No

Yes

Yes

Please provide an example that describes the effectiveness of task or project management, e.g., was management of tasks and projects timely, complete, and responsive.

Open text response

No

No

No

No

No

Yes

No

Yes

Yes

Yes

Yes

Table 12.3.2-b. Section B Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Compared with other similar individuals at similar points in their careers, how do you rank this candidate at effectively prioritizing efforts?

1. Below average (Bottom 50%) 2. Average (50% to 75%) 3. Above Average (Top 25%) 4. Excellent (Top 10%) 5. Superior (Top 2%) 6. Not able to judge

Yes

No

No

No

No

Yes

Yes

No

No

Yes

No

Please provide an example that describes the effective prioritization of efforts, e.g., could this candidate identify and act on the most important tasks first?

Open text response

Yes

No

No

No

No

Yes

Yes

No

Yes

Yes

No

Compared with other similar individuals at similar points in their careers, how do you rank this candidate’s ability to take initiative?

1. Below average (Bottom 50%) 2. Average (50% to 75%) 3. Above Average (Top 25%) 4. Excellent (Top 10%) 5. Superior (Top 2%) 6. Not able to judge

Yes

Yes

No

Yes

Yes

Yes

No

No

No

No

Yes

Please provide an example that describes the candidate’s ability to take initiative, e.g., did this person actively seek to identify issues and address them without being told?

Open text response

Yes

Yes

No

No

No

Yes

No

No

Yes

No

Yes

Compared with other similar individuals at similar points in their careers, how well did this candidate respond to constructive feedback?

1. Below average (Bottom 50%) 2. Average (50% to 75%) 3. Above Average (Top 25%) 4. Excellent (Top 10%) 5. Superior (Top 2%) 6. Not able to judge

Yes

Yes

No

Yes

Yes

Yes

Yes

No

Yes

Yes

Yes

Please provide an example(s) of how the candidate responded to constructive feedback. This could include feedback on e.g., their performance, behavior, or scientific work.

Open text response

Yes

Yes

No

No

No

Yes

Yes

No

Yes

Yes

Yes

Table 12.3.2-c. Section B Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Compared with other similar individuals you have supervised or advised, how do you rank the candidate’s knowledge of health data, methods, and analytics?

1. Below average (Bottom 50%) 2. Average (50% to 75%) 3. Above Average (Top 25%) 4. Excellent (Top 10%) 5. Superior (Top 2%) 6. Not able to judge

No

No

No

Yes

No

No

No

No

Yes

No

No

Please provide an example(s) of the candidate’s knowledge of health data, methods, and analytics.

Open text response

No

No

No

No

No

No

No

No

Yes

No

No

Compared with other similar individuals you have supervised or advised, how do you rank the candidate’s flexibility and resilience?

1. Below average (Bottom 50%) 2. Average (50% to 75%) 3. Above Average (Top 25%) 4. Excellent (Top 10%) 5. Superior (Top 2%) 6. Not able to judge

No

No

No

Yes

No

Yes

Yes

No

Yes

No

Yes

Please provide an example(s) of the candidate’s flexibility and resilience.

Open text response

No

No

No

No

No

Yes

Yes

No

Yes

No

Yes

Compared with other similar individuals you have supervised or advised, how do you rank the candidate’s self-advocacy?

1. Below average (Bottom 50%) 2. Average (50% to 75%) 3. Above Average (Top 25%) 4. Excellent (Top 10%) 5. Superior (Top 2%) 6. Not able to judge

No

No

No

Yes

No

No

No

No

Yes

No

No

Please provide an example(s) when the candidate advocated successfully on behalf of themselves and their work.

Open text response

No

No

No

No

No

No

No

No

Yes

No

No

Do you have any concerns about this applicant and their potential performance in this fellowship/program?

Open text response

Yes

Yes

No

No

No

Yes

Yes

No

Yes

No

Yes

Explain the strongest reason/s that we should consider for selecting this candidate.

Open text response

No

No

No

No

No

No

No

No

Yes

No

Yes

Table 12.3.2-b. PHAP Section B Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Compared with other similar individuals you have supervised or advised, how do you rank the candidate’s integrity?

1. Below average (Bottom 50%) 2. Average (50% to 75%) 3. Above Average (Top 25%) 4. Excellent (Top 10%) 5. Superior (Top 2%) 6. Not able to judge

No

No

No

No

No

No

No

No

No

No

Yes

Please provide an example(s) that describes his/her integrity, e.g., demonstration of honesty and candor, or witnessed an instance where the candidate lied to avoid or delay consequences.

-

No

No

No

No

No

No

No

No

No

No

Yes

1. Section C

Table 12.3.3-a. Section C Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

As a candidate for this fellowship/program, I consider the applicant:

1. Not suitable 2. Minimally suitable 3. Suitable 4. Very suitable

No

Yes

No

No

No

No

No

No

No

No

No

As a candidate for this fellowship/program, I consider the applicant:

1. Not suitable 2. Minimally suitable 3. Suitable 4. Very suitable 5. Most suitable ever

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Please describe the specific skills and attributes of the candidate that make them suitable for this fellowship/program:

Open text response

Yes

No

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Any other comments:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Enter your initials:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Enter today's date:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

13. Final Application Sections

13.1 Self-Assessment of Skills

13.1.1 PHIFP

Table 13.1.1-a. PHIFP Self-Assessment of Skills Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

1. Data Sciences (Wrangling, Cleansing, Modeling, Analytics):

1. Novice 2. Advanced Beginner 3. Competent 4. Proficient 5. Expert

No

No

No

No

No

No

No

Yes

Yes

No

No

Data Sciences Experience:

Open text response

No

No

No

No

No

No

No

Yes

Yes

No

No

2. Data Science Methods (e.g. machine learning, NLP, deep learning):

1. Novice 2. Advanced Beginner 3. Competent 4. Proficient 5. Expert

No

No

No

No

No

No

No

Yes

Yes

No

No

Data Science Methods Experience:

Open text response

No

No

No

No

No

No

No

Yes

Yes

No

No

3. DataViz (Storytelling using Data, DataViz methods and tools, Dashboard design):

1. Novice 2. Advanced Beginner 3. Competent 4. Proficient 5. Expert

No

No

No

No

No

No

No

Yes

No

No

No

DataViz Experience:

Open text response

No

No

No

No

No

No

No

Yes

No

No

No

4. Database Design and Development (Big Data, data modeling, information retrieval):

1. Novice 2. Advanced Beginner 3. Competent 4. Proficient 5. Expert

No

No

No

No

No

No

No

Yes

Yes

No

No

Database Design and Development Experience:

Open text response

No

No

No

No

No

No

No

Yes

Yes

No

No

5. Programming Languages and Scripting (Python, R, C, C++, Java, Scala, C#, JavaScript, PHP):

1. Novice 2. Advanced Beginner 3. Competent 4. Proficient 5. Expert

No

No

No

No

No

No

No

Yes

Yes

No

No

Programming Languages and Scripting Experience:

Open text response

No

No

No

No

No

No

No

Yes

Yes

No

No

6. Distributed Computing (Cloud Computing, Grid computing):

1. Novice 2. Advanced Beginner 3. Competent 4. Proficient 5. Expert

No

No

No

No

No

No

No

Yes

No

No

No

Distributed Computing Experience:

Open text response

No

No

No

No

No

No

No

Yes

No

No

No

Table 13.1.1-d. PHIFP Self-Assessment of Skills Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

7. Design Thinking (UI design, Prototyping, Human Computer Interaction):

1. Novice 2. Advanced Beginner 3. Competent 4. Proficient 5. Expert

No

No

No

No

No

No

No

Yes

No

No

No

Design Thinking Experience:

Open text response

No

No

No

No

No

No

No

Yes

No

No

No

8. Systems Engineering (Concept Development, Requirements Engineering, System Architecture, System Design and Development, Systems Integration, Testing, Implementation, Compliance tracking and Certification):

1. Novice 2. Advanced Beginner 3. Competent 4. Proficient 5. Expert

No

No

No

No

No

No

No

Yes

No

No

No

Systems Engineering Experience:

Open text response

No

No

No

No

No

No

No

Yes

No

No

No

9. Project Management (Project Scoping, Risk Management, Project Management tools):

1. Novice 2. Advanced Beginner 3. Competent 4. Proficient 5. Expert

No

No

No

No

No

No

No

Yes

No

No

No

Project Management Experience:

Open text response

No

No

No

No

No

No

No

Yes

No

No

No

10. Data Exchange and Interoperability (Data and Systems standards, HL7, LOINC, SNOMED, Vocabulary Standards, Concept Dictionaries, Ontologies):

1. Novice 2. Advanced Beginner 3. Competent 4. Proficient 5. Expert

No

No

No

No

No

No

No

Yes

No

No

No

Data Exchange and Interoperability Experience:

Open text response

No

No

No

No

No

No

No

Yes

No

No

No

11. Public Health Information Systems (Clinical/PH decision support systems, Electronic Health Records, outbreak management systems, surveillance systems; ODK, DHIS2, REDCap, GIS, EpiInfo):

1. Novice 2. Advanced Beginner 3. Competent 4. Proficient 5. Expert

No

No

No

No

No

No

No

Yes

No

No

No

Public Health Information Systems Experience:

Open text response

No

No

No

No

No

No

No

Yes

No

No

No

12. Emerging Technologies (Blockchain and Distributed Ledger Technologies, Artificial Intelligence, Sensor Technologies):

1. Novice 2. Advanced Beginner 3. Competent 4. Proficient 5. Expert

No

No

No

No

No

No

No

Yes

No

No

No

Emerging Technologies Experience:

Open text response

No

No

No

No

No

No

No

Yes

No

No

No

13.1.2 PE

INSTRUCTIONAL TEXT:
This section is to determine your skills level and experience with various software applications and data sets that are routinely used in health research.

Table 13.1.2-a. PE Self-Assessment of Skills Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

STATA:

1. Novice 2. Advanced Beginner 3. Competent 4. Proficient 5. Expert

No

No

No

No

No

No

No

Yes

Yes

No

No

SAS:

1. Novice 2. Advanced Beginner 3. Competent 4. Proficient 5. Expert

No

No

No

No

No

No

No

Yes

Yes

No

No

R:

1. Novice 2. Advanced Beginner 3. Competent 4. Proficient 5. Expert

No

No

No

No

No

No

No

Yes

Yes

No

No

MATLAB:

1. Novice 2. Advanced Beginner 3. Competent 4. Proficient 5. Expert

No

No

No

No

No

No

No

Yes

Yes

No

No

Excel:

1. Novice 2. Advanced Beginner 3. Competent 4. Proficient 5. Expert

No

No

No

No

No

No

No

Yes

Yes

No

No

Table 13.1.2-b. PE Self-Assessment of Skills Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Instructions: If desired, list up to three additional software applications (i.e., DataViz, GIS, etc.) that you routinely use in health research and indicate your level of experience with each software.

Yes

Other Software #1:

Yes

Yes

Other Software #1 Skill Level:

1. Novice 2. Advanced Beginner 3. Competent 4. Proficient 5. Expert

No

No

No

No

No

No

No

Yes

Yes

No

No

Other Software #2:

Open text response

No

No

No

No

No

No

No

Yes

Yes

No

No

Other Software #2 Skill Level:

1. Novice 2. Advanced Beginner 3. Competent 4. Proficient 5. Expert

No

No

No

No

No

No

No

Yes

Yes

No

No

Other Software #3:

Open text response

No

No

No

No

No

No

No

Yes

Yes

No

No

Other Software #3 Skill Level:

1. Novice 2. Advanced Beginner 3. Competent 4. Proficient 5. Expert

No

No

No

No

No

No

No

Yes

Yes

No

No

Figure 13.1.2-c. PE Self-Assessment of Skills Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

List the data sets where you have Competent, Proficient, or Expert experience and indicate your level experience for each. (Competent, Proficient, or Expert):

Open text response

No

No

No

No

No

No

No

No

Yes

No

No

13.2 Applicant Survey

Table 13.2-a. Applicant Survey Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Do you want to proceed?

1. Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Which of the following most influenced you to apply to this fellowship? (select up to 3)

Change type: Question revision Which of the following most influenced you to apply to this fellowship? (select up to 3) Handshake (e.g., job posting, fellow/alumni ambassador) Other job search platform (e.g., Indeed, ZipRecruiter, Job Openings for Economists) In-person event (e.g., conference booth) News advertising (e.g., online ad, news media) Newsletter or email listserv (e.g., from CDC, your university, professional organization) Social Media (e.g., Facebook, LinkedIn, Instagram, Twitter, YouTube) Webinar or other virtual event (e.g., information session, alumni panel) Word of mouth (e.g., from current or former fellow, professor, supervisor) Other (please specify)

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Specify:

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

How did you connect with the person who told you about the fellowship by word of mouth? (Select all that apply) *Include an open-ended box that asks to please specify *If they selected word of mouth from 13.2.a question above.

1.Handshake (e.g., webinar, email, fellowship ambassador) 2.University event, webinar, presentation 3.CDC event, webinar, presentation, booth 4.Other event, webinar, presentation (specify) 5.Professional or academic setting (e.g., professor, mentor/supervisor, colleague) 6.Other (specify)

No

No

Yes

No

No

Yes

Yes

Yes

Yes

Yes

Yes

Specify: Note to admin: Only to be used if 4 or 6 are chosen in previous question

Open text response

No

No

Yes

No

No

Yes

Yes

Yes

Yes

Yes

Yes

On what job search platform did you find out about the fellowships? *Only if job search platform is selected from question 13.2.a.

1.Handshake 2.Indeed 3.JOE (Job Openings for Economists 4.USAJobs 5.INFORMS 6.Other (specify)

No

No

Yes

No

No

Yes

Yes

Yes

Yes

Yes

Yes

Specify: Note to admin: If previous response was 6

Open text response

No

No

Yes

No

No

Yes

Yes

Yes

Yes

Yes

Yes

What other opportunities (e.g. jobs, fellowships, etc.) are you considering?

Open text response

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Are you applying to the EIS-IDSA Fellowship [name subject to change]

Yes No

Yes

No

No

No

No

No

No

No

No

No

No

If yes, which infections disease fellowships are you applying to?

Open Text Response

Yes

No

No

No

No

No

No

No

No

No

No

Q. Will the US Military or other federal agency provide complete financial support for your 2-year fellowship period? If YES, Please provide the name of the service and the contact information of the person who can confirm you have received approval to participate in EIS.

Yes No

Yes

No

No

No

No

No

No

No

No

No

No

Table 13.2-b. LLS Applicant Survey Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

What would make the LLS program more attractive to you? (select all that apply)

1. A longer fellowship term (e.g., 3 years) 2. A fellowship term that includes time spent at both a field (state or local lab) and CDC headquarters host site laboratory 3. Field experiences that require extended (e.g., 3 to 6 months) stays away from the host site laboratory (e.g., outside Atlanta if hosted at CDC headquarters) 4. Nothing 5. Other, please explain ___________.

No

Yes

No

No

No

No

No

No

No

No

No

Figure 13.2-b. Applicant Survey Fields – My Demographics

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

New Instructional Text: Your response is voluntary, confidential and will be used to enhance the federal government’s understanding of its fellowship programs. This information will not influence selection for the fellowship.

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

What is your Ethnicity?

-- Hispanic or Latino -- Not Hispanic or Latino

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

What is your Race? (select all that apply):

-- American Indian or Alaska Native -- Asian -- Black or African American -- Native Hawaiian or Other Pacific Islander -- White

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

2. EEP Rotation Preferences & Topic/Subject Areas

1. Rotation Preferences

INSTRUCTIONAL TEXT:

Please complete this section as honestly as possible. Finalists are matched to a rotation and project assignment based on these preferences and selected to participate in the program upon acceptance of this match. If the finalist does not accept the match, there is no guarantee of a second match or selection to the program.

Rotation Preference:

Rotation A: January 13- February 21

Rotation B: January 13- March 6

Rotation C: March 23- May 1

Rotation D: March 23- May 15

Dates change each year

Table 13.3.1-a. Rotation Preference Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Rotation A:

1. Yes 2. No

No

No

No

Yes

No

No

No

No

No

No

No

Rotation B:

1. Yes 2. No

No

No

No

Yes

No

No

No

No

No

No

No

Rotation C:

1. Yes 2. No

No

No

No

Yes

No

No

No

No

No

No

No

Rotation D:

1. Yes 2. No

No

No

No

Yes

No

No

No

No

No

No

No

13.3.2 Topic & Subject Areas

Table 13.3.2-a. Topic & Subject Area Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Topic Area(s) Preference:

1. Obesity, nutrition, and physical activity 2. Cancer prevention and control 3. Diabetes 4. Heart disease and stroke prevention 5. Tobacco prevention and cessation 6. Other chronic disease 7. Emergency preparedness and response 8. Asthma and air pollution 9. Environmental health 10. Immunizations/vaccine preventable disease 11. Influenza 12. HIV/AIDS, or Tuberculosis 13. STD prevention 14. Viral hepatitis 15. Foodborne diseases 16. Waterborne diseases 17. Vectorborne diseases 18. Fungal Diseases 19. One Health and zoonotic disease 20. Arctic Investigations (Alaska) 21. Healthcare-associated infections 22. Quarantine and border health services 23. Unintentional injury 24. Opioid/prescription drug overdose prevention 25. Occupational health and safety 26. Violence Prevention 27. Reproductive Health 28. Maternal and infant health 29. Blood Disorders 30. Health statistics 31. State, local, and territorial health 32. Global health 33. COVID-19 34. Other (specify)

No

No

No

Yes

No

No

No

No

No

No

No

Specify:

Open text response

No

No

No

Yes

No

No

No

No

No

No

No

Table 13.3.2-b. Topic & Subject Area Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Project Type Preference:

1. Data collection 2. Data entry 3. Data analysis 4. Intervention/program planning 5. Intervention/program implementation 6. Intervention/program evaluation 7. Literature review 8. Scientific writing (e.g., drafting a section of a report) 9. Communications/design (e.g., developing flyers, website content) 10. Field investigation 11. Other:

No

No

No

Yes

No

No

No

No

No

No

No

Specify:

Open text response

No

No

No

Yes

No

No

No

No

No

No

No

13.3.3 Location Preferences

Table 13.3.3-a. Location Preference Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

What is your preference for the location of your project assignment? (Select all that apply)

1. CDC headquarters or Atlanta regional campuses (Atlanta, Georgia) 2. Other CDC Regional Campuses 3. Other Federal Agencies 4. State, local, or territorial health departments CDC Country Office (Remote)

No

No

No

Yes

No

No

No

No

No

No

No

Other CDC Regional Campuses (Select all that apply):

1. Anchorage, Alaska 2. Ft. Collins, Colorado 3. San Juan, Puerto Rico 4. Hyattsville, Maryland 5. Morgantown, West Virginia 6. Cincinnati, Ohio 7. Pittsburgh, Pennsylvania 8. Spokane, Washington 9. Denver, Colorado 10. Durham, North Carolina 11. Washington, DC 12. I am open to locations not listed above

No

No

No

Yes

No

No

No

No

No

No

No

Other Federal Agencies (Select all that apply):

National Park Service (Fort Collins, Colorado) National Park Service (Albuquerque, New Mexico) National Park Service (Washington, DC) Indian Health Service (varies) I am open to additional federal agencies not already listed above

No

No

No

Yes

No

No

No

No

No

No

No

State, local, or territorial health departments (Select all that apply):

State/Territory List

No

No

No

Yes

No

No

No

No

No

No

No

What type of work settings are you open to? (select all that apply, please note that the EEP program cannot guarantee a specific work setting):

In person (100%) Telework/remote (100%) Hybrid, mostly in person (>50%) Hybrid, mostly telework/remote (<50%)

13.4 SAF Public Health Interests

INSTRUCTIONAL TEXT:

From the list below rank the public health areas of most interest to you, with one being your top choice. The information will be used to group you into lesson plan development teams during the workshop.

Table 13.5-a. SAF Public Health Interests Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

First [Second | Third] Choice Area

1. Obesity, nutrition, and physical activity 2. Cancer prevention and control 3. Diabetes 4. Heart disease and stroke prevention 5. Tobacco prevention and cessation 6. Other chronic disease 7. Emergency preparedness and response 8. Asthma and air pollution 9. Environmental health 10. Immunizations/vaccine preventable disease 11. Influenza 12. HIV/AIDS, or Tuberculosis 13. STD prevention 14. Viral hepatitis 15. Foodborne diseases 16. Waterborne diseases 17. Vectorborne diseases 18. Fungal Diseases 19. One Health and zoonotic disease 20. Arctic Investigations (Alaska) 21. Healthcare-associated infections 22. Quarantine and border health services 23. Unintentional injury 24. Opioid/prescription drug overdose prevention 25. Occupational health and safety 26. Violence Prevention 27. Reproductive Health 28. Maternal and infant health 29. Blood Disorders 30. Health statistics 31. State, local, and territorial health 32. Global health 33. COVID-19 34. Other (specify)

No

No

No

No

Yes

No

No

No

No

No

No

Other First [Second | Third] Choice Area

-

No

No

No

No

Yes

No

No

No

No

No

No

13.5 EIS CIO Assignment Interests

INSTRUCTIONAL TEXT:

From the list below, indicate the CDC Centers, Institute, or Offices (CIOs) whose areas of work are of most interest to you with 1 being your top choice. If you are selected to interview we will use these preferences to schedule your interviewers. Please note that selection of CIOs does not guarantee an interview.

Table 13.5-a. EIS CIO Assignment Interests

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

1st CDC Centers, Institute, Offices (CIOs):

1. Center for Global Health 2. National Center for Chronic Disease Prevention and Health Promotion 3. National Center for Emerging and Zoonotic Infectious Diseases 4. National Center for Environmental Health/Agency for Toxic Substances and Disease Registry 5. National Center for Health Statistics 6. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention 7. National Center for Immunization and Respiratory Diseases 8. National Center for Injury Prevention and Control 9. National Center on Birth Defects and Developmental Disabilities 10. National Institute for Occupational Safety and Health 11. Office of Public Health Preparedness and Response

Yes

No

No

No

No

No

No

No

No

No

No

2nd CDC Centers, Institute, Offices (CIOs):

1. Center for Global Health 2. National Center for Chronic Disease Prevention and Health Promotion 3. National Center for Emerging and Zoonotic Infectious Diseases 4. National Center for Environmental Health/Agency for Toxic Substances and Disease Registry 5. National Center for Health Statistics 6. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention 7. National Center for Immunization and Respiratory Diseases 8. National Center for Injury Prevention and Control 9. National Center on Birth Defects and Developmental Disabilities 10. National Institute for Occupational Safety and Health 11. Office of Public Health Preparedness and Response

Yes

No

No

No

No

No

No

No

No

No

No

3rd CDC Centers, Institute, Offices (CIOs):

1. Center for Global Health 2. National Center for Chronic Disease Prevention and Health Promotion 3. National Center for Emerging and Zoonotic Infectious Diseases 4. National Center for Environmental Health/Agency for Toxic Substances and Disease Registry 5. National Center for Health Statistics 6. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention 7. National Center for Immunization and Respiratory Diseases 8. National Center for Injury Prevention and Control 9. National Center on Birth Defects and Developmental Disabilities 10. National Institute for Occupational Safety and Health 11. Office of Public Health Preparedness and Response

Yes

No

No

No

No

No

No

No

No

No

No

EIS CIO Assignment Interests

1. Are you applying as a sponsored candidate by a branch of the military? Yes/No. 2. If yes, specify (text box)

Yes

No

No

No

No

No

No

No

No

No

No

EIS CIO Assignment Interests

By selecting the option below, you confirm that the application information given in this form is true, complete, and accurate.

Yes

No

No

No

No

No

No

No

No

No

No

INSTRUCTIONAL TEXT

By selecting the option below, you confirm that the application information given in this form is true, complete, and accurate. Three standardized letters of recommendation are required from persons familiar with your academic achievements, aspirations, personal qualities, and professional attributes.

Two of the standardized letters of recommendation must be from persons who are not currently employed at the CDC.

If you are currently employed at CDC, you may request a fourth letter if, in addition to 2 letters from non-CDC employees, you would like to submit 2 letters from current CDC employees.

-Recommenders should typically be current or former supervisors or professors. Avoid requesting letters from colleagues or friends.

-Recommendations must be written in English.

-Let recommenders know you are requesting a recommendation and tell them to expect an email with a link to the online form that they should use to complete the standardized letter of recommendation.

-Traditional narrative letters of recommendation and MSPE (Dean’s letter format) are not accepted.

13.6. Writing Samples

13.6.1 EIS Writing Samples

INSTRUCTIONAL TEXT:

Instructions:

You have 30 minutes to complete this Writing Assessment. The moderator will let you know when 5 minutes and 1 minute remain.

Below is the list of EIS Core Activities of Learning, or CALs, which EIS officers must complete over the course of the fellowship.

EIS Core Activities of Learning (CALs):

15. CAL 1: Conduct or participate in a field investigation of a potentially serious public health problem that requires a timely response.

16. CAL 2: Design, conduct, and interpret an epidemiologic analysis

17. CAL 3: Evaluate a public health surveillance system

18. CAL 4: Given an in-depth public health talk on the officer’s original work or in their field of study

19. CAL 5: Give a 5-15 minute oral presentation to a scientific audience

20. CAL 6: Write a scientific manuscript for a peer-reviewed journal

21. CAL 7: Write a concise public health update communicating timely information

22. CAL 8: Write a scientific abstract

23. CAL 9: Communicate complex scientific concepts to a lay audience

24. CAL 10: Provide service to the agency (health department or CDC)

Write an email to your supervisor, Dr. Lee, to summarize a professional development goal for the first 6 months of your fellowship. To do this, please select at least one CAL, discuss why you want to focus on this activity, and describe how this activity will help to meet your professional goals.

Table 13.6.1-a. EIS Writing Sample Fields

Field

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Instructional text (writing sample) will change each year. FMS OMB Writing Sample Module includes writing sample options.

Open text response

Yes

No

No

No

No

No

No

No

No

No

No

I affirm that I have not given or received any unauthorized help on this Writing Assessment, and that this work is my own.

Yes

No

No

No

No

No

No

No

No

No

No

13. Match

14.1 Match or Prematch Rank/Rating Form

NEW SECTION 14.1a Interview Form for EIS

Field Name

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Are you planning to attend EIS interviews? You will receive your scheduled interview date by XXX.

1. Yes 2. No

Yes

No

No

No

No

No

No

No

No

No

No

If no, reason for decline:

Open Text Response

Yes

You may be contacted for an EIS interview day. You may be contacted for an EIS interview day. {Interview day information}. Please indicate your top 5 preferred interview dates. Please indicate if you are available for the following interview dates by checking the box. Please select all that apply (at least 5)

Interview Date A Interview Date B Interview Date C Interview Date D Interview Date E etc.

Yes

Please provide a phone number where you can be reached on your interview day.

Open Text Response

Yes

Table 14.1b General Deferment

Field Name

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

[REASON FOR DEFERMENT] I can no longer participate. Please explain or specify.

Open text response

Yes

Yes

No

Yes

Yes

No

No

No

No

No

No

Table 14.2 Match or Prematch Rank/Rating Form Fields

Field Name

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Rank:

First Choice - Tenth Choice

Yes

Yes

Yes

Yes

No

Yes

No

Yes

Yes

No

Yes

Post Match Rank:

First Choice - Tenth Choice

Yes

Yes

Yes

Yes

No

Yes

No

Yes

Yes

No

Yes

Rating:

First Choice - Tenth Choice

Yes

Yes

Yes

Yes

No

Yes

No

Yes

Yes

No

Yes

Comments:

Open text response

Yes

Yes

Yes

Yes

No

Yes

No

Yes

Yes

No

Yes

Table 14.3 Match or Prematch Rank/Rating Form Fields

Field Name

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Do you informally accept the tentative match with the assignment indicated above?

1. Accept 2. Decline

No

Yes

Yes

Yes

No

Yes

No

Yes

Yes

No

Yes

Reason for match decline?

-

No

Yes

Yes

Yes

No

Yes

No

Yes

Yes

No

Yes

Do you informally accept the tentative prematch with the assignment indicated above?

1. Accept 2. Decline

No

Yes

Yes

No

No

Yes

No

Yes

Yes

No

Yes

Reason for pre-match decline?

-

No

Yes

Yes

No

No

Yes

No

Yes

Yes

No

Yes

15. Selection Status Acceptance Form

Table 15. Selection Status Acceptance Form

Field Name

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

1. Do you want to continue with the selection process? 2. Reason for Decline (if decline was selected in #1)

1. Accept 2. Decline

Yes

No

No

No

No

No

No

No

No

No

No

Do you informally accept the tentative match with the assignment indicated above? (accept/decline)

No

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Reason for match decline?

Open Text Response

No

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Do you informally accept the tentative prematch with the assignment indicated above? (accept/decline)

No

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Reason for pre-match decline?

Open Text Response

No

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Contact Information Confirmation You can view and update your contact information in the EIS Fellowship Application Portal under Applicant Profile. We will be using this information to contact you regarding application status and match. 3.Information about this year’s Prematch sites was sent to you via email.**Expressing interest in a Prematch site does not guarantee a Prematch.** 4. Are you interested in Prematching? (Yes/No) Please rank your interest in the following prematch sites. Be sure to review the Prematch Position Description information and book sent via email. Dropdown for host sites with response options (0=No Interest; 1=Low Interest; 2=Moderate Interest; 3=High Interest

1. The email listed on my profile form is accurate and accessible for the next 6 months. (Yes) 2. The phone number(s) listed on my profile form are accurate and accessible for the next 6 months. (Yes)

Yes

No

No

No

No

No

No

No

No

No

No

INSTRUCTIONAL TEXT: Contact Information Confirmation You can view and update your contact information in the EEP Fellowship Application Portal under Applicant Profile. We will be using this information to contact you regarding application status and match.

n/a

No

No

No

Yes

No

No

No

No

No

No

No

1. The email listed on my profile form is accurate and accessible for the next 6 months.

1. Yes 2. No

No

No

No

Yes

No

No

No

No

No

No

No

2. The phone number(s) listed on my profile form are accurate and accessible for the next 6 months.

1. Yes 2. No

No

No

No

Yes

No

No

No

No

No

No

No

16. EIS Conference Interview Time Selection Form

Table 16. EIS Conference Interview Time Selection Form

Field Name

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

PE

ELI

PHAP

Host site & Interview Time Slot

[drop down]

Yes

No

No

No

No

No

No

No

No

No

No

Please select an interview time slot

[drop down]

Yes

No

No

No

No

No

No

No

No

No

No

Appendix

I. Field Value Tables

Appendix of Field Value Tables

Field Name	Application Locations	Values 1	Values 2	Values 3	Values 4
State Sponsor of Terrorism Country List	6.2 Citizenship Status	See the U.S. Department of State website for current list: https://www.state.gov/j/ct/list/c14151.htm
Approved Country List	6.2 Citizenship Status	United States Anguilla Antigua Australia Bahamas Barbados Barbuda Belize Bermuda British Virgin Islands Canada Dominica Grand Cayman Islands	Grenada Guyana Irish Republic Jamaica Montserrat New Zealand Saint Kitts and Nevis St. Lucia St. Vincent & the Grenadine Tabago Trinidad Turks and Caicos Islands United Kingdom
PHAP Subject Areas	6.8.1 Special Requirements	Adolescent & School Health (non-STI) Community Health Improvement Planning (CHIP)/Community Health Assessments (CHA) Chronic Disease Emergency/Disaster Preparedness and Response Environmental Health Genomics Health Equity/Access to Care Health Department Improvement/Accreditation Immunizations/Vaccine Preventable Disease Investigation Sexually Transmitted Disease Prevention Tuberculosis Prevention HIV Prevention Viral Hepatitis Prevention Adolescent/school-based Sexually Transmitted Disease prevention Other Infectious Disease Injury Prevention Maternal & Infant Health Public Health Policy & Law Public Health Surveillance Oral Health
Undergraduate Degree List	7.7 Degree	AB AM BA BS BS/BA BSc DHS DHSc DNSc DPH DPhil DrPH DrS DrSc EdD MA Med MHS MHSc MHSE MN MPH MPhil MPHTM MPVM MS MSVPH MSc MScPH MSPH MTM&H PhD SB ScB ScD ScM SM Other	Undergraduate Degree List for EEP: AB BA BS BS/BA BSc SB ScB Other
Graduate Degree List	7.7 Degree	AB AM BA BS BS/BA BSc DHS DHSc DNSc DPH DPhil DrPH DrS DrSc EdD MA Med MHS MHSc MHSE MN MPH MPhil MPHTM MPVM MS MSVPH MSc MScPH MSPH MTM&H PhD SB ScB ScD ScM SM Other	Graduate degree list for EEP AM BA DHS DHSc DNSc DPH DPhil DrPH DrS DrSc EdD MA MEd MHS MHSc MHSE MN MPH MPhil MPHTM MPVM MS MSVPH MSc MScPH MSPH MTM&H PhD SB ScB ScD ScM SM Other
Major Classification List	7.7 Degree	Biological, biomedical, or animal sciences Business, management Community health, public health Decision or quantitative sciences Economics (agricultural, applied, health) Engineering, industrial engineering, operations research Environmental, occupational sciences Epidemiology Global, international health Health education Informatics (public health, clinical, nursing) Health services administration, health policy analysis Health services research, quantitative policy analysis Information technology, information science, computer science Liberal arts, general studies, humanities, language, literature Maternal and child health Mathematical sciences, statistics, biostatistics Physical or chemical sciences Political science, law Public administration, policy analysis Social/behavior science (anthropology, social work, psychology) Other
Honor List	7.7 Degree	Magna Cum Laude Summa Cum Laude Cum Laude Valedictorian Benedictorian Salutatorian Phi Beta Kappa Other (specify)
State/Territory List	11.3 Location Preferences 13.3.3 Location Preferences	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Washington, DC Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska	Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Pacific Islands U.S. Virgin Islands American Samoa
CDC Fellowship List	11.4 CDC Fellowship Participation	AACN Fellowship AAMC Public Health Policy Fellowship Applied Public Health Informatics Fellowship (APHIF) APTR Preventive Medicine and Public Health Fellowship ASA/NCHS Research Fellowship Program ASM Program in Infectious Disease and Public Health Microbiology ASPH Allan Rosenfield Global Health Fellowship Program ASPPH Public Health Fellowship Program Biochemical Markers Fellowship Collegiate Leaders in Environmental Health (CLEH) CSTE Applied Epidemiology Fellowship Program Dental Public Health Residency DHPE Health Equity Fellowship Program DHPE Internship Program for Public Health Practice Emory Rollins Earn and Learn (REAL) Program E-learning Institute (ELI) Environmental Health Traineeship and Fellowship Program Epidemic Intelligence Service (EIS) Epidemiology Elective Program (EEP) Evaluation Fellowship Federal Work-Study Program (FWS) Field Epidemiology Training Program (FETP) Future Leaders in Infections and Global Health Threats (FLIGHT) Future Public Health Leaders Program (FPHLP) HACU National Internship Program (HNIP) Health Systems Integration Program Hubert Global Health Fellowship Informatics Training in Place Program (I-TIPP) International Emerging Infectious Diseases (IEID) Laboratory Fellowship Program Internships and Externships in Public Health Law James A Ferguson Emerging Infectious Diseases Fellowship Junior Commissioned Officer Student Training and Extern Program (JRCOSTEP) Laboratory Animal Medicine Residency Program (LAMRP) Laboratory Leadership Service (LLS) Maternal Child Health Careers/Research Initiatives for Student Enhancement – Undergraduate Program (MCHC/RISE-UP) Medical Toxicologist Fellowship Program Morehouse College Project IHMOTEP Program National Center for Health Statistics (NCHS) Academy Health Policy Fellowship National Center for Health Statistics (NCHS) Postdoctoral Research Program

II. Lookup Tables

Appendix of Lookup Tables

Lookup Table Name	Application Locations	Values 1	Values 2	Values 3	Values 4	Values 5
Fellowship Lookup	3. eFMS System Help Desk Ticket	CDC E-learning Institute Fellowship Program (ELI) CDC Steven M. Teutsch Prevention Effectiveness (PE) Fellowship Epidemic Intelligence Service (EIS) Epidemiology Elective Program (EEP) Future Leaders in Infections and Global Health Threats (FLIGHT) Laboratory Leadership Service (LLS) Population Health Training in Place Program (PH-TIPP) Population Health Workforce Initiative (PHWI) Preventive Medicine Residency and Fellowship (PMR/F) Public Health Associate Program (PHAP) Public Health Informatics Fellowship Program (PHIFP) Science Ambassador Fellowship (SAF)
Phone Code Lookup	5.4 Phone Number	United States (1) Azores (351) Afghanistan (93) Albania (355) Algeria (213) Andorra (376) Angola (244) Anguilla (U.K.) (1) Antigua and Barbuda (1) Argentina (54) Armenia (374) Aruba (297) Australia (61) Austria (43) Azerbaijan (994) Bahamas, The (1) Bahrain (973) Bangladesh (880) Barbados (1) Belarus (375) Belgium (32) Belize (501) Benin (229) Bermuda (U.K.) (1) Bhutan (975) Bolivia (591) Bosnia and Herzegovina (387) Botswana (267) Brazil (55) British Indian Ocean Territory (U.K.) (246) Brunei (673) Bulgaria (359) Burkina Faso (226) Burundi (257) British Virgin Islands (1) Burma (Myanmar) (95) Canary Islands (Spain) (34)	Congo, Democratic Republic of the (243) Congo, Republic of the (242) Cambodia (855) Cameroon (237) Canada (1) Cape Verde (238) Cayman Islands (U.K.) (1) Central African Republic (236) Chad (235) Chile (56) China (86) Christmas Island (Australia) (61) Cocos (Keeling) Islands (Australia) (61) Colombia (57) Comoros (269) Cook Islands (New Zealand) (682) Costa Rica (506) C?te d'Ivoire (225) Croatia (385) Cuba (53) Cyprus (357) Czech Republic (420) Denmark (45) Djibouti (253) Dominica (1) Dominican Republic (1) Easter Island (Chile) (56) Ecuador (593) Egypt (20) El Salvador (503) Equatorial Guinea (240) Eritrea (291)	Estonia (372) Ethiopia (251) Falkland Islands (Malvinas) (500) Faroe Islands (Denmark) (298) Fiji (679) Finland (358) France (33) French Guiana (France) (594) French Polynesia (France) (689) Falkland Islands (U.K.) (500) Guinea-Bissau (245) Gabon (241) Gambia, The (220) Guyana (592) Haiti (509) Georgia (995) Honduras (504) Germany (49) Hong Kong SAR (China) (852) Ghana (233) Hungary (36) Gibraltar (U.K.) (350) Iceland (354) Greece (30) India (91) Greenland (Denmark) (299) Indonesia (62) Grenada (1) Iran (98) Guadeloupe (590) Iraq (964) Guatemala (502) Ireland (353) Guinea (224) Israel (972)	Italy (39) Jamaica (1) Japan (81) Libya (218) Jordan (962) Kazakhstan (7) Liechtenstein (423) Kenya (254) Lithuania (370) Luxembourg (352) Kiribati (686) Macau SAR (China) (853) Korea, North (850) Macedonia (389) Korea, South (82) Kuwait (965) Madagascar (261) Kyrgyzstan (996) Malawi (265) Kosovo (381) Malaysia (60) Laos (856) Maldives (960) Latvia (371) Mali (223) Lebanon (961) Malta (356) Lesotho (266) Marshall Islands (692) Liberia (231) Martinique (France) (596) Mauritania (222) Mauritius (230) Mayotte (France) (262) Netherlands, The (31) Mexico (52) Micronesia, Federated States of (691)	Netherlands Antilles (599) Moldova (373) New Caledonia (France) (687) Monaco (377) New Zealand (64) Mongolia (976) Nicaragua (505) Montserrat (U.K.) (1) Niger (227) Morocco (212) Nigeria (234) Mozambique (258) Niue (New Zealand) (683) Madeira Islands (Portugal) (351) Norfolk Island (Australia) (672) Montenegro (382) Northern Mariana Islands (U.S.) (670) Namibia (264) Norway (47) Nauru (674) Oman (968) Nepal (977) Pakistan (92) Palau (680) Panama (507) Papua New Guinea (675) Paraguay (595) Peru (51) Samoa (685) Philippines (63) San Marino (378) Pitcairn Islands (U.K.) (0) S?o Tom? and Pr?ncipe (239) Poland (48) Saudi Arabia (966) Portugal (351) Qatar (974) Senegal (221) Seychelles (248) R?union (France) (262) Romania (40) Sierra Leone (232) Russia (7) Singapore (65) Rwanda (250) Slovakia (421) Saint Kitts and Nevis (1) Slovenia (386) Saint Lucia (1) Solomon Islands (677) Saint Vincent and the Grenadines (1) Somalia (252) South Africa (27) Spain (34) Sri Lanka (94) Sudan (249) Suriname (597) Swaziland (268) Sweden (46) Tokelau (New Zealand) (690) Switzerland (41) Syria (963) Tonga (676) Saint Helena (U.K.) (290) Trinidad and Tobago (1) Saint Pierre and Miquelon (France) (508) Serbia (381) Timor-Leste (East Timor) (670) Taiwan (886) Tajikistan (992) Tanzania (255) Thailand (66) Togo (228) Tunisia (216) Turkey (90) Turkmenistan (993) Turks and Caicos Islands (U.K.) (1) Tuvalu (688) Uganda (256) Venezuela (58) Ukraine (380) United Arab Emirates (971) Vietnam (84) Western Sahara (212) United Kingdom (44) Yemen (967) Uruguay (598) Zambia (260) Uzbekistan (998) Zimbabwe (263) Vanuatu (678) Other (0)
Country Lookup	5.5 Mailing Address 6.2 Citizenship Status 6.10.2 Program & Organization 8.6 Position Location 9.6 Institution Details and Location	United States Afghanistan Albania Algeria Andorra Angola Anguilla (U.K.) Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Azores Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda (U.K.) Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Indian Ocean Territory (U.K.) British Virgin Islands Brunei Bulgaria Burkina Faso Burma (Myanmar) Burundi Cambodia Cameroon Canada	Canary Islands (Spain) Cape Verde Cayman Islands (U.K.) Central African Republic China Chad Christmas Island (Australia) Chile Cocos (Keeling) Islands (Australia) Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Cook Islands (New Zealand) Costa Rica Cote d'Ivoire Djibouti Croatia Cuba Dominica Cyprus Dominican Republic Czech Republic Easter Island (Chile) Denmark Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Finland Falkland Islands (U.K.) Faroe Islands (Denmark) France Fiji	French Guiana (France) French Polynesia (France) Gabon Gambia, The Georgia Germany Ghana Gibraltar (U.K.) Greece Guinea Greenland (Denmark) Grenada Guinea-Bissau Guadeloupe Guyana Guatemala Haiti Honduras Hong Kong SAR (China) Hungary Iceland India Indonesia Iran Jamaica Iraq Japan Ireland Jordan Israel Kazakhstan Italy Kenya Kiribati Korea, North Korea, South Kosovo Kuwait Kyrgyzstan Laos	Liberia Latvia Libya Lebanon Liechtenstein Lesotho Lithuania Luxembourg Macau SAR (China) Macedonia Madagascar Madeira Islands (Portugal) Malawi Malaysia Martinique (France) Maldives Mauritania Mali Mauritius Malta Mayotte (France) Marshall Islands Mexico Moldova Monaco Mongolia Montenegro Montserrat (U.K.) Morocco Mozambique Netherlands Antilles Namibia Nauru Netherlands, The Nepal New Caledonia (France) New Zealand Nicaragua Niger Nigeria Niue (New Zealand) Northfolk Island (Australia) Northern Mariana Islands (U.S.) Panama Norway Papua New Guinea Oman	Paraguay Other Peru Pakistan Philippines Palau Pitcairn Islands (U.K.) Poland Portugal Qatar Reunion (France) Romania Russia Rwanda Saint Lucia Saint Helena (U.K.) Saint Pierre and Miquelon (France) Saint Kitts and Nevis Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Somalia Sierra Leone Singapore South Africa Slovakia Spain Slovenia Sri Lanka Solomon Islands Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Togo Thailand Timor-Leste (East Timor) Tokelau (New Zealand) Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands (U.K.) Tuvalu Vanuatu Uganda Venezuela Ukraine Vietnam United Arab Emirates Western Sahara United Kingdom Yemen Uruguay Zambia Uzbekistan Zimbabwe
State/Territory Lookup	5.5 Mailing Address 6.8.1 Special Requirements 6.10.2 Program & Organization 7.9 License 8.6 Position Location 9.6 Institution Details and Location	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Washington, DC Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska	Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Pacific Islands U.S. Virgin Islands Guam Northern Mariana Islands
Center/Division/Branch Lookup	6.9.2 FLIGHT – Current EIS Position 6.10.2 Program & Organization	NIOSH / Office of the Director / Administrative Svcs Branch (Cincinnati) NIOSH / Office of the Director / Administrative Svcs Branch (Morgantown) NIOSH / Office of the Director / Administrative Svcs Branch (Spokane) NIOSH / Office of the Director / Administrative Svrcs Branch (Pittsburgh) NCHS / Office of Analysis & Epidemiology / Aging & Chronic Disease Statistics Branch NIOSH / Health Effects Laboratory Division / Allergy & Clinical Immunology Branch NCHS / Division of Health Care Statistics / Ambulatory and Hospital Care Statistics Branch NIOSH / Division of Safety Research / Analysis & Field Branch NCHS / Division of Health & Nutrition Examination Surveys / Analysis Branch NCHS / Office of Analysis & Epidemiology / Analytic Studies Branch NCEZID / Division of Scientific Resources / Animal Resources Branch NCCDPHP / Division for Heart Disease and Stroke Prevention / Applied Research and Evaluation Branch NCCDPHP / Division of Population Health / Applied Research and Translation Branch CPR / Division of State and Local Readiness / Applied Science and Evaluation Branch NCCDPHP / Division of Reproductive Health / Applied Sciences Branch NCEZID / Division of Vector-Borne Diseases / Arboviral Diseases Branch NCEZID / Division of Preparedness and Emerging Infections / Arctic Investigations Program NCCDPHP / Division of Population Health / Arthritis, Epilepsy and Well-Being Branch NCIRD / Immunization Services Division / Assessment Branch NCEH / Division of Environmental Health Science and Practice / Asthma and Community Health Branch NCEZID / Division of Vector-Borne Diseases / Bacterial Diseases Branch NCEZID / Division of High Consequence Pathogens & Pathology / Bacterial Special Pathogens Branch NCHHSTP / Division of HIV/AIDS Prevention Surveillance & Epidemiology / Behavioral And Clinical S... NIOSH / Division of Applied Research & Technology / Biomonitoring & Health Assessment Branch NIOSH / Health Effects Laboratory Division / Biostatistics & Epidemiology Branch NCEZID / Division of Foodborne, Waterborne and Environmental Diseases / Biostatistics and Informa... NCEZID / Division of Scientific Resources / Biotechnology Core Facility Branch NCBDDD / Division of Congenital and Developmental Disorders / Birth Defects Branch NCHS / Office of Management & Operations / Building Operations & Services Staff NCHS / Office of Management & Operations / Business Logistics Staff NCCDPHP / Division of Cancer Prevention and Control / Cancer Surveillance Branch NCHHSTP / Division of HIV/AIDS Prevention-Intervention & Support / Capacity Building Branch CPR / Division of State and Local Readiness / Capacity Building Branch ATSDR / Division of Community Health Investigations / Central Branch NIOSH / Division of Applied Research & Technology / Chemical Exposure & Monitoring NCBDDD / Division of Human Development and Disability / Child Development and Disability Branch NCEZID / Division of High Consequence Pathogens & Pathology / Chronic Viral Diseases Branch NCHS / Classification & Public Health Data Standards Staff / Classification & Public Health Data ... NCEZID / Division of Healthcare Quality Promotion / Clinical & Environmental Microbiology Branch NCEH / Division of Laboratory Science / Clinical chemistry branch NCHHSTP / Division of Tuberculosis Elimination / Clinical Research Branch NCHS / Division of Research & Methodology / Collaborating Center for Questionnaire Design & Evalu... NCHS / Division of Research & Methodology / Collaborating Center for Statistical Research & Surve... NCIRD / Immunization Services Division / Communication and Education Branch NCHHSTP / Division of Tuberculosis Elimination / Communications, Education, and Behavioral Studie... CSELS / Division of Public Health Information and Dissemination / Community Guide Branch NCCDPHP / Division of Cancer Prevention and Control / Comprehensive Cancer Control Branch ATSDR / Division of Toxicology and Human Health Sciences / Computational Toxicology and Methods D... NIOSH / Education & Information Division / Document Development Branch NIOSH / National Personal Protective Technology Laboratory / Conformity Verification & Standards ... NCCDPHP / Division of Population Health / Coordinated State Support Branch NIOSH / Pittsburgh Mining Research Division / Dust, Ventilation & Toxic Substances Branch CGH / Division of Global Health Protection / Country Strategy and Implementation Branch ATSDR / Division of Community Health Investigations / Eastern Branch NCHS / Division of Vital Statistics / Data Acquisition, Classification & Evaluation Branch CGH / Division of Global HIV and TB / Economics and Health Services Research Branch	NCHS / Division of Health Interview Statistics / Data Analysis & Quality Assurance Branch CSELS / Division of Scientific Education and Professional Development / Education and Training Se... NCHHSTP / Division of Tuberculosis Elimination / Data Management and Statistics Branch NIOSH / Pittsburgh Mining Research Division / Electrical & Mechanical Systems Safety Branch NCHS / Division of Health Interview Statistics / Data Production & Systems Branch CPR / Division of Emergency Operations / Emergency and Risk Communications Branch NCEZID / Division of Vector-Borne Diseases / Dengue Branch NCEH / Division of Environmental Health Science and Practice / Emergency Management, Radiation, a... NCBDDD / Division of Congenital and Developmental Disorders / Developmental Disabilities Branch NCEZID / Division of Preparedness and Emerging Infections / Emergency Preparedness and Response B... NCBDDD / Division of Human Development and Disability / Disability and Health Branch CGH / Division of Global Health Protection / Emergency Response and Recovery Branch NIOSH / Division of Compensation Analysis & Support / Division of Compensation Analysis & Support NCEH / Division of Laboratory Science / Emergency response branch NCCDPHP / Division of Oral Health / Division of Oral Health ATSDR / Division of Toxicology and Human Health Sciences / Emergency Response Program NIOSH / Health Effects Laboratory Division / Engineering & Control Branch NIOSH / Division of Applied Research & Technology / Engineering & Physical Hazards Branch NCEZID / Division of Foodborne, Waterborne and Environmental Diseases / Enteric Diseases Epidemio... NCEZID / Division of Foodborne, Waterborne and Environmental Diseases / Enteric Diseases Laborato... CGH / Division of Parasitic Diseases and Malaria / Entomology Branch ATSDR / Division of Toxicology and Human Health Sciences / Environmental Epidemiology Branch NCCDPHP / Division of Population Health / Epidemiology and Surveillance Branch NCEH / Division of Emergency and Environmental Health Services / Environmental Health Services Br... ATSDR / Division of Toxicology and Human Health Sciences / Environmental Health Surveillance Branch NCHHSTP / Division of Viral Hepatitis / Epidemiology and Surveillance Branch ATSDR / Division of Toxicology and Human Health Sciences / Environmental Medicine Branch NCHHSTP / Division of HIV/AIDS Prevention Surveillance & Epidemiology / Epidemiology Branch NCEH / Division of Emergency and Environmental Health Services / Environmental Public Health Read... NCCDPHP / Office on Smoking and Health / Epidemiology Branch ATSDR / Division of Toxicology and Human Health Sciences / Environmental Toxicology Branch NCEZID / Division of Healthcare Quality Promotion / Epidemiology Research and Innovations Branch NCCDPHP / Division of Cancer Prevention and Control / Epidemiology and Applied Research Branch CSELS / Division of Scientific Education and Professional Development / Epidemiology Workforce Br... NCIRD / Influenza Division / Epidemiology and Prevention Branch CGH / Division of Global Health Protection / Epidemiology, Informatics, Surveillance and Lab Branch NCCDPHP / Division of Diabetes Translation / Epidemiology and Statistics Branch NIOSH / National Personal Protective Technology Laboratory / Evaluation & Testing Branch NCHHSTP / Division of Sexually Transmitted Disease Prevention / Epidemiology and Statistics Branch NIOSH / Health Effects Laboratory Division / Exposure Assessment Branch NCCDPHP / Division for Heart Disease and Stroke Prevention / Epidemiology and Surveillance Branch NCHHSTP / Division of Sexually Transmitted Disease Prevention / Field Services Branch NCBDDD / Division of Blood Disorders / Epidemiology and Surveillance Branch CPR / Division of State and Local Readiness / Field Services Branch CGH / Division of Global HIV and TB / Epidemiology and Surveillance Branch NCHHSTP / Division of Tuberculosis Elimination / Field Services Branch NIOSH / Respiratory Health Division / Field Studies Branch NCCDPHP / Division of Reproductive Health / Field Support Branch	NIOSH / Pittsburgh Mining Research Division / Fires and Explosions Branch NCEZID / Division of Foodborne, Waterborne and Environmental Diseases / Food Safety Office NCEZID / Division of Global Migration and Quarantine / Geographic Medicine and Health Promotion B... NCHS / Office of Analysis & Epidemiology / Health Promotion Statistics Branch ATSDR / Division of Toxicology and Human Health Sciences / Geospatial Research, Analysis, and Ser... CGH / Division of Global Health Protection / Global Non-communicable Disease Branch NCCDPHP / Office on Smoking and Health / Global Tobacco Control Branch NCHHSTP / Division of Sexually Transmitted Disease Prevention / Health Services Research and Eval... CGH / Division of Global HIV and TB / Global Tuberculosis Branch NCIPC / Division of Unintentional Injury Prevention / Health Systems and Trauma Systems Branch NIOSH / Pittsburgh Mining Research Division / Ground Control Branch NCEH / Division of Emergency and Environmental Health Services / Healthy Community Design Initiative NIOSH / Division of Surveillance, Hazard Evaluations & Field Studies / Hazard Evaluations & Techn... NCEH / Division of Emergency and Environmental Health Services / Healthy Homes and Lead Poisoning... NIOSH / Health Effects Laboratory Division / Health Communication Research Branch NCBDDD / Division of Blood Disorders / Hemostasis Laboratory Branch NCCDPHP / Office of the Director / Health Communication Science Office NCHHSTP / Office of the Director / Health Communication Science Office CGH / Division of Global HIV and TB / HIV Care and Treatment Branch NCBDDD / Office of the Director / Health Communication Science Office NCHHSTP / Division of HIV/AIDS Prevention Surveillance & Epidemiology / HIV Incidence and Case Su... NIOSH / Pittsburgh Mining Research Division / Health Communication, Surveillance, Research Suppor... CGH / Division of Global HIV and TB / HIV Prevention Branch NCCDPHP / Office on Smoking and Health / Health Communications Branch NCIPC / Division of Unintentional Injury Prevention / Home, Recreation, and Transportation Branch CGH / Division of Global HIV and TB / Health Informatics, Data Management, and Statistics Branch NIOSH / Pittsburgh Mining Research Division / Human Factors Branch NCEZID / Division of Global Migration and Quarantine / Immigrant, Refugee, and Migrant Health Branch NCIRD / Immunization Services Division / Immunization Information System Support Branch NCEZID / Division of Healthcare Quality Promotion / Immunization Safety Office CGH / Global Immunization Division / Immunization System Branch NCIRD / Influenza Division / Immunology and Pathogenesis Branch NIOSH / Division of Surveillance, Hazard Evaluations & Field Studies / Industrywide Studies Branch NCHS / Office of Analysis & Epidemiology / Infant, Child, & Women?s Health Statistics Branch NCEZID / Division of High Consequence Pathogens & Pathology / Infectious Diseases Pathology Branch NCIRD / Office of the Director / Influenza Coordination Unit CGH / Division of Global HIV and TB / International Laboratory Branch NCHS / Division of Health & Nutrition Examination Surveys / Informatics Branch CSELS / Division of Public Health Information and Dissemination / Informatics Innovation Unit NCHHSTP / Division of HIV/AIDS Prevention Surveillance & Epidemiology / Laboratory Branch NCHHSTP / Office of the Director / Informatics Office NCHHSTP / Division of Tuberculosis Elimination / Laboratory Branch NCHS / Office of Information Services / Information Design & Publishing Staff NCHHSTP / Division of Viral Hepatitis / Laboratory Branch NCHS / Office of Information Services / Information Dissemination Staff NIOSH / Education & Information Division / Information Resources and Dissemination Branch CSELS / Division of Laboratory Systems / Laboratory Practice Standards Branch NCEZID / Division of Preparedness and Emerging Infections / Laboratory Preparedness and Response ... CSELS / Division of Health Informatics and Surveillance Systems / Information Systems Branch NCHHSTP / Division of Sexually Transmitted Disease Prevention / Laboratory Reference and Research... NCHS / Division of Vital Statistics / Information Technology Branch NCHS / Office of Information Technology / Information Technology Solutions & Services Staff CSELS / Division of Laboratory Systems / Laboratory	Research and Evaluation Branch NCEH / Division of Laboratory Science / Inorganic and radiation analytical toxicology branch CSELS / Division of Laboratory Systems / Laboratory Training and Services Branch NCEH / Division of Environmental Health Science and Practice / Lead Poisoning Prevention and Envi... CSELS / Division of Public Health Information and Dissemination / Library Science Branch CPR / Division of Strategic National Stockpile / Logistics Branch CPR / Division of Emergency Operations / Logistics Support Branch NCHS / Division of Health Care Statistics / Long-Term Care Statistics Branch CGH / Division of Parasitic Diseases and Malaria / Malaria Branch CGH / Division of Global HIV and TB / Management and Operations Branch NIOSH / Office of the Director / Management Systems Branch CGH / Division of Global HIV and TB / Maternal and Child Health Branch NCCDPHP / Division of Reproductive Health / Maternal and Infant Health Branch NCIRD / Division of Bacterial Branch / Meningitis and Vaccine Preventable Diseases Branch CGH / Division of Global HIV and TB / Monitoring, Evaluation, and Data Analysis Branch NIOSH / Office of the Director / Office of Extramural Coordination & Special Projects NCHS / Division of Vital Statistics / Mortality Statistics Branch NCEZID / Division of Foodborne, Waterborne and Environmental Diseases / Mycotic Diseases Branch NCEH / Office of the Director / Office of Financial, Administrative, and Information Services NCEH / Division of Laboratory Science / Newborn screening and molecular biology branch NCIRD / Office of the Director / Office of Health Communication Science NCCDPHP / Division of Nutrition, Physical Activity, & Obesity / Nutrition Branch NCHHSTP / Office of the Director / Office of Health Equity NCEH / Division of Laboratory Science / Nutritional biomarkers branch NCIRD / Office of the Director / Office of Informatics NCCDPHP / Division of Nutrition, Physical Activity, & Obesity / Obesity Prevention and Control Br... NCIRD / Office of the Director / Office of Laboratory Science NIOSH / Office of the Director / Office of Administrative & Management Svcs NCIRD / Office of the Director / Office of Management and Operations NCEH / Office of the Director / Office of Communication NCHHSTP / Office of the Director / Office of Management and Program Support NCIPC / Office of the Director / Office of Communication NCHS / Office of Planning Budget and Legislation / Office of Planning Budget and Legislation NCIRD / Office of the Director / Office of Policy NCIPC / Office of the Director / Office of Policy and Partnerships NCEH / Office of the Director / Office of Policy, Planning, and Evaluation NCIPC / Office of the Director / Office of Program Management and Operations NCHHSTP / Office of the Director / Office of Program Planning & Policy Coordination CSELS / Division of Public Health Information and Dissemination / Office of Public Health Genomics NCCDPHP / Office of the Director / Office of Public Health Practice NCIRD / Office of the Director / Office of Science and Integrated Programs NCHHSTP / Office of the Director / Office of the Associate Director for Laboratory Science NCHHSTP / Office of the Director / Office of the Associate Director for Science NCIPC / Office of the Director / Office of the Associate Director for Science NCHS / Office of the Director / Office of the Director NCHS / Division of Health & Nutrition Examination Surveys / Office of the Director NCHS / Division of Health Care Statistics / Office of the Director CPR / Office of the Director / Office of the Director NCHS / Division of Health Interview Statistics / Office of the Director NCEZID / Division of Healthcare Quality Promotion / Office of the Director/International Infectio... NCCDPHP / Division of Reproductive Health / Office of the Director NCCDPHP / Division of Cancer Prevention and Control / Office of the Director/Office of Internatio... NCHS / Division of Vital Statistics / Office of the Director NCEZID / Office of the Director / One Health Office NCHS / Office of Analysis & Epidemiology / Office of the Director CPR / Division of Emergency Operations / Operations Branch CGH / Office of the Director / Office of the Director NCHS / Division of Health & Nutrition Examination Surveys / Operations Branch CSELS / Office of the Director / Office of the Director	CPR / Division of Select Agents and Toxins / Operations Branch NCEZID / Office of the Director / Office of the Director NCEH / Division of Laboratory Science / Organic analytical toxicology branch NCHS / Office of the Director / Office of the Director NIOSH / Division of Applied Research & Technology / Organizational Science & Human Factors Branch NCEZID / Division of Foodborne, Waterborne and Environmental Diseases / Outbreak Response and Pre... CGH / Division of Global Health Protection / Overseas Business Operations Branch CGH / Division of Global HIV and TB / Overseas Strategy and Management Branch CGH / Division of Parasitic Diseases and Malaria / Parasitic Diseases Branch CSELS / Division of Health Informatics and Surveillance Systems / Partnerships and Evaluation Branch NIOSH / Health Effects Laboratory Division / Pathology & Physiological Research Branch NCCDPHP / Division of Nutrition, Physical Activity, & Obesity / Physical Activity and Health Branch CPR / Division of Strategic National Stockpile / Planning and Analysis Branch NCHS / Division of Health & Nutrition Examination Surveys / Planning Branch CPR / Division of Emergency Operations / Plans, Training, Exercise and Evaluation Branch NCIPC / Division of Violence Prevention / Prevention Practice and Translation Branch NCBDDD / Office of the Director / Policy, Planning, and Evaluation Team NCHHSTP / Division of HIV/AIDS Prevention-Intervention & Support / Prevention Program Branch NCIRD / Division of Viral Diseases / Polio and Picornavirus Laboratory Branch NCBDDD / Division of Congenital and Developmental Disorders / Prevention Research and Translation... CGH / Global Immunization Division / Polio Eradication NCCDPHP / Division of Population Health / Population Health Surveillance Branch NCHHSTP / Division of HIV/AIDS Prevention-Intervention & Support / Prevention Research Branch CSELS / Division of Scientific Education and Professional Development / Population Health Workfor... NCEZID / Division of High Consequence Pathogens & Pathology / Prion & Public Health Office NCEZID / Division of High Consequence Pathogens & Pathology / Poxvirus and Rabies Branch NCHHSTP / Office of the Director / Program and Performance Improvement Office NCIPC / Division of Analysis, Research, and Practice Integration / Practice Integration and Evalu... CGH / Division of Global HIV and TB / Program Budget and Extramural Management Branch NCEZID / Division of Healthcare Quality Promotion / Prevention & Response Branch NCCDPHP / Division of Nutrition, Physical Activity, & Obesity / Program Development and Evaluatio... NCHHSTP / Division of Viral Hepatitis / Prevention Branch NCCDPHP / Division for Heart Disease and Stroke Prevention / Program Development and Services Branch NCHHSTP / Division of HIV/AIDS Prevention-Intervention & Support / Prevention Communications Branch NCHHSTP / Division of Adolescent and School Health / Program Development and Services Branch NCHHSTP / Division of HIV/AIDS Prevention-Intervention & Support / Program Evaluation Branch NCCDPHP / Division of Diabetes Translation / Program Implementation Branch CPR / Division of Select Agents and Toxins / Program Management and Operations Branch NCIRD / Immunization Services Division / Program Operations Branch NCCDPHP / Division of Cancer Prevention and Control / Program Services Branch CPR / Division of Select Agents and Toxins / Program Services Branch CPR / Division of State and Local Readiness / Program Services Branch NCCDPHP / Office of the Director / Program Services Branch NCCDPHP / Office on Smoking and Health / Program Services Branch NCHHSTP / Division of Sexually Transmitted Disease Prevention / Programs Development and Quality ... NIOSH / Division of Safety Research / Protective Technology Branch NCIRD / Division of Viral Diseases / Respiratory Viruses Branch NCHHSTP / Division of HIV/AIDS Prevention Surveillance & Epidemiology / Quantitative Sciences and... NCEZID / Division of Global Migration and Quarantine / Quarantine and Border Health Services Branch CPR / Division of Strategic National Stockpile / Response Branch NCHS / Division of Vital Statistics / Reproductive Statistics Branch NCEZID / Division of Vector-Borne Diseases / Rickettsial Zoonoses Branch NCIPC / Division of Violence Prevention / Research and Evaluation Branch NIOSH / Education & Information Division / Risk Evaluation Branch NCHHSTP / Division of Adolescent and School Health / Research Application and Evaluation Branch NCCDPHP / Division of Population Health / School Health Branch NIOSH / National Personal Protective Technology Laboratory / Research Branch NCHS / Division of Research & Methodology / Research Data Center NCHHSTP / Division of Adolescent and School Health / School-Based Surveillance Branch NCBDDD / Office of the Director / Resource Management Office NCBDDD / Office of the Director / Science and Public Health Team NCIRD / Division of Bacterial Branch / Respiratory Diseases Branch CGH / Division of Global HIV and TB / Science Integrity Branch ATSDR / Division of Community Health Investigations / Science Support Branch NCEZID / Division of Preparedness and Emerging Infections / Scientific and Program Services Branch NCEZID / Division of Scientific Resources / Scientific Products and Support Branch CSELS / Division of Public Health Information and Dissemination / Scientific Publications Branch NCHHSTP / Division of Sexually Transmitted Disease Prevention / Social and Behavioral Research an... CGH / Division of Global HIV and TB / Special Initiatives Branch NCHS / Office of Analysis & Epidemiology / Special Projects Branch NCIPC / Division of Violence Prevention / Special Surveys & Prevention Initiatives Branch (proposed) NCEZID / Division of Scientific Resources / Specimen Management Branch NIOSH / Spokane Mining Research Division / Spokane Mining Research Division NIOSH / Division of Surveillance, Hazard Evaluations & Field Studies / Statistical Support Most E... NCIPC / Division of Analysis, Research, and Practice Integration / Statistics, Programming, and E... CGH / Global Immunization Division / Strategic Information and Workforce Development Branch NCHS / Division of Health Interview Statistics / Survey Planning & Special Surveys Branch CGH / Division of Global HIV and TB / Strategy, Policy, and Communication Branch CSELS / Division of Health Informatics and Surveillance Systems / Surveillance and Data Branch NCHS / Division of Health Care Statistics / Technical Services Branch NCHHSTP / Division of Sexually Transmitted Disease Prevention / Surveillance and Data Management ... NCEH / Division of Laboratory Science / Tobacco and volatiles branch NIOSH / Health Effects Laboratory Division / Toxicology & Molecular Biology Branch NIOSH / Division of Safety Research / Surveillance and Field Investigations Branch NIOSH / Education & Information Division / Training Research & Evaluation Branch NCEZID / Division of Healthcare Quality Promotion / Surveillance Branch NCCDPHP / Division of Diabetes Translation / Translation, Health Education and Evaluation Branch NIOSH / Division of Surveillance, Hazard Evaluations & Field Studies / Surveillance Branch NCEZID / Division of Global Migration and Quarantine / U.S. - Mexico Unit NCIPC / Division of Violence Prevention / Surveillance Branch NCIRD / Immunization Services Division / Vaccine Supply and Assurance Branch NIOSH / Respiratory Health Division / Surveillance Branch NCIRD / Division of Viral Diseases / Viral Gastroenteritis Branch NCHHSTP / Division of Tuberculosis Elimination / Surveillance, Epidemiology, & Outbreak Investiga... NCEZID / Division of High Consequence Pathogens & Pathology / Viral Special Pathogens Branch NCIRD / Division of Viral Diseases / Viral Vaccine Preventable Diseases Branch NCIRD / Influenza Division / Virology, Surveillance and Diagnosis Branch NCEH / Division of Environmental Health Science and Practice / Water, Food, and Environmental Hea... NCEZID / Division of Foodborne, Waterborne and Environmental Diseases / Waterborne Diseases Preve... ATSDR / Division of Community Health Investigations / Western Branch NIOSH / Western States Division / Western States Division NCCDPHP / Division of Reproductive Health / Women?s Health and Fertility Branch NCHS / Office of Management & Operations / Workforce & Career Development Staff CGH / Division of Global Health Protection / Workforce and Institute Development Branch NIOSH / Pittsburgh Mining Research Division / Workplace Health Branch NIOSH / World Trade Center Health Program / World Trade Center Health Program NCBDDD / Division of Congenital and Developmental Disorders / Zika Transition Unit CGH / Global Immunization Division / Accelerated Disease Control and Vaccine Preventable Diseases... NCCDPHP / Office on Smoking and Health / Office of the Director
College Lookup	7.5 College/University	Air University - Alabama Alabama A&M University - Alabama Alabama State University - Alabama Athens State University - Alabama Auburn University - Alabama Auburn University at Montgomery - Alabama Birmingham-Southern College - Alabama Concordia College-Selma - Alabama Faulkner University - Alabama Huntingdon College - Alabama Jacksonville State University - Alabama Judson College - Alabama Miles College - Alabama Oakwood College - Alabama Samford University - Alabama Southeastern Bible College - Alabama Southern Christian University - Alabama Spring Hill College - Alabama Stillman College - Alabama Talladega College - Alabama Troy University (Dothan campus) - Alabama Troy University (main campus) - Alabama Troy University (Montgomery campus) - Alabama Tuskegee University - Alabama United States Sports Academy - Alabama University of Alabama (Birmingham) - Alabama University of Alabama (Huntsville) - Alabama University of Alabama (main campus) - Alabama University of Mobile - Alabama University of Montevallo - Alabama University of North Alabama - Alabama University of South Alabama - Alabama University of West Alabama - Alabama Alaska Bible College - Alaska Alaska Pacific University - Alaska Sheldon Jackson College - Alaska University of Alaska, Anchorage - Alaska University of Alaska, Fairbanks - Alaska University of Alaska, Southeast (Juneau) - Alaska A.T. 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Drew University of Medicine & Science - California Church Divinity School of the Pacific - California Claremont Graduate University - California Claremont McKenna College - California Cogswell Polytechnical College - California Concordia University-Irvine - California DeVry University-Long Beach - California DeVry University-Pomona - California Dominican School of Philosophy & Theology - California Dominican University of California - California Fielding Graduate Institute - California Franciscan School of Theology - California Fresno Pacific University - California Fuller Theological Seminary - California Golden Gate University - California Graduate Theological Union - California Harvey Mudd College - California Holy Names University - California Hope International University - California Humboldt State University - California Humphreys College - California Institute of Transpersonal Psychology - California Jesuit School of Theology at Berkeley - California John F. Kennedy University - California Keck Graduate Institute of Applied Life Sciences - California La Sierra University - California Life Pacific College - California Lincoln University - California Loma Linda University - California Loyola Marymount University - California Marymount College - California Menlo College - California Mills College - California Monterey Institute of International Studies - California Mount St. Mary's College - California National Hispanic University - California National University - California Naval Postgraduate School - California New College of California - California Notre Dame de Namur University - California Occidental College - California Otis College of Art & Design - California Pacific Oaks College - California Pacific Union College - California Pacifica Graduate Institute - California Pardee RAND Graduate School - California Patten College - California Pepperdine University - California Pitzer College - California Platt College - California Point Loma Nazarene University - 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Massachusetts Cambridge College - Massachusetts Benjamin Franklin Institute of Technology - Massachusetts Clark University - Massachusetts College of the Holy Cross - Massachusetts Curry College - Massachusetts Eastern Nazarene College - Massachusetts Elms College - Massachusetts Emerson College - Massachusetts Emmanuel College - Massachusetts Endicott College - Massachusetts Fitchburg State College - Massachusetts Framingham State College - Massachusetts Gordon College - Massachusetts Massachusetts Maritime Academy - Massachusetts Gordon-Conwell Theological Seminary - Massachusetts Massachusetts School of Professional Psychology - Massachusetts Hampshire College - Massachusetts Merrimack College - Massachusetts Harvard University - Massachusetts Mount Holyoke College - Massachusetts Hult International Business School - Massachusetts Mount Ida College - Massachusetts Lasell College - Massachusetts New England College of Optometry - Massachusetts Lesley College - Massachusetts New England Conservatory of Music - Massachusetts Massachuetts College of Pharmacy & Health Sciences - Massachusetts Newbury College - Massachusetts Massachusetts College of Art - Massachusetts Nichols College - Massachusetts Massachusetts College of Liberal Arts - Massachusetts North Adams State College - Massachusetts Northeastern University - Massachusetts Massachusetts Institute of Technology - Massachusetts Pine Manor College - Massachusetts Regis College - Massachusetts Salem State College - Massachusetts Simmons College - Massachusetts Simon's Rock College - Massachusetts Smith College - Massachusetts Springfield College - Massachusetts Stonehill College - Massachusetts Suffolk University - Massachusetts Weston Jesuit School of Theology - Massachusetts Tufts University - Massachusetts Wheaton College - Massachusetts University of Massachusetts, Amherst - Massachusetts Wheelock College - Massachusetts University of Massachusetts, Boston - Massachusetts Williams College - Massachusetts University of Massachusetts, Dartmouth - 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Minnesota Alfred Adler Institute - Minnesota College of Visual Arts - Minnesota Augsburg College - Minnesota Concordia College-Moorhead - Minnesota Bemidji State University - Minnesota	Concordia College-St. Paul - Minnesota Bethany Lutheran College - Minnesota Crossroads College - Minnesota Bethel University & Seminary - Minnesota Crown College - Minnesota Capella University - Minnesota Gustavus Adolphus College - Minnesota Carleton College - Minnesota College of Saint Benedict - Minnesota Hamline University - Minnesota Luther Seminary - Minnesota Macalester College - Minnesota Martin Luther College - Minnesota Metropolitan State University - Minnesota Minneapolis College of Art & Design - Minnesota Minnesota State University, Mankato - Minnesota Minnesota State University, Moorhead - Minnesota North Central University - Minnesota Northwestern College - Minnesota Oak Hills Christian College - Minnesota Walden University - Minnesota Pillsbury Baptist Bible College - Minnesota William Mitchell College of Law - Minnesota Saint John's University - Minnesota Winona State University - Minnesota Saint Mary's University of Minnesota - Minnesota Alcorn State University - Mississippi Saint Olaf College - Minnesota Belhaven College - Mississippi Southwest Minnesota State University - Minnesota Blue Mountain College - Mississippi St. Cloud State University - Minnesota Delta State University - Mississippi University of Minnesota, Crookston - Minnesota Jackson State University - Mississippi University of Minnesota, Duluth - Minnesota Magnolia Bible College - Mississippi University of Minnesota, Morris - Minnesota Millsaps College - Mississippi University of Minnesota, Twin Cities - Minnesota Mississippi College - Mississippi University of Saint Thomas - Minnesota Mississippi State University - Mississippi Mississippi University for Women - Mississippi Mississippi Valley State University - Mississippi Rust College - Mississippi Tougaloo College - Mississippi University of Mississippi - Mississippi University of Mississippi Medical Center - 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Montana University of Great Falls - Montana University of Montana, Missoula - Montana Montana Tech - Montana University of Montana, Western - Montana Rocky Mountain College - Montana Bellevue University - Nebraska Chadron State College - Nebraska Clarkson College - Nebraska College of Saint Mary - Nebraska Concordia University-Nebraska - Nebraska Creighton University - Nebraska Dana College - Nebraska Doane College - Nebraska Nebraska Christian College - Nebraska Grace University - Nebraska Hastings College - Nebraska Midland Lutheran College - Nebraska Nebraska Methodist College - Nebraska Nebraska Wesleyan University - Nebraska Peru State College - Nebraska Union College - Nebraska University of Nebraska, Kearney - Nebraska University of Nebraska, Lincoln - Nebraska University of Nebraska, Medical Center - Nebraska University of Nebraska, Omaha - Nebraska Wayne State College - Nebraska York College - Nebraska Chester College of New England - New Hampshire Great Basin College - Nevada Sierra Nevada College - Nevada Colby-Sawyer College - New Hampshire University of Nevada - Nevada Daniel Webster College - New Hampshire Antioch New England - New Hampshire Dartmouth College - New Hampshire Franklin Pierce College - New Hampshire Franklin Pierce Law Center - New Hampshire Granite State College - New Hampshire Keene State College - New Hampshire New England College - New Hampshire Plymouth State College - New Hampshire Rivier College - New Hampshire Saint Anselm College - New Hampshire Southern New Hampshire University - New Hampshire The Thomas More College of Liberal Arts - New Hampshire University of New Hampshire at Manchester - New Hampshire University of New Hampshire - New Hampshire Berkeley College - New Jersey Bloomfield College - New Jersey Caldwell College - New Jersey Centenary College - New Jersey College of Saint Elizabeth - New Jersey Drew University - New Jersey Fairleigh Dickinson University - New Jersey Felician College - New Jersey Georgian Court College - New Jersey Kean University - New Jersey Princeton University - New Jersey Monmouth University - New Jersey Ramapo College - New Jersey Montclair State University - New Jersey Richard Stockton College of New Jersey - New Jersey New Jersey City University - New Jersey Rider University - New Jersey Rowan University - New Jersey New Jersey Institute of Technology - New Jersey Rutgers University, Camden - New Jersey Rutgers University, New Brunswick/Piscataway - New Jersey Rutgers University, Newark - New Jersey Saint Peter's College - New Jersey Seton Hall University - New Jersey Stevens Institute of Technology - New Jersey The College of New Jersey - New Jersey Thomas Edison State College - New Jersey College of Santa Fe - New Mexico University of Medicine & Dentistry of New Jersey - New Jersey College of the Southwest - New Mexico William Paterson University - New Jersey Eastern New Mexico University - New Mexico Institute of American Indian Arts - New Mexico New Mexico Highlands University - New Mexico New Mexico Institute of Mining & Technology - New Mexico New Mexico State University - New Mexico Southwestern College - New Mexico St. John's College-Santa Fe - New Mexico University of New Mexico - New Mexico Western New Mexico University - New Mexico Adelphi University - New York Albany College of Pharmacy - New York Albany Medical College - New York Alfred University - New York Arnold & Marie Schwartz College of Pharmacy & Health Sciences - New York Cazenovia College - New York Bank Street College of Education - New York City College - New York Bard College - New York Clarkson University - New York Barnard College - New York Colgate University - New York Baruch College - New York College at Brockport - New York Boricua College - New York College at Buffalo (Buffalo State College) - New York Brooklyn College - New York College at Cortland - New York Canisius College - New York College at Fredonia - New York College at Geneseo - New York College at New Paltz - New York College at Old Westbury - New York College at Oneonta - New York College at Oswego - New York College at Plattsburgh - New York College at Potsdam - New York College at Purchase - New York College of Agriculture & Technology at Cobleskill - New York College of Agriculture & Technology at Morrisville (Morrisville State College) - New York College of Environmental Science & Forestry - New York College of Mount St. Vincent - New York College of New Rochelle - New York College of Optometry - New York College of Saint Rose - New York Cornell University - New York College of Staten Island - New York Culinary Institute of America - New York College of Technology at Alfred (Alfred State University) - New York D'Youville College - New York College of Technology at Canton - New York Daemen College - New York College of Technology at Delhi - New York Davis College - New York College of Technology at Farmingdale (Farmingdale State University) - New York Dominican College - New York Columbia University - New York Dowling College - New York Concordia College-Bronxville - New York Downstate Medical Center - New York Elmira College - New York Empire State College - New York Excelsior College - New York Fashion Institute of Technology - New York Five Towns College - New York Fordham University - New York Graduate School & University Center - New York Hamilton College - New York Hartwick College - New York Hebrew Union College-Jewish Institute of Religion - New York Hilbert College - New York Hobart and William Smith Colleges - New York Lehman College - New York Hofstra University - New York Long Island University, Brentwood Campus - New York Houghton College - New York Hunter College - New York Long Island University, Brooklyn Campus - New York Institute of Technology at Utica/Rome - New York Long Island University, C.W. Post Campus - New York Iona College - New York Long Island University, Rockland Graduate Campus - New York Ithaca College - New York Long Island University, Southampton Graduate Campus - New York John Jay College of Criminal Justice - New York Long Island University, Westchester Graduate Campus - New York Keuka College - New York Manhattan College - New York Laboratory Institute of Merchandising - New York Manhattan School of Music - New York Le Moyne College - New York Manhattanville College - New York Marist College - New York Maritime College at Ft. Schuyler - New York Marymount College - New York Marymount Manhattan College - New York Medaille College - New York Medger Evers College - New York Mercy College - New York Metropolitan College of New York - New York Molloy College - New York Monroe College - New York Pace University - New York Mount Saint Mary College - New York Nazareth College - New York Parsons School of Design - New York New School University - New York Paul Smith's College - New York Polytechnic University of New York - New York New York City College of Technology - New York Pratt Institute - New York Queens College - New York New York College of Podiatric Medicine - New York Rensselaer Polytechnic Institute - New York New York Institute of Technology - New York Roberts Wesleyan College - New York New York Medical College - New York Rochester Institute of Technology - New York New York University - New York Saint Francis College - New York Niagara University - New York Sarah Lawrence College - New York Nyack College - New York School of Visual Arts - New York Siena College - New York Skidmore College - New York St. Bonaventure University - New York St. John Fisher College - New York St. John's University - New York St. Joseph's College - New York The Sage Colleges - New York St. Lawrence University - New York Touro College - New York St. Thomas Aquinas College - New York Unification Theological Seminary - New York State University of New York, Albany - New York Union College - New York State University of New York, Binghamton - New York Union Theological Seminary - New York State University of New York, Buffalo - New York United States Merchant Marine Academy - New York State University of New York, Stony Brook - New York United States Military Academy - New York Syracuse University - New York University of Rochester - New York Teachers College, Columbia University - New York Upstate Medical University - New York The Cooper Union for the Advancement of Science & Art - New York Utica College of Syracuse University - New York The Jewish Theological Seminary of America - New York Vassar College - New York The Juilliard School - New York Vaughn College of Aeronautics & Technology - New York The Rockefeller University - New York Wagner College - New York Webb Institute - New York Wells College - New York Yeshiva University - New York York College - New York Appalachian State University - North Carolina Barton College - North Carolina Belmont Abbey College - North Carolina Fayetteville State University - North Carolina Bennett College - North Carolina Gardner-Webb University - North Carolina Brevard College - North Carolina Greensboro College - North Carolina Campbell University - North Carolina Guilford College - North Carolina Catawba College - North Carolina High Point University - North Carolina Chowan College - North Carolina Johnson C. Smith University - North Carolina Davidson College - North Carolina Lees-McRae College - North Carolina Duke University - North Carolina Lenoir-Rhyne College - North Carolina East Carolina University - North Carolina Livingstone College - North Carolina Elizabeth City State University - North Carolina Louisburg College - North Carolina Elon University - North Carolina Mars Hill College - North Carolina Meredith College - North Carolina Methodist College - North Carolina	Montreat College - North Carolina Mount Olive College - North Carolina North Carolina A&T State University - North Carolina North Carolina Central University - North Carolina North Carolina School of the Arts - North Carolina North Carolina State University - North Carolina University of North Carolina, Chapel Hill - North Carolina North Carolina Wesleyan College - North Carolina University of North Carolina, Charlotte - North Carolina Peace College - North Carolina University of North Carolina, Greensboro - North Carolina Pfeiffer University - North Carolina Piedmont Baptist College - North Carolina University of North Carolina, Pembroke - North Carolina University of North Carolina, Wilmington - North Carolina Queens University of Charlotte - North Carolina Wake Forest University - North Carolina Roanoke Bible College - North Carolina Warren Wilson College - North Carolina Salem College - North Carolina Western Carolina University - North Carolina Shaw University - North Carolina Wingate University - North Carolina St. Andrews Presbyterian College - North Carolina Winston-Salem State University - North Carolina St. Augustine's College - North Carolina Dickinson State University - North Dakota Jamestown College - North Dakota University of North Carolina, Asheville - North Carolina Mayville State University - North Dakota Minot State University - North Dakota North Dakota State University - North Dakota Trinity Bible College - North Dakota University of Mary - North Dakota University of North Dakota - North Dakota Cincinnati Christian University - Ohio Valley City State University - North Dakota Cleveland Institute of Art - Ohio Air Force Institute of Technology - Ohio Cleveland Institute of Music - Ohio Antioch College - Ohio Cleveland State University - Ohio Art Academy of Cincinnati - Ohio College of Mount St. Joseph - Ohio Ashland University - Ohio Columbus College of Art & Design - Ohio Baldwin-Wallace College - Ohio David N. Myers University - Ohio Bluffton University - Ohio Defiance College - Ohio Bowling Green State University - Ohio Denison University - Ohio Capital University - Ohio Franciscan University of Steubenville - Ohio Case Western Reserve University - Ohio Franklin University - Ohio Cedarville University - Ohio Heidelberg College - Ohio Central State University - Ohio Hiram College - Ohio John Carroll University - Ohio Kent State University - Ohio Kenyon College - Ohio Lake Erie College - Ohio Ohio Northern University - Ohio Laura & Alvin Siegal College of Judaic Studies - Ohio Ohio State University, Columbus - Ohio Lourdes College - Ohio Ohio State University, Lima - Ohio Malone College - Ohio Ohio State University, Mansfield - Ohio Marietta College - Ohio Ohio State University, Marion - Ohio Miami University of Ohio - Ohio Ohio University - Ohio Mount Union College - Ohio Ohio Wesleyan University - Ohio Mount Vernon Nazarene University - Ohio Otterbein College - Ohio Muskingum College - Ohio Shawnee State University - Ohio Northeastern Ohio Universities College of Medicine - Ohio The College of Wooster - Ohio Notre Dame College - Ohio The University of Findlay - Ohio Oberlin College - Ohio Tiffin University - Ohio Union Institute & University - Ohio Ohio Christian University - Ohio University of Akron - Ohio Ohio Dominican University - Ohio University of Cincinnati - Ohio University of Dayton - Ohio Cameron University - Oklahoma University of Northwestern Ohio - Ohio University of Rio Grande - Ohio East Central University - Oklahoma Langston University - Oklahoma University of Toledo - Ohio Mid-America Christian University - Oklahoma University of Toledo Health Science Campus - Ohio Northeastern State University, Broken Arrow campus - Oklahoma Urbana University - Ohio Northeastern State University, Muskogee campus - Oklahoma Ursuline College - Ohio Northwestern Oklahoma State University - Oklahoma Oklahoma Baptist University - Oklahoma Walsh University - Ohio Oklahoma Christian University of Science & Arts - Oklahoma Wilberforce University - Ohio Oklahoma City University - Oklahoma Wilmington College - Ohio Oklahoma Panhandle State University - Oklahoma Wittenberg University - Ohio Oklahoma State University, Center for Health Sciences - Oklahoma Wright State University - Ohio Oklahoma State University, Stillwater - Oklahoma Xavier University - Ohio Oklahoma State University, Tulsa - Oklahoma Youngstown State University - Ohio Oklahoma Wesleyan University - Oklahoma Bacone College - Oklahoma Oral Roberts University - Oklahoma Phillips University (closed July 1998) - Oklahoma Eastern Oregon University - Oregon Rogers State University - Oklahoma Eugene Bible College - Oregon Southeastern Oklahoma State University - Oklahoma George Fox University - Oregon Southern Nazarene University - Oklahoma Lewis & Clark College - Oregon Southwestern Oklahoma State University - Oklahoma Linfield College - Oregon St. Gregory's University - Oklahoma Marylhurst University - Oregon University of Central Oklahoma - Oklahoma Mount Angel Seminary - Oregon Multnomah Bible College & Seminary - Oregon University of Oklahoma - Oklahoma National College of Naturopathic Medicine - Oregon University of Oklahoma Health Sciences Center - Oklahoma Northwest Christian College - Oregon University of Science & Arts of Oklahoma - Oklahoma Oregon Graduate Institute of Science & Technology - Oregon University of Tulsa - Oklahoma Oregon Health Sciences University - Oregon Art Institute of Portland - Oregon Oregon Institute of Technology - Oregon Concordia University-Portland - Oregon Oregon State University - Oregon Corban College - Oregon Pacific Northwest College of Art - Oregon Pacific University - Oregon Portland State University - Oregon Reed College - Oregon Baptist Bible College - Pennsylvania Southern Oregon University - Oregon University of Oregon - Oregon Bloomsburg University of Pennsylvania - Pennsylvania University of Portland - Oregon Bryn Athyn College of the New Church - Pennsylvania Warner Pacific College - Oregon Bryn Mawr College - Pennsylvania Western Oregon University - Oregon Bucknell University - Pennsylvania Western States Chiropractic College - Oregon Cabrini College - Pennsylvania Willamette University - Oregon California University of Pennsylvania - Pennsylvania Albright College - Pennsylvania Carlow College - Pennsylvania Allegheny College - Pennsylvania Carnegie Mellon University - Pennsylvania Alvernia College - Pennsylvania Cedar Crest College - Pennsylvania American College - Pennsylvania Chatham College - Pennsylvania Arcadia University - Pennsylvania Chestnut Hill College - Pennsylvania Cheyney University - Pennsylvania Clarion University of Pennsylvania - Pennsylvania College Misericordia - Pennsylvania Curtis Institute of Music - Pennsylvania Delaware Valley College - Pennsylvania DeSales University - Pennsylvania Gratz College - Pennsylvania Dickinson College - Pennsylvania Grove City College - Pennsylvania Dickinson School of Law - Pennsylvania Gwynedd Mercy College - Pennsylvania Drexel University - Pennsylvania Haverford College in Pennsylvania - Pennsylvania Duquesne University - Pennsylvania Holy Family University - Pennsylvania East Stroudsburg University of Pennsylvania - Pennsylvania Immaculata College - Pennsylvania Eastern College - Pennsylvania Indiana University of Pennsylvania - Pennsylvania Edinboro University of Pennsylvania - Pennsylvania Juniata College - Pennsylvania Elizabethtown College - Pennsylvania Keystone College - Pennsylvania Kings College - Pennsylvania Franklin & Marshall College - Pennsylvania Kutztown University of Pennsylvania - Pennsylvania Gannon University - Pennsylvania La Roche College - Pennsylvania Geneva College - Pennsylvania Lafayette College - Pennsylvania Gettysburg College - Pennsylvania Lancaster Bible College - Pennsylvania LaSalle University - Pennsylvania Lebanon Valley College - Pennsylvania Lehigh University - Pennsylvania Lincoln University - Pennsylvania Lock Haven University of Pennsylvania - Pennsylvania Peirce College - Pennsylvania Lycoming College - Pennsylvania Pennsylvania College of Optometry - Pennsylvania Mansfield University of Pennsylvania - Pennsylvania Pennsylvania College of Technology - Pennsylvania Marywood University - Pennsylvania Pennsylvania State University, Abington - Pennsylvania Mercyhurst College - Pennsylvania Pennsylvania State University, Altoona - Pennsylvania Messiah College - Pennsylvania Pennsylvania State University, Beaver - Pennsylvania Millersville University of Pennsylvania - Pennsylvania Pennsylvania State University, Berks - Pennsylvania Moore College of Art & Design - Pennsylvania Pennsylvania State University, Brandywine - Pennsylvania Moravian College - Pennsylvania Pennsylvania State University, College of Medicine - Pennsylvania Mount Aloysius College - Pennsylvania Pennsylvania State University, DuBois - Pennsylvania Muhlenberg College - Pennsylvania Pennsylvania State University, Great Valley - Pennsylvania Neumann College - Pennsylvania Pennsylvania State University, Greater Allegheny - Pennsylvania Pennsylvania State University, Harrisburg - Pennsylvania Pennsylvania State University, Hazleton - Pennsylvania Pennsylvania State University, Lehigh Valley - Pennsylvania Pennsylvania State University, Mont Alto - Pennsylvania Pennsylvania State University, New Kensington - Pennsylvania Saint Joseph's University - Pennsylvania Pennsylvania State University, Schuylkill - Pennsylvania Pennsylvania State University, Shenango - Pennsylvania Saint Vincent College - Pennsylvania Pennsylvania State University, The Eberly Campus - Pennsylvania Seton Hill College - Pennsylvania Pennsylvania State University, University Park - Pennsylvania Shippensburg University of Pennsylvania - Pennsylvania Pennsylvania State University, Wilkes-Barre - Pennsylvania Slippery Rock University of Pennsylvania - Pennsylvania Pennsylvania State University, Worthington Scranton - Pennsylvania Susquehanna University - Pennsylvania Pennsylvania State University, York - Pennsylvania Swarthmore College - Pennsylvania Philadelphia Biblical University - Pennsylvania Temple University - Pennsylvania The Behrend College, Erie - Pennsylvania Philadelphia University - Pennsylvania Point Park University - Pennsylvania Thiel College - Pennsylvania Robert Morris College - Pennsylvania Thomas Jefferson University - Pennsylvania Rosemont College - Pennsylvania United States Army War College - Pennsylvania Saint Francis University - Pennsylvania University of Pennsylvania - Pennsylvania University of Pittsburgh (main campus) - Pennsylvania University of Pittsburgh, Bradford - Pennsylvania University of Pittsburgh, Greensburg - Pennsylvania Widener University - Pennsylvania University of Pittsburgh, Johnstown - Pennsylvania Wilkes University - Pennsylvania University of Pittsburgh, Titusville - Pennsylvania Wilson College - Pennsylvania University of Scranton - Pennsylvania York College of Pennsylvania - Pennsylvania University of the Arts - Pennsylvania American University of Puerto Rico - Puerto Rico University of the Sciences in Philadelphia - Pennsylvania Antillean Adventist University - Puerto Rico University Park (main campus) - Pennsylvania Caribbean University - Puerto Rico Ursinus College - Pennsylvania Carlos Albizu University, San Juan - Puerto Rico Valley Forge Christian College - Pennsylvania Centro de Estudios Avanzados de Puerto Rico y el Caribe - Puerto Rico Villanova University - Pennsylvania Conservatorio de Musica de Puerto Rico - Puerto Rico Washington & Jefferson College - Pennsylvania Escuela de Artes Plasticas de Puerto Rico - Puerto Rico Waynesburg College - Pennsylvania Polytechnic University of Puerto Rico - Puerto Rico West Chester University of Pennsylvania - Pennsylvania Ponce School of Medicine - Puerto Rico Westminster College - Pennsylvania Pontificia Universidad Catolica de Puerto Rico - Puerto Rico Westminster Theological Seminary - Pennsylvania Seminario Evangelico de Puerto Rico - Puerto Rico Sistema Universitario Ana G. Mendez - Puerto Rico Universidad Central de Bayamon - Puerto Rico Universidad Central del Caribe - Puerto Rico Universidad Interamericana de Puerto Rico, School of Law - Puerto Rico Universidad del Este - Puerto Rico Universidad del Sagrado Corazon - Puerto Rico Universidad Interamericana de Puerto Rico, School of Optometry - Puerto Rico Universidad del Turabo - Puerto Rico Universidad Metropolitana - Puerto Rico Universidad Interamericana de Puerto Rico (Aguadilla Campus) - Puerto Rico University of Puerto Rico, Aguadilla - Puerto Rico Universidad Interamericana de Puerto Rico (Arecibo Campus) - Puerto Rico University of Puerto Rico, Arecibo - Puerto Rico University of Puerto Rico, Bayamon - Puerto Rico Universidad Interamericana de Puerto Rico (Barranquitas Campus) - Puerto Rico University of Puerto Rico, Carolina - Puerto Rico Universidad Interamericana de Puerto Rico (Bayamon Campus) - Puerto Rico University of Puerto Rico, Cayey - Puerto Rico Universidad Interamericana de Puerto Rico (Fajardo Campus) - Puerto Rico University of Puerto Rico, Ciencias Medicas - Puerto Rico Universidad Interamericana de Puerto Rico (Guayama Campus) - Puerto Rico University of Puerto Rico, Humacao - Puerto Rico Universidad Interamericana de Puerto Rico (Metropolitan Campus) - Puerto Rico University of Puerto Rico, Mayaguez - Puerto Rico Universidad Interamericana de Puerto Rico (Ponce Campus) - Puerto Rico University of Puerto Rico, Ponce - Puerto Rico Universidad Interamericana de Puerto Rico (San German Campus) - Puerto Rico University of Puerto Rico, Rio Piedras - Puerto Rico University of Puerto Rico, Utuado - Puerto Rico Brown University - Rhode Island Bryant College - Rhode Island Johnson & Wales University - Rhode Island Claflin University - South Carolina Naval War College - Rhode Island Clemson University - South Carolina New England Institute of Technology - Rhode Island Coastal Carolina University - South Carolina	Providence College - Rhode Island Coker College - South Carolina Rhode Island College - Rhode Island College of Charleston - South Carolina Rhode Island School of Design - Rhode Island Columbia College - South Carolina Columbia International University - South Carolina Roger Williams University - Rhode Island Converse College - South Carolina Salve Regina University - Rhode Island Erskine College - South Carolina University of Rhode Island - Rhode Island Francis Marion University - South Carolina Allen University - South Carolina Furman University - South Carolina Anderson College - South Carolina Johnson & Wales University-Charleston - South Carolina Lander University - South Carolina Benedict College - South Carolina Limestone College - South Carolina Bob Jones University - South Carolina Medical University of South Carolina - South Carolina Charleston Southern University - South Carolina Morris College - South Carolina Newberry College - South Carolina North Greenville University - South Carolina Voorhees College - South Carolina Presbyterian College - South Carolina Winthrop University - South Carolina Sherman College of Straight Chiropractic - South Carolina Wofford College - South Carolina South Carolina State University - South Carolina Augustana College - South Dakota Southern Wesleyan University - South Carolina Black Hills State University - South Dakota Dakota State University - South Dakota The Citadel - South Carolina Dakota Wesleyan University - South Dakota University of South Carolina, Aiken - South Carolina Mount Marty College - South Dakota University of South Carolina, Beaufort - South Carolina National American University - South Dakota University of South Carolina, Columbia - South Carolina Northern State University - South Dakota University of South Carolina, Lancaster - South Carolina Oglala Lakota College - South Dakota University of South Carolina, Sumter - South Carolina Presentation College - South Dakota University of South Carolina, Union - South Carolina Sinte Gleska University - South Dakota South Dakota School of Mines & Technology - South Dakota University of South Carolina, Upstate - South Carolina South Dakota State University - South Dakota University of Sioux Falls - South Dakota Freed-Hardeman University - Tennessee University of South Dakota - South Dakota Aquinas College - Tennessee Johnson Bible College - Tennessee Austin Peay State University - Tennessee King College - Tennessee Baptist Memorial College of Health Sciences - Tennessee Knoxville College - Tennessee Belmont University - Tennessee Lambuth University - Tennessee Bethel College - Tennessee Lane College - Tennessee Bryan College - Tennessee Lee University - Tennessee Carson-Newman College - Tennessee LeMoyne-Owen College - Tennessee Christian Brothers University - Tennessee Lincoln Memorial University - Tennessee Church of God Theological Seminary - Tennessee Lipscomb University - Tennessee Crichton College - Tennessee Martin Methodist College - Tennessee Cumberland University - Tennessee Maryville College - Tennessee East Tennessee State University - Tennessee Meharry Medical College - Tennessee Fisk University - Tennessee Memphis College of Art - Tennessee Middle Tennessee State University - Tennessee Milligan College - Tennessee Rhodes College - Tennessee South College - Tennessee Southern Adventist University - Tennessee Southern College - Tennessee University of Tennessee, Knoxville - Tennessee Southern College of Optometry - Tennessee Tennessee State University - Tennessee University of Tennessee, Martin - Tennessee Tennessee Technological University - Tennessee University of Tennessee, Memphis - Tennessee Tennessee Temple University - Tennessee University of the South - Tennessee Tennessee Wesleyan College - Tennessee Vanderbilt University - Tennessee Trevecca Nazarene University - Tennessee Abilene Christian University - Texas Tusculum College - Tennessee Ambassador University (closed spring 1997) - Texas Union University - Tennessee University of Memphis - Tennessee Amberton University - Texas University of Tennessee, Chattanooga - Tennessee Angelo State University - Texas Arlington Baptist College - Texas Art Institute of Dallas - Texas Art Institute of Houston - Texas Austin College - Texas Austin Graduate School of Theology - Texas Austin Presbyterian Theological Seminary - Texas Baptist Missionary Association Theological Seminary - Texas Baylor College of Dentistry - Texas Baylor College of Medicine - Texas Baylor University - Texas College of Saint Thomas More - Texas Concordia University-Texas - Texas Criswell College - Texas Houston Baptist University - Texas Dallas Baptist University - Texas Dallas Christian College - Texas Howard Payne University - Texas Dallas Theological Seminary - Texas Huston-Tillotson University - Texas DeVry University-Dallas - Texas Jarvis Christian College - Texas East Texas Baptist University - Texas Lamar University - Texas Episcopal Theological Seminary of the Southwest - Texas LeTourneau University - Texas Hardin-Simmons University - Texas Lubbock Christian University - Texas Health Sciences Center - Texas McMurry University - Texas Midwestern State University - Texas Northwood University - Texas Oblate School of Theology - Texas Our Lady of the Lake University - Texas Parker College of Chiropractic - Texas Paul Quinn College - Texas Prairie View A&M University - Texas Rice University - Texas Sam Houston State University - Texas Schreiner University - Texas South Texas College of Law - Texas Southern Methodist University - Texas Southwestern Adventist University - Texas Southwestern Assemblies of God University - Texas Texas A&M International University - Texas Southwestern Baptist Theological Seminary - Texas Texas A&M University, College Station - Texas Southwestern Christian College - Texas Texas A&M University, Commerce - Texas Southwestern University - Texas Texas A&M University, Corpus Christi - Texas St. Edward's University - Texas Texas A&M University, Galveston - Texas St. Mary's University of San Antonio - Texas Texas A&M University, Health Science Center - Texas Stephen F. Austin State University - Texas Texas A&M University, Kingsville - Texas Sul Ross State University - Texas Texas A&M University, Texarkana - Texas Tarleton State University - Texas Texas Chiropractic College - Texas Texas Christian University - Texas Texas College - Texas Texas Lutheran University - Texas Texas Southern University - Texas Texas State University - Texas Texas State University, San Marcos - Texas Texas Tech University - Texas Texas Wesleyan University - Texas Texas Woman's University - Texas Trinity University - Texas University of Dallas - Texas University of Houston (main campus) - Texas University of Houston, Clear Lake - Texas University of Houston, Downtown - Texas University of Texas, Brownsville - Texas University of Houston, Victoria - Texas University of Mary Hardin-Baylor - Texas University of Texas, Dallas - Texas University of North Texas - Texas University of Texas, El Paso - Texas University of North Texas, Health Science Center at Ft. Worth - Texas University of Texas, Health Center at Tyler - Texas University of Saint Thomas - Texas University of Texas, Health Science Center at Houston - Texas University of Texas, Arlington - Texas University of Texas, Health Science Center at San Antonio - Texas University of Texas, Austin - Texas University of Texas, M.D. Anderson Cancer Center - Texas University of Texas, Medical Branch at Galveston - Texas University of Texas, Pan American - Texas University of Texas, Permian Basin - Texas University of Texas, San Antonio - Texas University of Texas, Southwestern Medical Center at Dallas - Texas University of Texas, Tyler - Texas University of the Incarnate Word - Texas Wayland Baptist University - Texas West Texas A&M University - Texas Wiley College - Texas Brigham Young University - Utah College of Eastern Utah - Utah Dixie State College - Utah Southern Utah University - Utah University of Utah - Utah Utah State University - Utah Utah Valley State College - Utah Weber State University - Utah Western Governors University - Utah Westminster College - Utah Bennington College - Vermont Burlington College - Vermont Castleton State University - Vermont Vermont Technical College - Vermont Averett College - Virginia Bluefield College - Virginia Bridgewater College - Virginia Christendom College - Virginia Christopher Newport University - Virginia College of William and Mary - Virginia DeVry University-Crystal City - Virginia Eastern Mennonite University - Virginia Eastern Virginia Medical School - Virginia ECPI College of Technology - Virginia Emory & Henry College - Virginia Ferrum College - Virginia George Mason University - Virginia George Washington University-Virginia Campus - Virginia Hampden-Sydney College - Virginia Hampton University - Virginia Hollins University - Virginia Institute for the Psychological Sciences - Virginia Institute of Textile Technology - Virginia James Madison University - Virginia Jefferson College of Health Sciences - Virginia Liberty University - Virginia Longwood University - Virginia Lynchburg College - Virginia Marine Corps University - Virginia Mary Baldwin College - Virginia Marymount University - Virginia Norfolk State University - Virginia Old Dominion University - Virginia Radford University - Virginia Randolph College - Virginia Randolph-Macon College - Virginia Regent University - Virginia Roanoke College - Virginia Saint Paul's College - Virginia Shenandoah University - Virginia Sweet Briar College - Virginia United States Marine Corps University - Virginia University of Mary Washington - Virginia University of Richmond - Virginia University of Virginia - Virginia University of Virginia's College at Wise - Virginia Virginia Commonwealth University - Virginia Champlain College - Vermont Virginia Intermont College - Virginia College of St. Joseph - Vermont Goddard College - Vermont Green Mountain College - Vermont Johnson State College - Vermont Lyndon State College - Vermont Marlboro College - Vermont Middlebury College - Vermont Norwich University - Vermont Saint Michael's College - Vermont School for International Training - Vermont Virginia Military Institute - Virginia Southern Vermont College - Vermont Virginia Polytechnic Institute and State University - Virginia Sterling College - Vermont Virginia State University - Virginia University of Vermont - Vermont Virginia Union University - Virginia Vermont Law School - Vermont Virginia Wesleyan College - Virginia Washington & Lee University - Virginia Washington Bible College/Capital Bible Seminary - Virginia Antioch University-Seattle - Washington Art Institute of Seattle - Washington Bastyr University - Washington Central Washington University - Washington City University - Washington Heritage University - Washington Eastern Washington University - Washington Northwest University - Washington Evergreen State College - Washington Pacific Lutheran University - Washington Gonzaga University - Washington Seattle Pacific University - Washington Seattle University - Washington St. Martin's College - Washington Trinity Lutheran College - Washington University of Puget Sound - Washington University of Washington (Bothell campus) - Washington University of Washington (Seattle/Main campus) - Washington University of Washington (Tacoma campus) - Washington Walla Walla University - Washington Western Washington University - Washington Washington State University (Spokane campus) - Washington Whitman College - Washington Washington State University (Tri-Cities campus) - Washington Whitworth College - Washington Washington State University (Vancouver campus) - Washington American University - Washington, DC Corcoran College of Art & Design - Washington, DC Gallaudet University - Washington, DC George Washington University (Main campus/Foggy Bottom) - Washington, DC George Washington University (Mount Vernon campus) - Washington, DC George Washington University (Virginia Campus) - Washington, DC Georgetown University - Washington, DC Howard University - Washington, DC Strayer University - Washington, DC Institute of World Politics - Washington, DC Joint Military Intelligence College - Washington, DC The Catholic University of America - Washington, DC National Defense University - Washington, DC Trinity University - Washington, DC Southeastern University - Washington, DC University of the District of Columbia - Washington, DC Washington Theological Union - Washington, DC Wesley Theological Seminary - Washington, DC Alderson-Broaddus College - West Virginia Bethany College - West Virginia Bluefield State College - West Virginia Concord University - West Virginia Davis & Elkins College - West Virginia Fairmont State College - West Virginia Ohio Valley College - West Virginia Glenville State College - West Virginia Marshall University - West Virginia Salem International University - West Virginia Mountain State University - West Virginia Shepherd University - West Virginia University of Charleston - West Virginia West Liberty State College - West Virginia West Virginia State University - West Virginia West Virginia University - West Virginia West Virginia University at Parkersburg - West Virginia West Virginia University Institute of Technology - West Virginia West Virginia Wesleyan College - West Virginia Wheeling Jesuit University - West Virginia Alverno College - Wisconsin Beloit College - Wisconsin Cardinal Stritch College - Wisconsin Carthage College - Wisconsin Carroll College - Wisconsin Concordia University-Wisconsin - Wisconsin Edgewood College - Wisconsin Herzing College - Wisconsin Lakeland College - Wisconsin Lawrence University - Wisconsin Maranatha Baptist Bible College - Wisconsin Marian College of Fond du Lac - Wisconsin Marquette University - Wisconsin St. Norbert College - Wisconsin Medical College of Wisconsin - Wisconsin University of Wisconsin, Eau Claire - Wisconsin Milwaukee School of Engineering - Wisconsin University of Wisconsin, Green Bay - Wisconsin Mount Mary College - Wisconsin University of Wisconsin, LaCrosse - Wisconsin Northland College - Wisconsin University of Wisconsin, Madison - Wisconsin Ripon College - Wisconsin University of Wisconsin, Milwaukee - Wisconsin Silver Lake College - Wisconsin University of Wisconsin, Oshkosh - Wisconsin University of Wisconsin, Parkside - Wisconsin University of Wisconsin, Platteville - Wisconsin University of Wisconsin, River Falls - Wisconsin University of Wisconsin, Stevens Point - Wisconsin University of Wisconsin, Stout - Wisconsin University of Wisconsin, Superior - Wisconsin University of Wisconsin, Whitewater - Wisconsin Wisconsin Lutheran College - Wisconsin Viterbo University - Wisconsin Wisconsin School of Professional Psychology - Wisconsin University of Wyoming - Wyoming Other: - Rocky Vista University College of Osteopathic Medicine - Colorado Lake Erie College of Osteopathic Medicine (LECOM) - Pennsylvania Pacific Northwest University of Health Sciences College of Osteopathic Medicine (PNWU-COM) - Wash... Washington State University (Pullman Campus) - Washington Geisinger Commonwealth School of Medicine - Pennsylvania
Specialty Loookup Table	9.4 U.S. Board Certifications and Specialty	Aerospace medicine Allergy and immunology Clinical and laboratory immunology Anesthesiology Adult Cardiothoracic Anesthesiology Pediatric anesthesiology Colon and rectal surgery Dermatology Dermatopathology Procedural dermatology Emergency medicine Pediatric emergency medicine Family medicine Internal medicine Cardiovascular disease Clinical cardiac electrophysiology Critical care medicine Endocrinology, diabetes, and metabolism Gastroenterology Geriatric medicine Hematology and oncology Infectious disease Interventional cardiology Nephrology Oncology Pulmonary disease Pulmonary disease and critical care medicine Rheumatology Sports medicine Transplant hepatology Medical genetics Molecular genetic pathology	Neurological surgery Endovascular surgical neuroradiology Neurology Child neurology Orthopaedic sports medicine Orthopaedic surgery of the spine Orthopaedic trauma Pediatric orthopaedics Otolaryngology Neurotology Pediatric otolaryngology Palliative and hospice care Pathology-anatomic and clinical Blood banking/transfusion medicine Chemical pathology Cytopathology Forensic pathology Hematology Medical microbiology Neuropathology Pediatric pathology Selective pathology Pediatrics Adolescent medicine Neonatal-perinatal medicine Pediatric cardiology Pediatric critical care medicine Pediatric emergency medicine Pediatric endocrinology Pediatric gastroenterology	Pediatric hematology/oncology Pediatric infectious diseases Pediatric nephrology Pediatric pulmonology Pediatric rheumatology Pediatric sports medicine Developmental-behavioral pediatrics Physical medicine and rehabilitation Pediatric rehabilitation Spinal cord injury medicine Plastic surgery Craniofacial surgery Clinical neurophysiology Neuromuscular medicine Preventive medicine (General/PH) Neurodevelopmental disabilities Preventive medicine (CDC PMR/F ONLY) Vascular neurology Nuclear medicine Obstetrics and gynecology Occupational medicine Medical toxicology Undersea and hyperbaric medicine Ophthalmology Orthopaedic surgery Adult reconstructive orthopaedics Foot and ankle orthopaedics Psychiatry	Addiction psychiatry Musculoskeletal oncology Child and adolescent psychiatry Forensic psychiatry Geriatric psychiatry Pain medicine Psychosomatic medicine Radiation oncology Radiology, diagnostic Abdominal radiology Cardiothoracic radiology Musculoskeletal radiology Pediatric radiology Neuroradiology Nuclear radiology Vascular and interventional radiology Sleep medicine Surgery Hand surgery Pediatric surgery Surgical critical care Vascular surgery Vascular surgery ? Integrated Thoracic surgery Congenital Cardiac Surgery Urology Pediatric urology Transitional year Internal Medicine/Pediatrics
Languages Lookup Table	9.8 Language Skills	English Afrikaans Albanian Amharic Arabic (Egyptian) Aramaic Armenian Assamese Aymara Azerbaijani Basque Belarusian Bengali Bislama Bosnian Bulgarian Burmese Catalan Cebuano Cherokee Mandarin Croatian Czech Danish Dutch Egyptian Estonian Finnish French Georgian German Greek Guarani Gujarati Creole (Haitian) Hausa Hawaiian Hebrew	Hindi Hungarian Icelandic Irish Italian Japanese Javanese Kannada Kazakh Khmer Korean Lao Latvian Lithuanian Macedonian Malagasy Malayalam Marathi Mongolian Nahuatl Navajo Nepali Norwegian Oriya Oromo Farsi Polish Portuguese Punjabi Pashto Romanian Romany Russian Sanskrit Serbian Slovak Slovenian Somali	Spanish Swahili Swedish Tagalog Tajik Tamil Telugu Thai Tibetan Tok Pisin Turkish Turkmen Ukrainian Urdu Uzbek Vietnamese Welsh Xhosa Yiddish Yoruba Zapotec Zulu Arabic (Levantine) Arabic (Modern Standard) Arabic (Moroccan) Indonesian (Not Specified) Bahasa Melayu Balochi Berber Cantonese Dari Ilokano Inuit Kurdi Kyrgyz Lakota Ojibwa Quechua Quiche	Uyghur Yucatec Maya Arabic (Not Specified) Chinese (Not Specified) Creole (Not Specified) Malay Other Spoken Language: