Privacy Act Notification Statement
Collection of this information is authorized under 42 U.S.C. 241. The primary use of this information is to 1) identify candidates for clinical and research fellow, clinical elective, and other training positions, and 2) maintain a permanent record for historical and reference use of those individuals who have received clinical research training at the National Institutes of Health. This information may be disclosed to researchers for research training purposes, to hospitals and other healthcare institutions seeking verification of training for physicians who trained in NIH clinical programs and in response to Congressional inquiries. Submission of this information is voluntary, however, in order for us to accept you as a potential Clinical and Research Fellow, Dental/Medical Student, Postbac/Postdoc Researcher, Summer Intern, or other student seeking an opportunity in an NIH training program, you should complete all fields.
Location: San Diego, CA
Date: November 13-14, 2012
July 20, 2012
The deadline has been extended until August 10th.
Please fill in the information below (*=required):