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DATA National Service Scholar Program Application

OMB Burden Statement
OMB No.: 0925-0740
Expiration Date: 07/31/2022

Collection of this information is authorized by The Public Health Service Act, Section 411 (42 USC 285a). Rights of study participants are protected by The Privacy Act of 1974. Participation is voluntary, and there are no penalties for not participating or withdrawing from the study at any time. Refusal to participate will not affect your benefits in any way. The information collected in this study will be kept private to the extent provided by law. Names and other identifiers will not appear in any report of the study. Information provided will be combined for all study participants and reported as summaries. You are being asked to complete this form so we can process your application for the Data and Technology Advancement (DATA) National Service Scholar program.

Public reporting burden for this collection of information is estimated to average 2 hours per response, 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: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0648). Do not return the completed form to this address. 
This question requires a valid email address.
3. Select your degree(s). Please note participation in this program requires at least one doctoral-level degree by the anticipated start time of the program. *This question is required.
4. What sex were you assigned at birth, on your original birth certificate? *This question is required.
5. What is your current gender? *This question is required.
6. Which of these best describes your race (choose one or more)? *This question is required.Learn more about NOT-OD-20-031.
7. Which of these best describes your ethnicity (choose one)? *This question is required.
8. Are you an individual with a disability that substantially limits one or more major life activities, as described in Notice of NIH’s Interest in Diversity? *This question is required.
9. Are you an individual from disadvantaged background, as described in Notice of NIH’s Interest in Diversity? *This question is required.
10. Please rank your choice of projects. *This question is required. Note: for the following table each column is restricted to a single answer across all rows.
12. Country of Affiliation *This question is required.
15. Preference on DATA Scholar position duration *This question is required.
16. Citizenship *This question is required.Read more about Non-citizen National.
17. Upload Cover Letter [Word or PDF] *This question is required.Include in the cover letter why you are interested in this program and how you will use your experience to address data challenges and advance the mission of NIH. Include your vision of the impact of data science in biomedical research and public health. Include also any contributions to enhancing the diversity of the data science workforce.
18. Upload Resume [Word or PDF] *This question is required.Include in the resume relevant accomplishments, including but not limited to data science projects, publications and products (with links if applicable). Highlight your expertise in data science skills, tools and technologies. Include also your work and/or professional experience, as well as academic history, honors and service.
19. Reference 1 *This question is required.
20. Reference 2 *This question is required.
21. Reference 3 *This question is required.