All applicants must meet the following criteria:
Doctoral-level professionals who are in the early phase of their research career and who meet the following
criteria:
1. Doctoral degree (e.g., Ph.D., M.D.) in medicine, social or behavioral sciences, nursing, public health, health economics, or related fields.
2. Have not yet received a K award or an investigator-initiated R award from NIH.
3. Assistant professor, assistant research scientist, or equivalent with an academic appointment at a medical school, national research university (i.e., Carnegie Foundation classification as a research university-with very high research activity), or research institute in which the academic appointment is focused primarily on research. Postdoctoral fellows enrolled in an NIH T32 training program or equivalent are also eligible.
4. Racial/ethnic minoritized groups underrepresented in the biomedical and behavioral sciences, as defined by the NIH (i.e., African American, Hispanic, American Indian/Alaska Native, Native Hawaiian, or Pacific Islanders)
5. Evidence of an established program of research in the field of substance use disorders and addictions as demonstrated by peer reviewed publications, and/or intramural grant support as either a principal investigator or co-investigator, and/or extramural grant support as aco-investigator.
6. Applicants must be U.S. citizens or permanent residents (NIH guidelines apply)
7. Approval of the scholar's home institution to participate in the LEAD program.
Offers to participate in the LEAD program are contingent upon availability of funding.
First Name:
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Last Name:
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Degrees Obtained:
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Personal Street Address:
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City:
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State:
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Zip Code:
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Mobile phone:
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Preferred email:
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Current position title:
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Department:
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University/Institution:
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Office Street Address:
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Office City:
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Office State:
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Office Zip Code:
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Office phone:
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Office email:
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Please indicate your preferred mailing address:
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Home
Office
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Home
Office
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Home
Office
Gender:
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Race:
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American Indian/Alaska Native
Native Hawaiian
Pacific Islander
Black or African American
More than One Race
Other
More than One Race:
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Other:
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Ethnicity:
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Hispanic or Latino
Not Hispanic or Latino
Disadvantaged Background:Do you consider yourself to come from a disadvantaged background, which is defined as "individuals who come from a family with an annual income below established low-income thresholds and/or who come from a social, cultural, or educational environment such as that found in certain rural or inner-city environments that have demonstrably and recently directly inhibited the individual from obtaining the knowledge, skills, and abilities necessary to develop and participate in a research career"?
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No
Yes
Decline to Answer
Disability Status: Do you consider yourself to have one or more disabilities that match the NIH definition as “having a physical or mental impairment that substantially limits one or more major life activities”?
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No
Yes
Decline to Answer
Please list past research mentoring programs in which you have participated:
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If none, state N/A
Please list any research mentoring programs in which you are currently participating:
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If none, state N/A
How did you hear about the program?
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The following materials are required with your application:1. Curriculum vitae 2. Statement of research program 3. Quantitative and qualitative research methods experience 4. Department chair support letter and three recommendation letters
1. Curriculum Vitae (Word document or PDF format)
Graduate or professional schools attended, including institution name, location, years attended, major discipline(s) studied and degree received Postgraduate training, including institution name, location, years attended, major discipline(s) studied and degree received Honors and awards, including scholarships Publications Conference presentations List of funded research awards, which include title, PI name, start date, end date, funding agency, direct cost of award, and role on the grant (see examples below) R21 DA12345 (PI: Jane Smith, Ph.D.) 9/01/09-8/31/14 NIH/NIDA STI/ HIV and Substance Use Prevention in Latino communities $250,000 direct/yrs 1-2 Role: Co-Investigator
Innovative Grant Award (PI: John Doe, Ph.D.) 6/1/09 – 5/31/10 UCSF Intramural Award Understanding adolescent risk behavior in the context of neighborhood $25,000 direct/yr 1 Role: Principal Investigator
M.A.C. Fund (PI: Jane Doe, Ph.D.) 8/1/08 – 7/31/09 Research Grant Emotional regulation and the impact on risk behaviors $75,000 direct/yr Role: Principal Investigator
Previous employment, including job title, years worked in the position and type of work performed Curriculum Vitae Upload:
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2. Statement of Research Program
Program of research that you hope to be doing for the next 5 years, which should include the following: (2 pages) Overall goal of your program of research (1 paragraph) Significance of the research (1-2 paragraphs), including its theoretical foundations Your previous work relevant to this area (2-4 paragraphs) How do you envision participating in the Learning for Early Careers in Addiction and Diversity (LEAD) Program? (1 page) How does this program fit into your research program and attainment of long-term goals? Please describe a significant, innovative, and rigorous independent pilot research study that you would conduct with the UCSF subcontract of up to $22,000.00. Pilot studies may focus on diverse topics relevant to substance use and substance use disorders treatment research. Be sure to include:
Study title Research questions Theoretical foundation for you research questions Specific aims References (no limit) 1 page, not including references Statement of Research Upload:
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3. Quantitative and Qualitative Research Methods Experience
Please describe your previous training with quantitative research methods, software and analysis. Please also describe any additional skills that you would like to develop in this area. (1 page limit) Please describe your previous training with qualitative research methods, software and analysis. Please also describe any additional skills that you would like to develop in this area. (1 page limit) Research Methods Experience Upload:
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4. Support Letter and Recommendation Letters
Support letter from departmental chair: Letter from the department chair where the applicant holds a primary academic appointment (or the CEO or equivalent of a non-university affiliated research institution or research organization if the applicant is a research scientist) stating that if the applicant is accepted into this program: (a) he/she will be released for four weeks each summer for three consecutive summers to attend the summer program at UCSF and (b) he/she will have 25% release time during the academic years in between the summer program sessions (i.e., September through May) to complete their UCSF pilot study and draft a grant proposal. The letter should state the applicant's current academic appointment or job title and describe the extent to which the academic appointment or job title focuses on conducting scientific research. Please have the departmental chair send the letter of support to the Program Research Assistant at the address listed below. Three recommendation letters on your behalf: Please have the recommenders send letters of recommendation to Eoin Galvin (Eoin.Galvin@ucsf.edu ) and the ast2dir@ucsf.edu email address. Letters of recommendation should address the applicant's potential to obtain independent NIH funding in the field of drug abuse and addictions research. You may attach copies of the Letters of Recommendation below, but it is not required.
Letter of Recommendation 1
Letter of Recommendation 2
Letter of Recommendation 3
Letter of Recommendation 4
For any questions, concerns, or issues submitting this form, please contact:
SARP Research Assistant
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