Professional Development Plan
for the scholarship period

Format: 5-7 pages double spaced, 12 point Arial, 1 inch margins using APA or AMA format.

Only the 4 addenda described may be included.

Since only one document can be uploaded here, the plan and any addenda must be made into one pdf document and then uploaded

The professional development plan must include:
    
(a) an introduction that traces your personal and professional interest in geriatric nursing;
(b) research, teaching and leadership competencies to be attained during the program;
(c) identified Mentor(s) and why his or her background is appropriate for the applicant’s program of research;
(d) workplan and timeline: activities planned to develop the competencies, plotted along a two year time line, including the applicant’s program of study and attendance at Leadership Conference and GSA;
(e) an explanation of how you will arrange your other responsibilities to allow full time effort to the program;
(f) anticipated outcomes, e.g., how will you be a more effective researcher and leader in this area, and,
(g) long-term plans: “Where do you see yourself in 5, 10 and 15 years?"

Applicants choosing to remain at the same institution at which doctoral studies were completed must provide their rationale for continuing at that institution.

Faculty members applying for a Fellowship and requesting to complete their postdoctoral fellowship at their current institution must provide a rationale for selecting that institution.

While some faculty commitments may be maintained, these should be relevant to the applicant’s work and sufficiently minimal and not be in conflict with the work the applicant is undertaking. Where such activities are to be undertaken they must be carefully and fully described in the application.       

The length is a minimum of 5 and a maximum of 7 pages, not including the following four addenda:

1.  Citations (if applicable).
2.  Mentor/Consultant Information (required). A list including primary mentor, other mentors, and consultants as applicable which includes name, credentials, organization, and email for each person.

Research Proposal
(maximum of 15 pages double spaced, not including references, 12 point Arial, 1 inch margins in APA or AMA style)

Budget for each grant year

Format: You must use Excel format provided.

FILE NAME: [your applicant number] [underscore] Budget (e.g., 12-xxx_Budget.xls)

The Claire Fagin Fellowship offers each candidate a total of $120,000 for the two year award term.

Provide a budget for grant year I and grant year II. Each grant year may not exceed $60,000.

Acceptable costs include limited tuition for special courses to enhance gerontological or research background, stipends, research assistance, supplies/equipment, and travel and registration costs for selected specialty focused meetings in the US.

Applicants must allocate funds for Primary Mentor travel and hotel for the Leadership Conference and Applicants must allocate funds for his/her GSA conference registration and hotel for the full GSA conference.

Letters of Commitment from mentor(s), including mentors’ 4-page NIH format bio-sketch. Each mentor can only have one bio-sketch in the application system; thus, they should not individualize the bio-sketch

No specific format required for this letter. Letter must be addressed to Dr. Archbold

Letter:
FILE NAME: [your applicant number] [underscore] PrimaryMentor (e.g., 12-xxx_PrimaryMentor.pdf)

Each mentor who will support and advise the applicant in implementing the fellowship program will provide a letter of commitment.  If more than one mentor is enlisted, applicant MUST identify who will serve as primary mentor in the Professional Development Plan. 

Mentor letters should include a detailed proposal for involvement in the applicant's professional development; and strategies to help the applicant form linkages with relevant colleagues and institutions.

Letter of commitment from employing agency (if applicable)

Note: if you have multiple letters, please scan or assemble into one PDF file before uploading.

No specific format required for this letter. Letter must be addressed to the Dr. Archbold.

Letter of support from practice/research site director where needed

No specific format required for this letter. Letter must be addressed to the Dr. Archbold.

Letter in support for the applicants research from the Director of the site(s) in which the applicants proposed research will be undertaken, if such site is identified in the professional development plan or research proposal.

Transcripts

Format: PDF

FILE NAME: [your applicant number] [underscore] [degree] (e.g., 12-xxx _transcript.pdf)

We require transcripts from your PhD Program ONLY. Upload a document which provides under your name and number a list describing all of the transcripts we will be receiving.

Official Transcripts

The sealed, official transcript(s) for the PhD program must be mailed to the Coordinating Center at the address at the end of this page. If you have transcripts from more than one institution, compile all official transcripts and send them in one package using a tracking service to be sure they are delivered to the Coordinating Center. If an institution will not release the official transcript to you, be sure it has the correct mailing address and follow up to ensure it is received.

If you have not been awarded your degree at the time of application, submit a transcript that incorporates all classes to date.