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Claire M. Fagin Fellowship
2011 Postdoctoral Fellowship Application Checklist
As noted in the FAQ section, the process of completing an application may take much longer than anticipated; therefore, we encourage you to begin as soon as possible.
Use the following checklist as you develop your application. Items listed in the left hand column, are required elements for the Fellowship application. The right column provides a description of each item.
For each application element format guidelines are provided and must be followed. In addition, file name conventions are provided and must be followed as well. Use only the last three digits of your applicant number in these conventions. Please note NO zipped files are allowed.
Additional items are not accepted. Submitting additional items will result in removing your application from consideration.
| Data Sheet | All applicants must provide basic identifying information and include a second, permanent e-mail address as well as a home address. |
| Professional Development
Plan for the fellowship period Format: 5-7 pages double spaced, 12 point Arial, 1 inch margins in APA or AMA style. FILE NAME: [your applicant number] [underscore] ProfDevPlan (e.g., 211_ProfDevPlan.doc) |
Your professional development plan for the Fellowship term 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) workplan and timeline: activities planned to develop the competencies outlined and organized along a two year time line, including attendance at the Leadership Conference and GSA Annual Scientific Meeting (d) an explanation of how you will arrange other responsibilities to allow full time effort to the fellowship program (e) anticipated outcomes, e.g.,"How will you be a more effective researcher and leader in this area?" (f) 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 stay at their current institution must also provide their rationale for continuing at that institution. While some faculty commitments may be maintained, these should be relevant to the applicant’s work, 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. The length is a maximum 5-7 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. Include name, credentials, organization, and email for each person. 3. Consultants’ letters of commitment should be uploaded here. Mentor letters are provided in a separate section. 4. Response to Reviewers. If you have previously applied for a BAGNC Postdoctoral Fellowship and received feedback from the review committee, explain in two pages or less how you have addressed the issues raised by reviewers. NOTE: If Professional Development Plan is beyond the page limit, the entire application will be disqualified. |
| Research Proposal Format: maximum of 15 pages double spaced, not including references, 12 point Arial, 1 inch margins in APA or AMA style. FILE NAME: [your applicant number] [underscore] ResearchProposal (e.g., 211_ResearchProposal.doc) |
Describe the research which the applicant plans to undertake during the two-year fellowship. Include (1) proposed aims, (2) background, (3) methods, and (4) potential significance in improving the healthcare of older adults and their caregivers. A maximum 15 pages, not including references. No addenda other than references allowed. NOTE: If Research Proposal is beyond the page limit, the entire application will be disqualified. |
| Budget for each grant year Format: You must use Excel format provided. FILE NAME: [your applicant number] [underscore] Budget (e.g., 211_budget.xls) |
The Fellowship Award is a total of $120,000 for the two year award term.
Provide a budget for grant year I and grant year II including details on funding utilization. The budget should contain a detailed research and funding timetable beginning July 1, 2011 and ending June 30, 2013. Yearly budgets cannot exceed $60,000 per year. Applicants may also request an additional $5,000 Mayday Award if research focuses on pain in older adults. These funds may be used over the two year term. A separate budget is required; see Mayday tab on Excel budget format. Foreign travel is not an acceptable expense. Acceptable costs: Acceptable costs include tuition for special courses to enhance gerontological background, stipend, research assistance, supplies/equipment, and travel and registration costs for selected specialty focused meetings. Required items: Applicants must allocate funds to support Primary Mentor’s travel and hotel for the Leadership Conference (recommend $1,200 per year). Applicants must also allocate funds for his/her own GSA conference registration and hotel for the full GSA conference. The Coordinating Center covers the applicant’s travel and hotel for participation in the Leadership Conference and therefore does not need to be included in the budget. Applicants must include all anticipated sources of funding (e.g., NRSA). Budgets must be reviewed and approved by an appropriate official at the proposed institution of fellowship training prior to application submission. No indirect costs allowed. |
| Mentor letter of commitment including 4-page NIH format bio-sketch No specific format required for this letter. Letter must be addressed to the Program Director. Letter FILE NAME: [your applicant number][underscore] PrimaryMentor (e.g., 211_PrimaryMentor.doc) FILE NAME: [your applicant number][underscore] Mentor2 (e.g., 211_Mentor2.doc) Biosketch FILE NAME: [Last name] [First name] [underscore] Biosketch (e.g., BeckCornelia_Biosketch.doc) |
A letter from each mentor who will support and advise the applicant in implementing the fellowship program. If more than one mentor enlisted, please identify who will serve as the primary mentor during this fellowship. 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. Include each mentor's NIH-formatted 4-page bio-sketch. The Program reserves the right to call mentor(s) for additional information. Please note that a primary mentor must be identified. |
| Letter of commitment from institution providing fellowship training No specific format required for this letter. Letter must be addressed to the Program Director. FILE NAME: [your applicant number][underscore] InstCommitment (e.g., 211_InstCommitment.doc) |
Submit a letter signed by the Dean, or other appropriate administrator at the proposed institution providing fellowship training, that documents the school’s current capacity in geriatrics, i.e., curriculum, grants, faculty and other initiatives; an outline of institutional resources available to the candidate, e.g., secretarial support, technology, etc. The letter should include a statement indicating support for placement of the applicant at the institution and the Dean’s recognition that the fellowship is a full time equivalent commitment. |
| 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 Program Director. FILE NAME: [your applicant number][underscore] EmployCommitment (e.g., 211_EmployCommit.doc) |
If the applicant is employed at and plans to remain at the institution at which the fellowship will occur, a letter from the Dean must specify how the applicant will be freed from current responsibilities to allow full time commitment to the fellowship, and attesting to institutional support for the applicant’s current and future role in the institution. If applicant is employed at another institution than which the fellowship will occur, they must provide a letter from that institution indicating the applicant will be have sufficient release to allow for full time commitment to the fellowship activities. |
| Letter of support from practice/research site director where needed No specific format required for this letter. Letter must be addressed to the Program Director. SiteSupport (e.g., 211_SiteSupport.doc) |
Letter in support for the applicant’s research from the Director of the site(s) in which the applicant’s proposed research will be undertaken, if such site is identified in the professional development plan or research proposal. |
| Applicant's Curriculum Vitae FILE NAME: [your applicant number] [underscore] CV (e.g., 211_CV.doc) |
Current document that includes education, professional experience, research, publications, special achievements, and professional service activities. |
PhD Transcript(s) |
We require a copy(ies) of your PhD (or MS-PhD) program transcript(s). Official Transcript The sealed, official transcript(s) for the PhD (or MS-PhD) program must be mailed to the Coordinating Center (address at the end of this page). When possible have all official copies sent to you, and when you have them all gathered, forward them (sealed) to the Coordinating Center in one package using a mail service that allows you to track your package. If an institution will not release the official transcript to you, be sure they have the correct mailing address and we strongly recommend you follow up to confirm it arrives. NOTE: If you have not been awarded your degree at the time of application, submit a transcript that incorporates all classes to date. Unofficial Transcript: We require an unofficial copy of your PhD (or MS-PhD) program transcript(s) uploaded into the online application. NOTE: The unofficial uploaded version may be a printout from the university website. |
| 3 references (other than mentor(s)) Includes online assessment and uploaded letter addressed to the Program Director. No specific format required for this letter. |
Provide name, credentials, institution and email address for each reference. Once you enter a reference’s information they will receive an email from bagnc@geriatricnursing.org with login information. References are confidential and are composed of two separate elements:
The reference and the applicant will receive a confirmation email when the reference is completed. It is the applicant's responsibility to ensure that the person providing the reference completes the two separate elements of the reference by the due date. |
| Institutional signoff No specific format required for this letter. Letter must be addressed to the Program Director. FILE NAME: [your applicant number][underscore]InstSignoff (e.g., 211_InstSignoff.doc) |
Signed letter from appropriate institutional office approving the application to the BAGNC Program, including the proposed budget. This letter/signoff must be from the office that will handle the financial administration of the award. |
Coordinating Center
1000 Vermont Avenue, NW
Suite 910
Washington, DC 20005
E-mail: BAGNC@aannet.org