2024 Grant Writing Workshop (GWW) Registration Form

Wednesday, June 26, 2024

10:00 a.m. – 12:00 p.m. at the Hilton Riverside, New Orleans.

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* 1. Contact information

First Name *

Last Name

Credentials

Email Address *

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* 2. Please use 2-3 sentences to describe your research area(s) of interest/expertise:

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* 3. At the end of this workshop, what do you hope to have learned?

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* 4. Have you attended this workshop before (i.e., 2022 or 2023 GWW)? (mark one.)

Yes

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* 5. If yes to question #4, have you submitted a grant proposal since your GWW attendance? (mark one.)

Yes (list funding agency/mechanism in box below)

No (list funding agency/mechanism in box below)

N/A

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* 6. Please select the track that aligns with your grant writing needs (mark one):

Novice Track: I have no prior experience writing a specific aims page or a grant proposal.

Early-Career Researcher Track: I have previously written and submitted a grant proposal and I am seeking additional support.

Career Development Plan Track: I am pursuing NIH training (F and T) awards or career development plans and I am seeking targeted feedback on related documents.

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* 7. Please upload a complete copy of your specific aims page. Should your specific aims page significantly change between registration and the GWW in-person event, please send an updated draft to Kathryn LaLonde <kathrynl@nata.org> by 9:00 am CT on Monday June 10th.

The header of your file must include the following details: -your last.first name, -the targeted agency (i.e., NATA, NIH, DoD, NSF…), -the mechanism (New Investigator, General, K-award, R-series, Clinical Trail Award), -example file upload: Smith.Mary_NATA_NewInvestigator.pdf

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 8. Gender (Demographic information is helpful for our committee, but your response is optional for each question)

Man

Woman

Non-binary/gender nonconforming/third gender

Prefer to describe

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* 9. Ethnicity (Demographic information is helpful for our committee, but your response is optional for each question)

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* 10. Do you have a disability? (Demographic information is helpful for our committee, but your response is optional for each question)

Yes

Yes (any accommodations desired for the GWW):