First (Given) Name:
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Last Name (Surname):
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Please provide your current address:
Street Address:
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Country:
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Is your permanent address different than the address provided above?
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Yes
No
Please provide your permanent address:
Email Address:
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Confirm Email Address:
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Telephone Number
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Are you a US citizen or permanent resident?
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Yes
No
Country of citizenship
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Gender
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Male
Female
Non-binary
Prefer not to say (we do not discriminate on the basis of gender identity or expression.)
Race/Ethnicity please select your primary self-identification
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American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino/a
Native Hawaiian or Other Pacific Islander
White or Caucasian
Other Racial or Ethnic self-identification
Prefer not to answer (we do not discriminate on the basis of race/ethnicity.)
Yes
No
If you responded yes to the above question, please select which category or categories you fall into. Remember to please refer to the NIH definitions here: https://grants.nih.gov/grants/guide/notice-files/NOT-OD-20-031.html
In July 2025, will you be a predoctoral (not yet completed terminal degree; current PhD, DVM, MD, MBBS, MMed student) or postdoctoral (completed terminal degree within the last 8 years) candidate? Please note: The INSIGHT program allows U.S. pre- and post-docs and LMIC postdocs only.
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Predoctoral Candidate
Postdoctoral Candidate
Date terminal degree received or expected
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Today M-D-Y (MM/DD/YYYY)
What are your current academic credentials (DDS, DVM, MD, MBBS, PhD, etc.)?
Please provide all.
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What is the discipline/specialty of your most recent/current degree (public health, internal medicine, nursing, epidemiology, etc.)?
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Cardiology Dermatology Environmental Health Genetics Geriatrics Epidemiology Health Economics Hematology Infectious Disease Medicine Metabolism/Endocrinology/Nutrition Neurology Nursing Obstetrics/Gynecology Oncology Ophthalmology Pediatrics Psychiatry Public Health Psychology Rheumatology Social Work Surgery/Emergency Medicine/Trauma Other
Please specify discipline/specialty:
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What is your current professional title?
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What is your current department?
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What is your current institution?
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With which US institution are you affiliated/connected? If you are applying as an LMIC postdoc, please make sure you confirm the correct US institution before submitting. If unsure, reach out to Cathy Mwangi, INSIGHT coordinator, at cmwangi@ihv.umaryland.edu.
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University of Maryland Baltimore
Baylor College of Medicine
University of Alabama at Birmingham
University of Pittsburgh
Other
Please specify
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To which LMIC research site are you applying?
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Belize: Ministry of Health Botswana: Baylor Children's Clinical Center of Excellence Burkina Faso: Groupe Recherche Action en Sante Cameroon: Cameroon Baptist Health Services Dominican Republic/Jamaica: Caribbean Vulnerable Communities Coalition Dominican Republic: Universidad Iberoamericana Eswatini: Baylor College of Medicine Foundation Ghana: University of Ghana India: Atal Bihari Valpayee Institute of Medical Science India: St. John's Medical College Kenya: Kenya Medical Research Institute Lesotho: Baylor College of Medicine Foundation Malawi: Baylor College of Medicine Malawi: Kamuzu University of Health Science Mali: Center for Vaccine Development Nigeria: Institute of Human Virology Peru: Universidad Peruana Cayetano Heredia South Africa: Africa Health Research Institute South Africa: National Institute for Communicable Diseases South Africa: Stellenbosch University Tanzania: Baylor College of Medicine Foundation NIMR Uganda: Baylor College of Medicine Foundation Makerere Zambia: Center for Infectious Disease Research Zambia: University of Zambia Teaching Hospital Kenya: Aga Khan University, Nairobi Pakistan: Aga Khan University, Karachi Uganda: Mbarara University of Science and Technology Tanzania: Kilimanjaro Christian Medical Centre Nepal: Dhulikhel Hospital Kathmandu University Hospital/Kathmandu University School of Medical Sciences
What is your skill level in the primary language of your proposed host country (note: language skills are not a requirement of the INSIGHT program and TOEFL is not required)?
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Native speaker
Advanced
Intermediate
Beginner
None
Please state why you are interested in an international mentored global health research training experience. In addition, please describe how your career goals relate to global health and how this program will contribute to your professional advancement. Add previous experience or achievements in this area or your academic area if any. Please highlight existing relationships and outputs achieved with INSIGHT mentors.
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Describe your proposed research project for your fellowship year. Please use the following format:
i. Research Project Title ii. Specific Aims iii. Research Plan
a. Significance b. Innovation c. Approach/Methods
vii. References (does not count toward word limit)
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Please briefly describe your primary mentors for your fellowship, their role on your mentoring team, and plans for mentoring interactions during your fellowship year. Specific details regarding frequency of the mentoring interactions and expectations between mentors and applicants are encouraged.
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Please upload the biosketches of your US mentor(s).
Is your proposed project within the scope of an existing approved IRB proposal?
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Yes
No
If yes, please provide IRB #.
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If no, please describe your timeline for applying for Institutional Review Board and ethical approvals. This should include both the U.S. and international site/national IRBs.
Priority will be given to projects with existing IRB approval
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Do you anticipate any potential co-funding for your fellowship year (e.g. T32 fellowship, institutional funding, in kind support, or other grants or fellowships to which you are applying)?
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Yes
No
Please describe?
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Please describe what you intend to accomplish within the 12-month time frame, the feasibility and timeline of the study within the time frame, and the next steps to advance your research.
If you are an LMIC postdoc, please describe the short term training (at least one month) in the US that you plan to complete during your fellowship year. This is required.
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Please attach a high-level budget that outlines the major costs needed to complete your research. Do not included your stipend and international travel. Please consider the following when developing your budget: study personnel, supplies (IT hardware and software), lab fees, local travel, and participant support costs. Please note, a more detailed budget will be needed upon acceptance. The average budget should be around $5,000 - $12,000.
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Please attach your NIH biosketch. Please see link here for the tool and information on creating the formatted NIH-style biosketch if necessary.
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Doctoral and professional student applicants must provide a PDF copy of their most recent transcript. Non‐official transcripts are allowed.
Post‐doctoral applicants do not need to include a transcript, but do need to provide proof of degree.
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Letter 1
Fellows must have the support of at least one program‐affiliated faculty mentor from one of the four participating consortium institutions (Baylor College of Medicine, University of Alabama at Birmingham, University of Maryland Baltimore, University of Pittsburgh). Applicants must have communicated with their proposed faculty mentor(s) to obtain their endorsement of the application and submit a letter of support from the faculty member at the consortium institution who has agreed to serve as the applicant's research mentor. If you do not have a mentor yet, please see the program website for a list of mentors to coordinate with. Please attach the letter of recommendation with:Sender's Name, Sender's Institution, Sender's E‐mail, Sender's Telephone.
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Letter 2
Fellows must have the support of at least one mentor from their proposed international site that is willing to serve as their LMIC site mentor. If you do not have a mentor from the proposed international site yet, please see the program website for a list of mentors to coordinate with. Please attach the letter of recommendation with:
Sender's Name, Sender's Institution, Sender's E‐mail, Sender's Telephone.
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If you will be taking time off from a current academic, residency, fellowship program, and/or current position in order to participate in the INSIGHT program, please attach an additional letter that includes the endorsement of your program director or current supervisor. The letter must acknowledge that the applicant, if selected, will be required to work 40 hours per week (at a minimum) on their project for 12 months. The letter must also describe how the applicant's current workload will be reduced to provide this protected time.
Questions? Contact the INSIGHT program coordinator: Cathy Mwangi, at cmwangi@ihv.umaryland.edu
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