NER Professional Development Award Application

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Please use the form below to complete your application for funding from the NNLM NER for the All of Us Research Program (AoURP) Professional Development Award.

Before beginning your application, please review all funding information,
https://nnlm.gov/ner/funding

Please note: All awards will be issued to institutions on a cost reimbursement basis. This means that institutions will need to expend the awarded funds, provide an invoice and will recieve reimbursement after the event. Reimbursement can take up to 30 days after an invoice is received. More information will be provided after awards are issued.

It is recommended that you complete and save all sections in a separate document and complete the online form in one session. You can save and return to this form later.

You will receive a confirmation email once your application is submitted.

If you do not receive a confirmation or if you have any questions at any point in the process, please contact
Martha Meacham (Martha.Meacham2@umassmed.edu) 508-856-1267

Primary Contact First Name

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Primary Contact Last Name

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Primary Contact Email

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Primary Contact Phone

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Organization Name

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Organization Street Address

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Organization State

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Organization Zipcode

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Additional Contacts

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Amount of Money Requested

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Title of Professional Development Program

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Significance

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Evidence of Need for this Project

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Goals and Objectives

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Evaluation Plan

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Budget Description
Please upload a Word or PDF document that includes the following information:
Please describe how you will spend the award money. Provide cost breakdown and brief justification for the following budget lines:
- Course fees/Conference registration
- Travel (Airfare, mileage, etc.)
- Hotel (rate X number of nights)
- Per diem
- Other (ground transportation, parking, etc)
- Total (not to exceed $3,000)

More information will be provided to awardees about invoicing. For questions about what is and is not allowed in a budget, please contact Martha Meacham (martha.meacham2@umassmed.edu 508-856-1267).

Budget Upload

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Additional Attachments

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Goal Identification

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Increase awareness of NLM Information resources.

Serve as a primary source for reliable and authenticated content.

Train in the use of medical information resources

Strengthen communications and connectivity for health, i.e. infrastructure.

Conduct and support basic and applied research to identify the need for, access to, evaluation of, and use of health information resources and systems.

Reduce and eliminate health disparities among minority and other underserved populations. Support the information needs of health professionals who serve underserved and special populations

Direct Beneficiaries

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General Public

Patients & Families

Health Science Librarians

Hospital Librarians

Public Librarians

Health Professionals (All types/No focus)

Allied Health Professionals

Dentists

Health Services Researchers

Mental Health Professionals

Nurses

Pharmacists

Physicians

Public Health

Veterinarians

Health Intermediaries

Health Professional Students

College Students

K-12 Students

Scientists (Biomed/Genetics/Biotech)

Scientists (Chemistry/Toxicology/Environment)

Disaster & Emergency Professionals/Responders

Educators

Health Administrators

Historians

Journalists

Other

Populations Targeted

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African Americans

Alaska Natives

American Indians

Hispanics/Latinos

HIV/AIDS

Displaced

Inner City

International

Native Hawaiians

Pacific Islanders

Rural

Seniors

Women

Youth/Teens

Other

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