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GPP - Graduate Student Award Certificate - 2021

OMB Clearance Number: 0925-0299
Expiration Date: 31-May-2024

In order to receive your graduate award certificate for this period, you must have graduated or defended your dissertation by Thursday, 17 February 2022, and complete the following:

1) Complete and submit this online form

2) Register in the Alumni Database - https://www.training.nih.gov/alumni/register



General Information 

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Graduate University Information 

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Enter the complete name of your graduate university.
example: School of Medicine, College of Natural Science, etc...
Your Graduate University Start Date:*
(best estimate is acceptable)
Your Graduate University Graduation Date (actual or anticipated):*
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Use mixed case - i.e. capitalize each word other than 'a', 'the', 'from', 'of', 'at', prepositions, etc...



NIH Information 

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Your NIH Start Date as a PhD Graduate Student:*
(best estimate is acceptable)
Your NIH End Date as a PhD Graduate Student (actual or anticipated):*



NIH Research Advisor Information 

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University Advisor Information 

Include someone only if they are advising / mentoring you in research.



Certificate Award 

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Do you plan to attend the award ceremony on Thursday, 17 February 2022?*
Collection of this information is authorized by The Public Health Service Act, Section 410 (42 USC 285). Rights of participants are protected by The Privacy Act of 1974. Participation is voluntary, and there are no penalties for not participating or withdrawing from the study at any time. The information collected in this study will be kept private to the extent provided by law. Names and other identifiers will not appear in any report of the study. Information provided will be combined for all participants and reported as summaries.
Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0299). Do not return the completed form to this address.