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Title Name

Personal Information Level (PhD student, post-doc, instructor, assistant professor) Previous research training if any (brief)

Overarching Career Dev Goal By the end of the K, I want to be a(n): Epidemiologist Behavioral scientist Implementation scientist etc

Background 1-2 bullets on each Why is this an important NIH-relevant problem that needs to be urgently addressed? What is known? What is the gap in knowledge that you are trying to fill? Long-term goal of research Overall application objective Central hypothesis, linked back to the overall objective How formulated: prelim data

Specific Aims Likely 2, maybe 3 at most

Career Development Plan Aim (re-state aim) Career Development Goal Mentor(s) Key activity(ies) 1 e.g., develop qualitative expertise e.g., Dr. Joe Smith Both within and outside UAB 2 etc