Eunice Kennedy Shriver National Institute of Child Health and Human Development Louis A. Quatrano, Ph.D. Phone: 301-402-4221 Fax: 301-402-0832 Email: Mr. Ted Williams Phone: 301- 435-6996 Fax: 301- 451-5510 Email: National Institute on Drug Abuse Elena Koustova, Ph.D., M.B.A Phone: 301-496-8768 Email: Ms. Haikalis, M.B.A. Phone: 301-443-6710 Fax: 301-594-6849 Email: National Institute on Deafness and Other Communication Disorders Dr. Roger L. Miller Phone: 301-402-3458 Fax: 301-402-6251 Email: Mr. Christopher P. Myers Phone: 301-435-0713 Fax: 301-402-1758 Email: National Institute of Dental and Craniofacial Research Dr. R. Dwayne Lunsford Phone: 301-594-2421 Fax: 301-480-8319 Email: Ms. Diana “DeDe” Rutberg Phone: 301-594-4798 Fax: 301-480-3562 Email: National Institute of Diabetes and Digestive and Kidney Diseases Ms. Christine Densmore Phone: 301-402-8714 Fax: 301-480-8300 Email: Mr. Gene McGeehan 301-594-0417 Fax: 301-594-9523 Email: National Institute of Environmental Health Sciences Dr. Daniel T. Shaughnessy Phone: 919-541-2506 Fax: 919-541-4606 Email: Ms. Pam Clark Phone: 919-541-7629 Fax: 919-541-2860 Email: National Eye Institute Dr. Jerome Phone: 301-451-2020 Fax: 301-496-2297 Email: Mr. William Darby Phone: 301-451-2020 Fax: 301-496-9997 Email: National Institute of General Medical Sciences Dr. Scott Somers Phone: 301-594-3827 Fax: 301-480-2802 Email: Ms. Patrice Molnar Phone: 301-594-5136 Fax: 301-480-2554 Email:
Credential, e.g., agency login If you are submitting to an agency (e.g., NIH) where you have an established personal profile, enter the agency ID. If not, leave blank. For NIH and other PHS agencies, registration in the eRA Commons for all PD/PIs is required. The assigned Commons UserName (the unique name used to log into the system) for anyone assigned the PD/PI role must be entered here. This is a required field for applications submitted to NIH and other PHS agencies. Applications will not pass agency validation requirements without this field. Project Role Select one. Use if a category is not listed in the pick list. Select Program Director/Principal Investigator for this person. Other Project Role Category Complete if you selected Professional” or “Other” as a project role; e.g., Engineer, Chemist. Degree Type Enter the highest academic or professional degree or other credentials (e.g., RN). This is optional information. Degree Year Enter the year the highest degree or other credential was obtained. This is optional information. Attach Biographical Sketch Provide a biographical sketch for the PD/PI. Recommended information includes: Education and Training, Research and Professional Experience, Collaborators and Affiliations (for conflicts of interest), Publications and Synergistic Activities. Save the information in a single file and attach. This is required information. Biographical sketches should follow the format described . Attach Current & Pending Support Unless otherwise required in a specific FOA, do not use this attachment upload for NIH and PHS agency submissions. This information is no longer required at the time of application submission. This information may be requested later in the cycle. When this occurs, you will be instructed to refer to in Supplemental Instructions Part III, Policies, Assurances, Definitions and Other Information. Profile – Senior/Key Person [n] The remaining senior/key person profiles should be listed in alphabetical order. While alphabetical order is preferred, it is not required. However, be aware that these profiles will appear in the application in the order provided by the applicant. Therefore, peer reviewers will see them in the order presented. Those with a postdoctoral role should be included if they meet the