ࡱ>  ~bjbjVV k\<<evv   $---P},-xuu"vvvyx{x{x{x{x{x{xz4}\{x rv{xx/ / / v8 yx/ yx/ / Fqx*j>-{tTexx0xIu}W}x} xdv2/ l$vvv{x{x<vvvx}vvvvvvvvvv : BAYLOR COLLEGE OF DENTISTRY TEXAS A&M HEALTH SCIENCE CENTER PREDOCTORAL STUDENT RESEARCH PROGRAM FELLOWSHIP APPLICATION (Due March 25, 2011) Proposal No.: __________________________ (For use by the OADRAE) PART I A. Project Title. Do not exceed 56 characters.  B. Student Applicant NameClass (D1, D2, etc.)Soc. Sec. No.Are you a U.S. Citizen or Permanent Resident?Mailing AddressE-MailTelephone C. Faculty Mentor NameE-MailBCD AddressTelephone D. Institutional Assurances: Indicate status (approval no.; pending; or NA, not applicable) for all areas. (See Part V) InitialsNAInitialsNAHuman Subjects (Dr. E. Schneiderman)Radioisotopes (Dr. P. Kramer)Experimental Animals (Dr. P. Kramer)Infectious Agents (Dr. A. Honeyman)Recombinant DNA (Dr. A. Honeyman)Chemical Hazards (Dr. A. Honeyman) E. I accept responsibility for the ethical, scientific, and technical conduct of this research project. I assure the students eligibility (GPA ( 2.75) for a Student Research Fellowship. (Signatures) Student ApplicantDateFaculty MentorDate F. Approved Department ChairDatePART II. STUDENT STATEMENT. To be completed by the student applicant (Do not exceed one page for A and B.) Professional Goals. Briefly describe your professional goals. How will involvement in the Predoctoral Student Research Program and the proposed project help you to achieve your goals? Previous Research Experience. Briefly describe any experience in research you may have had previously. Where was the research performed, under whose direction, and what were the outcomes of that experience (e.g., papers, abstracts, presentations)? Education and Previous Training. Beginning with baccalaureate education, list all previous education and training programs. Include institution, degree, major-concentration, and dates of attendance. PART III. MENTORS STATEMENT. To be completed by the mentor. (Do not exceed one page for parts A and B.) Research Interests. Briefly describe your ongoing research interests and program. Student Fellow. How does the proposed student project fit into your research program? If you anticipate more than one student fellow in your laboratory during the period requested, be certain to indicate the role of each student in the research project(s). Previous Students. List all students whom you have mentored over the past five years. Indicate the time period of their involvement, the title of their research project, the source of their support (e.g., Student Research Fellowship, IADR Fellowship, grant funds), the outcome of their research project (e.g. abstracts and papers), and their current status (e.g., still in dental school, resident in graduate program, private practice). Research Experience. Provide a list of selected relevant publications and a history of research funding for the previous three years. PART IV. RESEARCH PROPOSAL Introduction (Do not exceed two pages.) Specific Aims. State the specific aims of this research project and the hypotheses to be tested. Background and Significance. Summarize the background for the proposed project. Indicate the rationale of the project by relating the specific aims to long-term objectives. Materials and Procedures (Do not exceed two pages.) Study Design. Specify the type of study that is proposed (e.g., experimental or observational; prospective or retrospective; longitudinal or cross-sectional). Describe the type of intervention and/or measurements that will be used. Specify the anticipated effect size and the expected power. Sample Sizes and Composition. Describe the sampling strategy and methods to be used. Provide descriptions of control and experimental groups. Justify sample sizes. Indicate method of recruitment for human subjects, if appropriate, including selection (inclusion) and rejection (exclusion) criteria. Methods of Analysis. Briefly describe the proposed methodology. Describe in detail any new methodologies and theirs advantage over existing methodologies. Use appendix if necessary to fully describe novel or complex procedures. Evaluation and Data Analysis. Describe the methods that will be used to evaluate the data. Indicate the statistics that used to describe the data (i.e., descriptive statistics) and to test the hypotheses (i.e., inferential statistics). Sequence of the Investigation. Provide a temporal outline or flow diagram of all of the major steps to be completed and the students role at each step Collaborators. Provide a list each individual, with a brief description of his/her role on the project Literature Cited PART V. INSTITUTIONAL RESEARCH COMPLIANCE. Approvals from the Institutional Review Board and Institutional Animal Care and Use Committee are not required prior to submission of the research proposal. However, the Chairs of the appropriate compliance committees must be informed prior to submission of proposals involving human and/or animal subjects. In addition, all IRB or IACUC forms must be completed and turned in along with the application or the application will not be considered complete and will not be processed for review. See Kela Lewis (Office of the Associate Dean for Research and Advanced Education, room 408) for further information and for IRB and IACUC approval forms. Institutional Review Board. Consult Dr. Emit Schneiderman, Chairman of the Baylor College of Dentistry Institutional Review Board. Institutional Animal Care and Use Committee. Consult Dr. Larry Bellinger, Chairman, Institutional Animal Care and Use Committee. Radioisotopes. Consult Dr. Phil Kramer, Chair, Radiation Safety Committee. Infectious Agents. Consult Dr. Allen Honeyman, Chairman, Infectious Agents Committee. Recombinant DNA. Consult Dr. Allen Honeyman. Chemical Hazards. Consult Dr. Allen Honeyman, Chairman, Chemical Hazards Committee.     Student Research Fellowship: Application Revised January 2011 PAGE  PAGE 2 =yz~ " ' ( - . < > ? M N | } ~ ƽhl&CJOJPJQJhl&OJPJQJ hl&CJhl&CJPJhl&CJOJPJQJhl&CJOJPJQJhl&5CJ\hl&56CJ\]hT95CJ\h$^5CJ\h!5CJ\hl&5CJ\ hl&CJ hl&2<=by xx$Ifxx^ & Fx$x&dPa$ " ' ( = > $xx$Ifa$ xx$If_kd$$Ifl4&'0'4 laf4> ? M N | B88+ $xx$Ifa$ xx$Ifkd}$$Ifl\ (#&  0'4 lap| } ~ 2(( xx$Ifkd$$Ifl4\H(#&   0'4 laf4p $xx$Ifa$ 3kdY$$Ifl4\l&` `8 0'4 laf4p xx$If 311kd$$Ifl4\l&   8 0'4 laf4p xx$If $xx$Ifa$ xx$If B88+ $xx$Ifa$ xx$Ifkd$$Ifl\l& 8 0'4 lap [ \ 755-x$Ifkd$$Ifl4\l& 8 0'4 laf4p xx$If Z [ \ h i q u v   , . 0 B Q S U V W ! 3 켲쨞whT9CJPJ jhl&CJPJh$^CJPJh$^CJOJPJQJh{OJPJQJh$^OJPJQJhT9OJPJQJhl&OJPJQJhvCJOJPJQJhl&CJOJPJQJhl&CJPJ hl&CJhl&CJPJhl&CJOJPJQJ.\ e h i r u $x$Ifa$u v >1'' xx$If xx$IfgdT9kd $$Ifl4ֈ\ ,HX #& 0'4 laf4 xx$If xx$Ifgd{ kd, $$Ifl4ֈ\ ,HX #&  (0'4 laf4p( xx$If xx$IfgdT9 kd $$Ifl4ֈ\ ,HX #&  (0'4 laf4p( . / 0 S T U xx$If xx$Ifgd{U V kd4 $$Ifl4ֈ\ ,HX #&  (0'4 laf4p(V W ! 3 4 9 : $x$Ifa$ x$Ifx$If^ $h^h`a$3 4 9 : ; J K P Q R S ^ _ p q v w x bc"0x$%6cdһwwwwwq h{CJhl&B*CJ^Jphhl&>*B*CJ^Jphhl&5B*CJ\phhl&B*CJphh{B*CJphhl&5CJ\hl&5>*CJ\hl&5CJOJQJ\hl&CJOJQJ hl&CJhl&CJPJhl&OJPJQJhl&CJOJPJQJ+: ; J K @2( x$Ifx$If^kd$$Ifl\p&H8 0'64 lapK P Q R S )'kd$$Ifl\p&H8 0'64 lap x$If $x$Ifa$S _ p q v w $x$Ifa$ x$Ifx$If^w x @4&$ & Fx`a$ |x^`|kd$$Ifl\p&H8 0'64 lap bc"%cd H/$ & F#x`a$ $ & F#xa$ & F#x`x$ & F"x`a$ 8x^8`$ & Fx`a$  & Fx` (4H[/K:/KOZ j78J "򽷱򝙝h;Djh;DU hQCJ hvCJ h{CJ h$^CJ h$^>*CJ hT9CJ h'(CJhT9hT95>*CJhl&56>*CJ\]hl&5CJ\ hl&CJ hl&>*CJ</0j8!"K$a$ & F%x`x$ & F#dx`a$$ & F#x`a$"SV_`abcijkmntuvwxz{}~ hl&CJh;Dhi &0JmHnHu hl&0Jjhl&0JUhl& h'uCJ hT9CJ hL ICJ hl&CJK`abklmxyz{|}~x&`#$$a$gdL I$a$gd'u 8 0 01h:p$^/ =!"#@$% / 01h/ =!"#$% {$$If!vh5'#v':V l40'5'4f4$$If!vh5 555#v #v#v#v:V l 0'5 555/ / / / / / / / / / 4pE$$If!vh5 5 55#v #v #v#v:V l4 0'5 5 55/ / / / 4f4pa$$If!vh5 5585#v #v#v8#v:V l4 0'++5 5585/ / / / / 4f4pa$$If!vh5 5585#v #v#v8#v:V l4 0'++5 5585/ / / / / 4f4p$$If!vh5 5585#v #v#v8#v:V l 0'5 5585/ / / / / / / / / / 4pj$$If!vh5 5585#v #v#v8#v:V l4 0'5 5585/ / / / / / / 4f4p $$If!vh5 55555#v #v#v#v#v#v:V l40'5 55555/  / 4f4$$If!vh5 55555#v #v#v#v#v#v:V l4 (0'5 55555/ / / / / 4f4p(k$$If!vh5 55555#v #v#v#v#v#v:V l4 (0'5 55555/ / 4f4p($$If!vh5 55555#v #v#v#v#v#v:V l4 (0'5 55555/ / / / 4f4p( $$If!vh55H585#v#vH#v8#v:V l 0'655H5854p $$If!vh55H585#v#vH#v8#v:V l 0'655H5854p $$If!vh55H585#v#vH#v8#v:V l 0'655H5854p^ 666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH D@D  Heading 1$ & F@&5aJL@L  Heading 2$$dh@&a$ 56\]DA`D Default Paragraph FontVi@V  Table Normal :V 44 la (k (No List 4 @4 Footer  !.)@. Page NumberVCV Body Text Indent$8dh^8a$6]4>@"4 Title$a$5aJ<J2< Subtitle  & F5aJTRBT Body Text Indent 20^`0\`SR` Body Text Indent 3$8dh^8a$ 56\]DZ@bD Plain TextCJOJQJ^JaJ4@r4 Header  !PK![Content_Types].xmlj0Eжr(΢Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi};~@(Hu* Dנz/0ǰ $ X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭?PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!Ptheme/theme/theme1.xmlYOo6w toc'vuر-MniP@I}úama[إ4:lЯGRX^6؊>$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3ڗP 1Pm \\9Mؓ2aD];Yt\[x]}Wr|]g- eW )6-rCSj id DЇAΜIqbJ#x꺃 6k#ASh&ʌt(Q%p%m&]caSl=X\P1Mh9MVdDAaVB[݈fJíP|8 քAV^f Hn- "d>znNJ ة>b&2vKyϼD:,AGm\nziÙ.uχYC6OMf3or$5NHT[XF64T,ќM0E)`#5XY`פ;%1U٥m;R>QD DcpU'&LE/pm%]8firS4d 7y\`JnίI R3U~7+׸#m qBiDi*L69mY&iHE=(K&N!V.KeLDĕ{D vEꦚdeNƟe(MN9ߜR6&3(a/DUz<{ˊYȳV)9Z[4^n5!J?Q3eBoCM m<.vpIYfZY_p[=al-Y}Nc͙ŋ4vfavl'SA8|*u{-ߟ0%M07%<ҍPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 +_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!Ptheme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] ~~ \ :\ LWdddddddddg 3 "~$*, > | \ u U V : K S w K~ !"#%&'()+-LSW^`g!!8@0(  B S  ?~ --[6-<6-46-46-$6-6-6-6- R$-Td7-6-p7XXCCnn    \\IItt = *urn:schemas-microsoft-com:office:smarttags PlaceName= *urn:schemas-microsoft-com:office:smarttags PlaceType9 *urn:schemas-microsoft-com:office:smarttagsplace8*urn:schemas-microsoft-com:office:smarttagsCity>*urn:schemas-microsoft-com:office:smarttags PersonNameB *urn:schemas-microsoft-com:office:smarttagscountry-region 6   !"bjmwz{|xclnd l 079[!"z{333333333333&&yN~Nv,9<BQxxbcc d 0K !"SV]`z{%',BQxxbcc d K !"SV]`z{'R5z|VPxGNl5"9> a`+|0a 9> q vZa`8a`d-!9> c"Hv#a`O<+9> X,2\l5Z7kdz8$0b:*B3+<Ίx=6D>9> !?srG9> S;`I*BNdL =oO*BPmTa`s_)U9> Z'YPTzY$q\)Z9> mwL]eKhK`R㼘AB`n!pWb*Bgh`Ի/mkora`uJxږY5y9> 0^`0o(.^`o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.0^`0o(.8x8^8`xo(.0P0^0`Po(.p0p^p`0o()@  ^@ `o(()x^`o(()H^`o(()^`o(()^`o(()hh^h`o(.^`o(.88^8`o(()^`o(()^`o(()pp^p`o(()  ^ `o(.@ @ ^@ `o(.  ^ `o(.h88^8`.h^`.h L ^ `L.h  ^ `.hxx^x`.hHLH^H`L.h^`.h^`.hL^`L.0^`0o(.8x8^8`xo(.0P0^0`Po(.p0p^p`0o()@  ^@ `o(()x^`o(()H^`o(()^`o(()^`o(()^`o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.hh^h`o(.^`o(.88^8`o(()^`o(()^`o(()pp^p`o(()  ^ `o(.@ @ ^@ `o(.  ^ `o(.hh^h`o(.^`o(.88^8`o(()^`o(()^`o(()pp^p`o(()  ^ `o(.@ @ ^@ `o(.  ^ `o(.0^`0o(.8x8^8`xo(.0P0^0`Po(.p0p^p`0o()@  ^@ `o(()x^`o(()H^`o(()^`o(()^`o(()^`.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.^`o(.88^8`o(.^`o(()p^`o(()pp^p`o(()  ^ `o(()@ @ ^@ `o(.  ^ `o(.^`o(.h ^`OJQJo( x ^ `xo(. P ^ `Po(.0^`0o()H^`o(()^`o(()^`o(()P^P`o(() ^ `o(()^`.0^`0o(.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.0^`0o(.h^h`o(.8x8^8`xo(.00^0`o(.p0p^p`0o()@  ^@ `o(()x^`o(()H^`o(()^`o(()^`o(()^`.8^`.^`.p ^p`)@  ^@ `()x^`()H^`()^`()^`()808^8`05o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.hhh^h`.h88^8`.hL^`L.h  ^ `.h  ^ `.hxLx^x`L.hHH^H`.h^`.hL^`L.0^`0o(.8x8^8`xo(.0P0^0`Po(.p0p^p`0o()@  ^@ `o(()x^`o(()H^`o(()^`o(()^`o(()^`o(.^`o(.pLp^p`L. 0 ^ `0o(.^`.L^`L.h^`.^`.PLP^P`L.0^`0o(.x^`xo(. P ^ `Po(.@ 0@ ^@ `0o()x^`o(()H^`o(()^`o(()^`o(()P^P`o(()^`.8^`.^`.p ^p`)@  ^@ `()x^`()H^`()^`()^`()^`.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.^`.8^`.^`.p ^p`)@  ^@ `()x^`()H^`()^`()^`()^`o(.88^8`o(.^`o(()p^`o(()pp^p`o(()  ^ `o(()@ @ ^@ `o(.  ^ `o(.^`o(.0^`0o(.8x8^8`xo(.0P0^0`Po(.p0p^p`0o()@  ^@ `o(()x^`o(()H^`o(()^`o(()^`o(()^`B*^Jo(ph.^`o(.pLp^p`L.@ @ ^@ `o(.^`.L^`L.^`.^`.PLP^P`L.^`.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.0^`0o(.8x8^8`xo(.0P0^0`Po(.p0p^p`0o()@  ^@ `o(()x^`o(()H^`o(()^`o(()^`o(()808^8`0o(.^`o(.$ $ ^$ `o(.@ @ ^@ `.^`o(.L^`L.^`.^`.PLP^P`L.h ^`OJQJo(h ^`OJQJo(oh pp^p`OJQJo(h @ @ ^@ `OJQJo(h ^`OJQJo(oh ^`OJQJo(h ^`OJQJo(h ^`OJQJo(oh PP^P`OJQJo(^`o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.^`.8^`.^`.p ^p`)@  ^@ `()x^`()H^`()^`()^`()h ^`OJQJo(h PP^P`OJQJo(oh   ^ `OJQJo(h   ^ `OJQJo(h ^`OJQJo(oh ^`OJQJo(h ``^``OJQJo(h 00^0`OJQJo(oh ^`OJQJo(h88^8`.h^`.h L ^ `L.h  ^ `.hxx^x`.hHLH^H`L.h^`.h^`.hL^`L.hh^h`o(.^`o(.88^8`o(()^`o(()^`o(()pp^p`o(()  ^ `o(.@ @ ^@ `o(.  ^ `o(.0^`0o(.0^`0o(.x^`xo(. P ^ `Po(.@ 0@ ^@ `0o()x^`o(()H^`o(()^`o(()^`o(()P^P`o(()'mwL]5Z7R5uJx!?Z'YX,3+<c"NdLzY8KhK`v#/m+ZAB`PmTkorb:pWb=oOS;`Idz8d-!O<+\)Zgh5"Y5yrGs_)U0a x=D>q x''                                      `       k6                  [9 טA               :9               rRA+ 4              0ϠY                          l& 'u-M!i &'(T9;DL I$^q^]2b.GtQ!4v{@~P@UnknownG* Times New Roman5Symbol3. * ArialG5  hMS Mincho-3 fg?= * Courier New;WingdingsA BCambria Math"1hJRr )r )!@24d   3QHX?-M!2!xxIIIAuthorized LAN UserBCD'                           ! " # $ % & Oh+'0  4 @ L Xdlt|IIIAuthorized LAN UserNormalBCD2Microsoft Office Word@@(\D@S>@S>r՜.+,0 hp  Baylor College of Dentistry)   III Title  !"#$%&'()*+,-.012345679:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwyz{|}~Root Entry F-j>Data /1Table88~WordDocumentk\SummaryInformation(xDocumentSummaryInformation8CompObjy  F'Microsoft Office Word 97-2003 Document MSWordDocWord.Document.89q