Trainer Application

UW-Madison Biotechnology Training Program (BTP) Trainer Application Form

Questions about this form? Contact Cheri Stephens at cheri.stephens@wisc.edu.
  • Please note * fields are required.
  • List any other departments or graduate programs that you have an affiliate or joint faculty appointment.
  • As part of this application, please also include a copy of your NIH-style biosketch (using the new format; instructions, template and sample available at https://grants.nih.gov/grants/forms/biosketch.htm). Please provide a personal statement (Section A) that describes the appropriateness of your research background for the BTP training program, and your commitment to the following: • Training, mentoring, and promoting inclusive and supportive research environments; • Maintaining a record of, and training in rigorous and unbiased experimental design, methodology, analysis, interpretation and reporting of results; • Supporting trainees to transition into careers in the biomedical research workforce that are consistent with the trainees' skills, interests, and values; and • Fulfilling the need of the trainees to obtain their Ph.D. degrees in a timely fashion File must be less than 24MB. Allowed file types: pdf doc docx.
    Accepted file types: pdf, doc, docx.
  • As part of this application, please provide a NIH-style Other Support document (instructions and sample available at https://grants.nih.gov/grants/forms/othersupport.htm) File must be less than 24MB. Allowed file types: pdf doc docx.
    Accepted file types: pdf, doc, docx.
  • As part of this application, please include a list of all non-sponsored funding to include start-up, retention and foundation monies.
    Funding Source (VCRGE, Dept., Foundation, etc.)Type of funding (Professorship, Retention, Start-up, etc.)Initial Award AmountDates for allowable spendingUW Project number (i.e. 135-ABC1234) 
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  • Briefly summarize the goals and focus of your research program. This information will be used for Table 2 of the January 2019 Competitive Renewal.
  • List all graduate-level (over 300) courses you teach. Please list the Course name, Department / Course Number, Dates of Course, Number of Lectures (i.e. MWF, once a week).
    Course NameDepartment / Course NumberDates of CourseNumber of Lectures (i.e. MWF, once a week) 
    Add a new row
  • Please identify no more than three (3) T32 programs (including BTP) where you intend to participate as a faculty mentor.
  • BTP trainers are required to participate in the Training Program. Please indicate which of the following activities you will include in your NIH Biosketch to be submitted with the January 2019 grant submission.
  • If you have any questions, please contact Cheri Stephens at cheri.stephens@wisc.edu.