PHS416-1 logo

U.S. Department of Health and Human Services
National Institutes of Health and
Agency for Healthcare Research and Quality

Ruth L. Kirschstein National Research Service Award
Individual Fellowship Application
PHS 416-1 (Revised 9/2008)

See the 10/14/2008 NIH Guide Notice for important changes to this version.

All notable changes made to PHS 416-1 are listed at the bottom of this page (Updated 11/26/2008).


Downloadable Instructions and Form Files

Some of the MS Word and PDF files are large and may take a few minutes to download.

PHS 416-1 Instructions    
Instructions MS Word (1.1 MB) PDF (1.0 MB)

PHS 416-1 Fillable Forms

The links below allow for downloading of individual and combined form files in MS Word and PDF formats. Please see the Adobe Acrobat or PDF Forms section of the "Help Downloading Files" page for information on using the fillable PDF forms.

Fillable Individual PHS 416-1 Forms    
Form Page 1:  Face Page MS Word (75 KB) PDF (347 KB)
Form Page 2  Sponsor/Co-Sponsor Contact Information and Description MS Word (56 KB) PDF (240 KB)
Form Page 3:  Goals, Activities Planned, Training Sites, Human Embryonic Stem Cells MS Word (76 KB) PDF (268 KB)
Project/Performance Site Format Page - use only if additional space is needed MS Word (92 KB) PDF (274 KB)
Form Page 4:  Table of Contents MS Word (82 KB) PDF (503 KB)
Applicant/Fellow Biographical Sketch Format Page MS Word (51 KB) not provided
Applicant/Fellow Biographical Sketch SAMPLE MS Word (75 KB) not provided
Form Page 5:  Previous Research Experience MS Word (46 KB) PDF (297 KB)
Continuation Page (Blank page used for Research Training Plan and Sponsor's Information) MS Word (39 KB) PDF (201 KB)
Sponsor/Co-Sponsor Biographical Sketch Format Page MS Word (40 KB) not provided
Sponsor/Co-Sponsor Biographical Sketch SAMPLE MS Word (64 KB) not provided
Checklist Form Page MS Word (58 KB) PDF (252 KB)
Personal Data Form Page MS Word (51 KB) PDF (237 KB)
References MS Word (63 KB) PDF (254 KB)
Targeted/Planned Enrollment Table Format Page MS Word (56 KB) PDF (289 KB)
Inclusion Enrollment Report Format Page MS Word (96 KB) PDF (318 KB)
Mailing Address and Labels MS Word (38 KB) PDF (23 KB)
Combined PHS 416-1 Forms File

Does NOT include the Applicant/Fellow or the Sponsor/Co-Sponsor Biographical Sketch pages or Continuation page. See Individual Form file links above.

Combined PHS 416-1 Form Files
(MS Word)
(443 KB)
Combined PHS 416-1 Form Files
(PDF)
(986 KB)

For Questions Related to:

Note: Other software packages for completing these applications may be available from other sources; however, it is essential that the type size and format specifications are met. Otherwise, application processing may be delayed, or the application may be returned to the applicant without review.

Disclaimer: Reference to these software packages neither constitutes nor should be inferred to be an endorsement or recommendation of any product, service, or enterprise by the National Institutes of Health, any other agency of the United States Government, or any employee of the United States Government. No warranties are stated or implied.


Notable Changes Made to PHS 416-1


Go to NIH Forms and Applications Page