CAREER DEVELOPMENT APPLICATION 2025

1. Click ‘Get Form’ to open the CAREER DEVELOPMENT APPLICATION in the editor.
2. Begin by filling in the FACILITY NO. and SOCIAL SECURITY NO. fields, ensuring accuracy for proper identification.
3. Enter the DATE OF LAST SUBMISSION in the specified format (mm/yy/yyyy) to maintain a clear record of your application timeline.
4. Complete the APPLICANT section with your last name, first name, middle initial, degree(s), and telephone number for contact purposes.
5. In the PROGRAM TITLE field, provide a concise title not exceeding 72 characters that reflects your research focus.
6. Fill out the PRECEPTOR(S) NAME along with their VA TITLE and ACADEMIC DEGREE to establish mentorship connections.
7. Indicate your proposed starting date (mm/dd/yyyy) and confirm U.S. citizenship status by selecting YES or NO.
8. Detail your PRIMARY and SECONDARY RESEARCH INTERESTS clearly to align with program objectives.
9. Respond to each item under PROGRAM USE (e.g., HUMAN SUBJECTS, INVESTIGATIONAL DRUGS) with YES or NO as applicable.
10. Finally, ensure you sign and date both the APPLICANT and ACOS FOR RESEARCH AND DEVELOPMENT sections before submission.

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