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 3/2016)

All notable changes made to PHS 416-1 are listed at the bottom of this page (Updated 3/25/2016).

** PHS 416-1 IS TO BE USED ONLY FOR A CHANGE OF SPONSORING INSTITUTION APPLICATION **
COMPETING NEW, RENEWAL OR RESUBMISSION FELLOWSHIP APPLICATIONS MUST USE THE SF424 (R&R) FELLOWSHIP APPLICATION PACKAGE AND APPLICATION GUIDE FOR ELECTRONIC SUBMISSION VIA GRANTS.GOV. ANY NEW, RENEWAL OR RESUBMISSION APPLICATION SUBMITTED USING THE PHS 416-1 WILL BE RETURNED AND NOT REVIEWED.


Downloadable Instructions and Form Files

Specific Instructions for a Change of Sponsoring Institution Application PDF (40 KB)

PHS 416-1 Fillable Forms

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

Fillable Individual PHS 416-1 Forms    
Form Page 1:  Face Page MS Word (76 KB)   PDF (73 KB)  
Form Page 2  Sponsor/Co-Sponsor Contact Information and Description MS Word (56 KB)   PDF (31 KB)  
Form Page 3:  Goals, Activities Planned, Training Sites, Human Embryonic Stem Cells MS Word (76 KB)   PDF (45 KB)  
Project/Performance Site Format Page - use only if additional space is needed MS Word (92 KB) PDF (288 KB)
Form Page 4:  Table of Contents MS Word (83 KB)   PDF (98 KB)  
Checklist Form Page MS Word (58 KB) PDF (272 KB)
Continuation Page MS Word (35 KB) PDF (214 KB)

Biosketches: see http://grants.nih.gov/grants/forms/biosketch.htm

Biosketch FAQs

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