The personal data requested below is entirely voluntary. If you decline to provide some or all of this information, it will in no way affect the consideration of your application. Any information provided is completely confidential.

Date of Birth:

Sex: Male     Female

Race and/or ethnic origin (check one)
(NOTE: The category that most closely reflects the individual's recognition in the community should be used for purposes of reporting mixed racial and/or ethnic origins.)

American Indian or Alaskan Native
Asian or Pacific Islander
Black (not Hispanic Origin)
Hispanic
White (not of Hispanic Origin)

Do you routinely use and/or are you competent with the following computer systems:

Microsoft

MS Outlook:	Yes   No
MS Power Point:	Yes   No
MS Excel:	Yes   No
MS Publisher:	Yes   No
MS Word:	Yes   No
MS Access:	Yes   No

Statistical Software

SAS:

Yes   No

Nutrition Software

ProNutra:	Yes    No
NDS:	Yes   No

Other:

National Institute of Health Grade Grid ( Completion of this section is MANDATORY )

Step 1: Use the NIH Grade Grid to list grade points earned for all professional courses that meet DPD requirements and for physical sciences courses taken. Please list undergraduate and graduate courses separately.

Professional courses refer to DPD courses in foods, nutrition, community nutrition, nutrition education, nutrition counseling, nutrition and disease, food service systems and management, etc.

Physical science courses refer to chemistry, biology, zoology, microbiology, physical chemistry, etc. courses.

Step 2. Use the NIH Grade Grid to list number of credits for courses taken in the categories just described. Again, undergraduate and graduate level courses are listed separately.

Step 3. To calculate the GPA: divide the grade points earned by the number of credits for undergraduate, graduate (if applicable), and then total.

Step 4. Select "Process", then "print processed file."

COURSES	TOTAL POINT SCORE	NUMBER OF CREDITS	GPA
Professional Courses Undergraduate Graduate Total
Physical/Biological Sciences Undergraduate Graduate Total
Total Undergraduate GPA
Total Graduate GPA

THERE IS NO APPLICATION FEE.

To generate a printable form from this data, press Process.

For technical questions or to report problems with this site, email at webmaster@cc.nih.gov.