Medical Research Scholars Program(MRSP) Application

OMB Number: 0925-0698
Expiration date: 07/31/2020
Public Reporting Burden Statement
All required fields are notated with an asterisk*.
Instructions: If you already have a saved application click on the Login botton
Before you begin, you may want to review a statement about privacy. After you fill out the application form below, press the [Save] button at the bottom of this page to resume your application later. You MUST Press the [Submit] button to complete the application process. Review of applications will begin after the deadline.
First Year students are not eligible for this program
Please press save before continuing to the next page.
Eligibility Requirements for the NIH Medical Research Scholars Program
Notice to all applicants: Students are advised to ensure that all application information is accurate. False or inaccurate information contained in this application may be grounds for denying your candidacy or removing you from the program. Please contact if you need assistance or have questions.

Contact Details

First Name*:
Middle Initial:
Last Name*:
Email Address*:
Current Address*:
Zip Code*:
Preferred Phone Number*:


Citizenship Status*:
Previous research experience at NIH: