AHA ACADEMIC RECORD MENTORED CLINICAL & POPULATION

RESEARCH AWARD
Complete the appropriate academic record section. Convert this document to Portable
Document Format (pdf) and then upload it to Grants@Heart.
If you are not a Masters degree only or Postdoctoral fellow applicant, please check
Does not apply below.
_____ Does not apply (I have an early career appointment, such as Instructor or
Assistant Professor.)
Academic Record of Masters Degree Applicant
For Clinical Research Program Applicants with Masters Degree Only
(if Postdoctoral Fellow, skip to Academic Record of Postdoctoral Fellow)
Use the format below to list all of your undergraduate and graduate courses with
grades. Explain the grading system and show level required for passing.
Note: If you received your education outside of the United States, provide this
information as completely as possible. Translate the course names into English, if
needed, and explain the grading or evaluation system.

Academic Record of Masters Degree Applicant

Science Courses
Year

Course Title

Grade

All Other Courses

Year

Course Title

Grade

Grading System explanation: include level required for passing.

RVSD 04/15 (317672)

Academic Record of Postdoctoral Fellow

Grade Point Average for Undergraduate Courses:

Grading System explanation (include level required for passing):
Grade Point Average for Graduate Courses:
Grading System explanation (include level required for passing):
State performance on Graduate Record Examination:

Give MCAT scores, if appropriate:

RVSD 04/15 (317672)