An individual that would like to become a research participant for the Centers for Disease Control and Prevention must complete an application form.

General Instructions

1. All documents must be in English or include an official English translation.

2. Complete the application form, and attach the following:

a. Resume or Curriculum Vitae, including academic history, employment history, relevant experiences, and publication list.

b. If insured, proof of insurance. (Insurance may be obtained through ORISE.)

3. Request references from two people (including your thesis or dissertation adviser, if applicable) who are familiar with your professional or educational qualifications.

4. Send degree-granting or most recent transcript(s) to the address below.

5. Most of the Research Participation Programs at the CDC do NOT have application deadlines; applications are accepted on a continuing basis.

	PDF version of Application.
	Word version of Application.