Employment and Affiliation

For Extramural employed outside NIH LRP Applicants

The Employment and Affiliation form contains information about your employer (required) and your academic affiliation (optional).

You must list the organization you will be conducting research for during the LRP contract period, starting next July 1. If there is a change in your employment after you submit your application, you can submit a change of institution (COI) during the application cycle up until January 31.

NOTE: your employer/organization must be a domestic, nonprofit organization to meet NIH LRP eligibility requirements. If you are employed by or receive support from a for-profit organization, you are not eligible for NIH LRP awards.

IMPORTANT: Consult the following for LRP policy guidance, including assistance on each field on the LRP application forms:
Instruction Guide for Extramural LRP Applicants:

Instruction Guide for Intramural LRP Applicants:
Also see the LRP website:

There are two sections on this form: your Employment Organization, and your Academic Affiliation, the former of which is required, and the latter of which is not optional.

To complete the Employment and Affiliation form:

1. Click the Edit button to enable editing the form.

2. Select an Organization Type, whereupon a set of fields appears where you can further identify the organization.

NOTE: After you choose a state, the University or Hospital/Clinic/Other Organization dropdown filters to employers in that state only, of the type you chose. Before you select a state, the University or Hospital/Clinic/Other Organization dropdowns are empty.

3. Make selections for each field taking special care to complete required fields, which are marked with red asterisks (*).

4. Click the Save button when finished. The form will be validated and alert you about any potential errors.