ISPAD-Allan Drash Clinical Fellowship 2024

ISPAD-Allan Drash Clinical Fellowship 2024

($7,500 USD)
Application Form
Name*

TitleFirst NameLast Name
Gender*

FMOther
Date of Birth*

MonthDayYear
E-mail*
Current Place of Employment*
Institution
Position*
Location*

Postal Address

City (and state if applicable)

CityPostal / Zip Code

Postal / Zip CodeCountry
Graduation - Medicine / Other*
Year of Graduation *
Specialization*

Pediatric EndocrinologistPediatric DiabetologistEndocrinologistPediatricianOther
Language of preference*
Top three choices of ISPAD Allan Drash Host Centers in order of preference
1st*
2nd*
3rd*
Are you currently an active, paid member of ISPAD?*

YesNo
Are you planning to attend the ISPAD's 50th Annual Conference on October 16 - 19, 2024 in Lisbon, Portugal?*

YesNo
Are you planning to submit an abstract?*

YesNo
Documents required to apply for the Allan Drash Fellowship:

Please note that you cannot submit your application without attaching the following files. Should you have questions about the application process, please do not hesitate to contact secretariat@ispad.org.
Upload your CV here*

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Upload a letter containing the reasons for choosing those 3 host centers, the aims/learning objectives of the visit and the outline of the planned activities, the expected outcomes and benefit(s), particularly to your own center and proposed dates of the visiting fellowship here (maximum 1 page)*

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Upload the letter of recommendation from your own center here*

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Please acknowledge by ticking this box that any additional funds necessary for the visiting fellowship are available.
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ISPAD-Allan Drash Clinical Fellowship 2024

Application Form

Documents required to apply for the Allan Drash Fellowship: