CSSANZ | Medtronic Education Grant Application

Education Grant Application
CSSANZ Members are encouraged to apply for funding for educational and training
initiatives via the CSSANZ / Medtronic Educational Grants.
Details of grants available here.

First name:*

LAST NAME:*

Your title:*

Mobile Number:*

Email:*

example@example.com

Application for:*

CSSANZ / Medtronic Visiting Colorectal Surgeon ProgramCSSANZ / Medtronic Members’ Education FundCSSANZ / Medtronic Workshop FundCSSANZ / Medtronic Travel FellowshipCSSANZ / Medtronic Funding of a Named CME Speaker

Visiting Colorectal Surgeon: grant supports a 2+ day visit to Australian/NZ cities with 2+ CSSANZ members. Applications require a preferred surgeon (preferably CSSANZ colorectal), reasons for their benefit to local training, and a draft agenda. Assessment prioritizes application quality, educational value, number of involved CSSANZ members/trainees, and recent local educational opportunities. Medtronic covers the visiting surgeon's travel, accommodation, and living expenses. A local CSSANZ member must organize the visit and submit a report.

Members Education Fund: The recipient will recieve a maximum grant: $10,000 AUD. Airline allowance: $5,000 AUD (USA/Europe), $2,500 AUD (Asia). Priority will be given to proposals that demonstrate a focus on the acquisition of knowledge that will be directly transferred to patient care in colorectal surgery.

Workshop Fund: This grant is not for profit-making workshops. If a registration fee is charged, it must only cover workshop costs. Medtronic should be the primary, ideally sole, sponsor.

Travel Fellowship: ANZTBCRS Fellows presenting at ACPGBI, ASCRS, ESCP, or other approved international meetings are eligible for travel fellowships (acknowledging CSSANZ/Medtronic support). Amounts are: $1,000 AUD (non-podium), $3,000 AUD (clinical fellow podium), and $5,000 AUD (research fellow podium). Applicants must be current or recent (within 12 months) ANZTBCRS Fellows.

Named CME Speaker: The chosen speaker will receive funds of up to $20,000 AUD to cover expenses such as airfares, accommodation, airport transfers, meal allowance, registration, official functions, and other reasonable expenses associated with the engagement.

Select ANZTBCRS Fellow Type:*

Current Research or Clinical ANZTBCRS Fellow.Completed final ANZTBCRS clinical placement within the last 12 months.None of the above - you are not eligible for this grant.

Select Grant Category:*

Non-Podium Presentations/Poster (max grant $1000)Clinical Fellow - Podium Presentation (max grant $3000)Research Fellow - Podium Presentation (max grant $5000)

Summary of Activity:*

What is the BENEFIT of this Activity?*

How many CSSANZ Members / ANZTBCRS Fellows will benefit from this activity? (Estimated)

Destination / Meeting details:*

Date from:*

Date

Date to:*

Date

Total Cost:*

Currency:*

Budget Details *Online quotes or actual invoices need to be uploaded:*

Comments:

In addition to this form please upload the following information:

CSSANZ / Medtronic Visiting Colorectal Surgeon Program:
Proposed visiting surgeon, CSSANZ member names in host city; ANZTBCRS fellows in host city; details incl. budget and proposed agenda.

CSSANZ / Medtronic Members’ Education Fund:
Educational benefit to surgeon, educational benefit to Australian and New Zealand colorectal surgery, and cost breakdown.

CSSANZ / Medtronic Workshop Fund:
Detailed description of course topic, schedule and budget for workshop.

CSSANZ / Medtronic Travel Fellowship:
Invitation to present research at an approved International meeting, cost breakdown.

File Upload:*

Please name your file "LAST NAME First Name - Document name" eg SMITH Jo - Meeting name and budget.