ESAIC Grants 2026_ Short Application Form

ESAIC Grants 2026

Welcome to the short application form for the ESAIC Grants Programme 2026
• ESAIC Andreas Hoeft's Grant (55€k): dedicated to Anaesthesiology

• ESAIC Paolo Pelosi's Grant (55€k): dedicated to Intensive Care
1.Name*

First NameLast Name
2.Country*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
3.Membership Number (e.g 105602)*
3.1 Type of Membership (Active, Trainee, Affiliate)*
4.Email*
example@example.com
5. Grant Type*

ESAIC Andreas Hoeft's Grant (55€k) - dedicated to AnaesthesiologyESAIC Paolo Pelosi's Grant (55€k) - dedicated to Intensive Care
6. Study type:*

ClinicalExperimentalPatient SafetyOther
7. Have you been awarded an ESAIC Grant or Prize in previous years?*

YesNo
7.1 If Yes, Please specify (Type, Year, Title)
8. Title of the Project*

0/200
9. Objective(s): Indicate the purpose and objective of the research; clearly state the hypothesis that will be tested by study or the observations that are sought. The reader must understand how the data will be generated.*

0/330
10. Intervention(s): Delineate the intervention that should be investigated; clearly describe the different groups and the intervention(s) in detail and justify why the stated groups are necessary.*

0/600
11. Key inclusion and exclusion criteria or methods: Describe methods used. Standard methods need only be named, but uncommon or new methods may need a more detailed description.*

0/600
12. Outcome: Present as clearly and detailed as possible the outcome of the study in summarised form. Abstracts need only short discussions. Focus on what can be concluded from the data and explain them in simple words. Avoid any speculations.*

0/600
13. Statistical Analysis: Indicate how the data will be analysed and which statistical tests will be used.*

0/600
14. Provide details of how the budget will be used for your project*

0/600
15. Did your project already receive a grant either from a private, non- profit, industry or institutional source*

YesNo
16. Do you have any conflict of interest to declare with any of Research Committee members reviewing the present application?*

YesNo
Research-Committee Members
16.1 If yes, please list here conflict(s) of interest and name(s) of the Research Committee member(s):
Privacy and data processing

Your personal data will be processed by ESAIC for the sole purpose of Grant process and awards, in accordance with the ESAIC privacy policy.

If you have any questions about your data, please contact privacy@esaic.org
I agree with the condition
Thank you for taking the time to complete this form.

Best regards, ESAIC Grants Team
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ESAIC Grants 2026

Thank you for taking the time to complete this form.