2024 Fellowship application form

Please tick as appropriate (multiple choices allowed)*

I am currently in the last year of residency for board certification for neurology, psychiatry, psychology, physiotherapy, clinical genetics or other HD related discipline at the above institutionI am board certified in neurology, psychiatry, psychology, physiotherapy or clinical genetics or other HD related discipline and am now working at the above institutionI have been actively involved in HD research/clinical practice, or have future project plans in HD research/clinical practiceI will not receive any other financial support for this Fellowship from any other party. If I do so, I will inform EHDN immediately.I am an EHDN memberI am an MDS member
Section 1: Fellowship purpose and goals
Clearly describe your goals and interests for this clinical fellowship (minimum 350-max. 500 words):*

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Section 2: Clinical Focus Area
In which area of clinical expertise related to Huntington's Disease are you most interested in gaining experience in during the fellowship? (e.g. movement disorders, psychiatric care, genetic counselling, etc.) and how is this important to your future work? (minimum 100 words-max. 300 words) *

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Section 3: Justification for HD training in your region
Could you describe how care for Huntington's Disease is currently managed in your region and highlight the specific needs of the local community? In addition, please explain clearly whether your region is an underserved region in terms of HD care or if there is need for training in a specific HD topic? (minimum 100 words-max. 300 words) *

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Section 4: Action Plan for local HD care after the fellowship
What concrete steps would you take to ensure that your learning from the placement (if offered) will be brought back to your local clinic, HD patients and families? Please draft a plan taking into account your role in the organisation and the current situation for HD care locally. (If your application is successful, this plan should then be revised/adapted during the end of your placement based on knowledge gained) Successful fellows will be asked to report on their plans in the Final report submitted after the placement.(minimum 100 words - max. 400 words)*

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Section 5: Location Preferences
Do you have a preference for which clinic/country in which you would like to complete your fellowship? If so, please state reason and list in order of preference. (You must have a good working knowledge of the local language)*
What approximate dates during 2026 (6 weeks) could you be available to do your placement (if offered)? *
Where did you hear about this fellowship opportunity?*
If other is marked above, please give more information as to where you heard about the fellowship programme
In gathering the data for this application we want to ensure GDPR (General data protection regulation) compliance. Your privacy is very important to us. By participating in this application process you are agreeing to provide certain personal data collected such as your name and contact details. These will be used solely for evaluating your fellowship application and will not be shared. Your information will be securely stored and will be accessible only to specific staff and representatives from the European Huntington’s Disease Network & the Movement Disorders Society working on this project and the evaluation of applications. You have the right to access, rectify, or erase your data by emailing your request to info@ehdn.org. I am aware that, if granted the fellowship, that it is my responsibility to verify that I am entitled to enter the host country. EHDN & MDS cannot assist with VISA applications. I confirm with my signature the accuracy and completeness of the information I have provided above. In order to ensure that my data remains up to date, I will notify the EHDN Fellowship team (fellowship@ehdn.org) of any changes referring to this application immediately. *

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Curriculum Vitae (max. 3 pages, 1 PDF document only entitled Surname, First Name CV)*

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Statement letter from home institution as provided by EHDN on fellowship website page (PDF document only entitled Surname, First Name_statement)*

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Copy of passport/ National Identity Card (pdf document only entitled Surname, First name_passport )*

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Copy of professional degree(s)- pdf document only entitled Surname, First name_degrees*

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Copy of professional registration document (board certification/confirmation of last year of residency from your institution or other) - pdf document only entitled Surname, First name_registration*

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Please verify that you are human*
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2026 EHDN/MDS Fellowship Application Form

Applicant details

Section 1: Fellowship purpose and goals

Section 2: Clinical Focus Area

Section 3: Justification for HD training in your region

Section 4: Action Plan for local HD care after the fellowship

Section 5: Location Preferences