YO Observership Application
Please upload all required documents to complete your application for cataract or refractive surgery training. All grant information can be found on the YO Observership website https://www.escrs.org/education/grants-awards/yo-observerships
Name
*
First Name
Last Name
Email
*
example@example.com
Confirm email
*
example@example.com
Are you an ESCRS member?
*
Yes
No
ESCRS Membership number
*
Home centre
*
Nationality
*
Upload your one-page Curriculum Vitae (must include surgical experience, qualifications, teaching activities, any publications you have been involved with).
*
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of
Centre that you wish to visit
*
Please Select
Hanusch Hospital
Instituto Microcirugia Ocular of Barcelona
CHU Morvan - Université de Bretagne Occidentale
Institute of Vision and Optics
University Eye Clinic
University Eye Clinic in Florence
Ophthalmica Sanoptis Eye Institute
Asst Spedali Civili di Brescia / University of Brescia
Ruhr University Eye Hospital
ELZA Institute
Ayrshire Eye Clinic
University Eye Hospital Ljubljana
Hospital Regional Universitario de Malaga
UZA
Bristol Eye Hospital
Bascom Palmer Eye Institute
Acibadem Maslak Hospital
Medical University of Vienna
University Hospital of Coimbra
Sahlgrenska University Hospital
St. Franziskus Hospital Münster
Letter of intent (max 450 words). Should cover: principal interest in cataract and/or refractive surgery, perceived benefit from training outside your own country, and the country and dates where you intend to visit
*
0/450
Upload a letter of support from the present head of department of your institution.
*
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of
Upload evidence that you have contacted your potential host and they are willing to host you (can be a signed letter or email)
*
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of
Declarations & Consent
*
I declare that all information provided is accurate and complete
I consent to the processing of my data for observership application purposes by ESCRS and it's administrative partner
Please verify that you are human
*
Submit Application
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