Early Career Scientific Development Grant Application

Please refer to the detailed information in the 'Early Career Scientific Development Grant' page before you apply.

To apply, please complete the form below and click submit. Any queries regarding filling the forms should be sent by email to the ESPE Office.

If successful, the applicant should confirm acceptance within 2 weeks of notification.

Once the grant is accepted, the fellow should activate the grant within 6 months.

The form should be completed by the applicant.

Early Career Scientific Development Application

Section 1: Candidate - Personal details

First Name

Surname

Present title/position

Nationality

Date of Birth

Gender

Current institution address

Hospital address, City, Country

Institution phone number

Institution email

Private home address

Personal phone number

Personal email address

Are you an ESPE member?

Yes

Please provide ESPE membership number

Other societies you are a member of

Please list if multiple and include membership numbers

Upload your CV/Resume

Maximum upload size: 104.86MB

Please submit in PDF format

Letter of acceptance from the Head of the Host Institution

Maximum upload size: 104.86MB

Optional signed support letter(s) from your head of department/supervisor etc. Please upload as PDF

Letter of support from a colleague who is an ESPE member

Maximum upload size: 104.86MB

Please upload as a PDF

Section 2: Proposed host supervisor

First name

Surname

Title/position held

Host's institution adress

Host telephone

Host email

Proposed institution where research will be performed

Proposed starting date

Proposed duration of the project (months)

Section 3: Project information

Title of project

Aims

Work programme

Key references

Benefit to researcher and home institution

Justification of choice for institution to be visited

Section 4: Outline of costs

Breakdown of costs

Please fill out this field. Costs: Please include a description and amount of each projected cost in Euros

Total amount requested

In Euros €

Section 5: Consent and declarations

Consent for storing submitted data

Option 1

I confirm that all the information given on this form is my own and is correct

Option 1

I consent for ESPE to use my name, nationality and project title in promotion of this grant should I be awarded it.

Option 1

I have received consent from my host supervisor for their name and institution to be stored and used in promotion of this grant, should I be awarded it.

Option 1

File upload of scanned image of your signature

Maximum upload size: 104.86MB

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Early Career Scientific Development Grant Application

Early Career Scientific Development Grant - application form

Section 1: Candidate - Personal details

Section 2: Proposed host supervisor

Section 3: Project information

Section 4: Outline of costs

Section 5: Consent and declarations