Please ensure all mandatory sections marked with an asterisk (*) are filled correctly and in the format requested. Please do not submit more than one application.


ESPE Science Symposium 2024 - Host application form

ESPE Science Symposium 2026 - Host application form

Section 1: Applicant and LOC Chair details

Full name
(e.g MD, PhD etc.)
Please be advised that applicants who have been consultants for more than 1 year are not eligible
(International code/ National code/ Number)

Section 2: Local Organising Committee details

Separate with a comma

Section 3: Proposed topic

Please indicate if a patient support group can endorse your application, including the name and email address of the support group.

Section 5: Venue Details

Section 6: Available dates

Please include one session dedicated to the patient perspective, organised together with patient support groups / patient representatives. No more than 300 words

Section 7. Preliminary budget

In no more than 300 words please explain why there is a need for a scientific symposium in the field of your proposal and why ESPE should support it
Free delegates and speaker costs, venue/accommodation, catering (including dinner), registration costs/administration/materials etc., CME accreditation, any other additional costs, any other sources of funding

Section 4: Patient Involvement

Section 8 . Contingency plan and budget for online hosting

Quotes for hosting online meetings can be obtained by contacting espe@mci-group.com
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I confirm that all the information given on this form is my own and is correct