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Summer School application form

Eligibility
The School will consider applications according to the following criteria:
1) Experience in Paediatrics.
2) Special training in Paediatric Endocrinology
3) A proven interest in Paediatric Endocrinology
4) Competency in English language
5) Ability to attend the whole course
6) Ability to present a case scenario and/or research project in the school 

 

08 Feb
APPLICATION DEADLINE

 

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 Summer School 2020 Online Application Form
Section 1: Demographics

Full name

(e.g MD, PhD etc.)

(International code/ National code/ Number)

Please fill even if not accompanied by a sponsor letter

Please fill even if not accompanied by a sponsor letter

Please fill even if not accompanied by a sponsor letter

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

Please upload as a PDF

Section 2: English language abilities
Section 3: Education & Training

University attended (Year of graduation)

Type of degree awarded (Year awarded)

Please list posts in the following format: Job title, Institution, City, Time period (month/year – month/year)

Please list posts in the following format: Job title, Institution, City, Time period (month/year – month/year)

Please list posts in the following format: Job title, Institution, City, Time period (month/year – month/year)

Name (Year attended)

(Please detail which ESPE School(s) you have attended and which years)

Please include topic and any post graduate degrees awarded

Section 4: Publications and Meetings attended

Please only include full peer reviewed papers, not abstracts. Include full author list, title, year and journal. Please include papers where you are first author at the top of the list

Please only include full peer reviewed papers, not abstracts. Include full author list, title, year and journal. Please include papers where you are first author at the top of the list

Please include your presentations as first author at the top of the list

Please include your presentations as first author at the top of the list

Name of meeting attended (Year it took place)

Section 5: Miscellaneous

Please list the societies you are a current member of along with the relevant membership number

Consent, Assurance and Eligibility

By ticking this I hereby confirm that I have the assurance of my Head of Department/Supervisor who has agreed that the responsibility for my attendance, if accepted, lies with them