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Winter School 2020 - 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 (French, Russian when appropriate) language
5) Ability to attend the whole course
6) Ability to present a case scenario and/or research project in the school 

 

APPLICATION DEADLINE: 29 OCTOBER 2019

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 Winter School 2020 Online Application Form
School name (Year)
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