Grant Application Form1Policy & Privacy Rules2Educational Event & Personal DetailsConditionsThe allowance cannot be transferred from the candidate to anybody else. If the delegate is unable to attend the chosen event for any reason, he/she must officially cancel our services as soon as possible to allow somebody else to benefit from the allowance. In case of absence due to illness, force majeure or other unavoidable circumstance, the indirect sponsorship would be deemed lost and the candidate asked to explain his/her absence. Cancellation without notification will lead to ineligibility for any future sponsorship programme. No reimbursements will be made directly to grantees. Application process Selection of recipients will be made according to sponsor criteria. Recipients will be notified by email.EligibilityThe following criteria will be considered during the selection process: Profession Area of expertise Years of experience Country City InstituteIncomplete applications will not be considered.SponsorshipIndirect financial support may include educational event registration, transport, accommodation and transfer. The conditions specific to your sponsorship application will be communicated to you in due course.Confirmation and booking processSelected candidates will receive a personal invitation by email and will have to officially accept the sponsorship within 48 hours. Allowances will be handled by THT Europe Foundation approved and certified travel agents. Any accommodation and travel must be booked only through their services. Reservation made by a different service won't be refunded. Official declarations according to national regulations will be made in due time.Privacy PolicyThe data collected on this web form will be used by THT Europe Foundation, along with any subcontractors and partners it might use, for your participation to the educational event chosen and announcements of future educational grants. Data may be transferred to the provider of the educational support to fulfil its legal commitments.* I have read the conditions of application and I agree to them Educational EventEducational Event - to be covered by the educational grant*The name of the congress, conference, meeting, workshops or trainingWhat is your role in the Educational Event?* Participant Clinical Case Poster Presenter Research Poster Presenter Speaker Faculty Organiser Confirmation of your role in the Educational EventMax. file size: 128 MB.What are your learning priorities of the Educational Event?* Medical Practice Research Which practical topic do you consider the most important in the Event?*Which research topic do you consider the most important in the Event?*Describe the reasons for your participation in the Educational Event*Your Contact DetailsName* First Last Email* Enter Email Confirm Email Phone*Institution*Professional Address* Street Address Address Line 2 City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Your Professional ExperiencePhysician ID Number / National Provider Identifier*Specialization in medicine*Interventional CardiologistCardiothoracic SurgeonVascular SurgeonEchocardiographerCardiologistAnaesthesiologistRadiologistGeneral SurgeonInternal MedicineOtherNonePlease attach your CV*Accepted file types: pdf, doc, docx, txt, odt, wpd, rtf, jpg, png, jpeg, Max. file size: 64 MB.Please attach certificates confirming your expertise Drop files here or Select filesAccepted file types: pdf, doc, docx, txt, odt, wpd, rtf, jpg, jpeg, png, zip, rar, Max. file size: 128 MB, Max. files: 5.Documents should support your knowledge or practice in the field of the educational eventCommentsPlease provide information vital to the grant applicationNameThis field is for validation purposes and should be left unchanged.
