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Application Form ISBT Academy Financial Support

Application Form ISBT Academy Financial Support

Applicant and Organisation

Full name ^* (required)

Email ^* (required)

Name of the Applicant Organisation ^* (required)

Address of the Organisation ^* (required)

Is your organisation an established teaching institute?

Yes

No

Event Details

Title of the event or educational activity ^* (required)

Is it a virtual, face-to-face or hybrid meeting? Please select one.

Virtual

Face-to-face

Hybrid

When will the event be held? ^* (required)

Location (city and country) of the event ^* (required)

What is the expected number of delegates? ^* (required)

Who are the expected delegates? ^* (required)

For which part(s) of the programme is ISBT support requested? ^* (required)

What are the educational objectives of the programme? ^* (required)

Please upload the biographies of the confirmed speakers ^* (required)

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How will the programme be evaluated by participants? ^* (required)

Has the ISBT academy previously supported this activity? (If yes, an evaluation of the previous activity should be attached) ^* (required)

Yes

No

What kind of support is requested? ^* (required)

Requested amount of support ^* (required)

up to €7500

above €7500

Please state the exact amount in euros. Please note that you need to attach a detailed budget ^* (required)

Indicate which other resources have been explored ^* (required)

Provide details of other funding sources

ISBT has an event calendar where external events are listed. If you wish your event to appear on this calendar, please provide us with a banner and an active URL to your event website. Please note that a URL is mandatory.

Would you like ISBT to add your event to the event calendar? ^* (required)

Yes (only click yes if you have an URL and a banner)

No (your event will not appear on the calendar)

If you clicked yes, please add a link to your event website (URL).

Please upload a banner of your event (350x200)

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Documents to be uploaded

Motivational letter ^* (required)

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Information about your organisation ^* (required)

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Program ^* (required)

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Budget ^* (required)

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Template of the evaluation form for feedback from delegates ^* (required)

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Evaluation of previous activity

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Date ^* (required)

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Email address *

I agree to the terms & conditions

ISBT Central Office

[email protected]

Marnixstraat 317, 1016 TB

Amsterdam, the Netherlands

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