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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 describe the specific need or gap this activity will address in your country/region. ^* (required)

Please describe how the outcomes of this educational activity will be sustained and implemented over the long term. ^* (required)

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 below) ^* (required)

Yes

No

Date of previous activity

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

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

Will a registration fee be charged to the participants of this event? ^* (required)

No

Yes

To be determined

If yes, please state the amount [EUR] charged as registration fee

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

Please 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

Please use the templates provided here.

Motivational letter ^* (required)

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Information about your organisation ^* (required)

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Program ^* (required)

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Speaker biographies ^* (required)

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Budget ^* (required)

Browse

Evaluation form for feedback from delegates ^* (required)

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Evaluation of previous activity

Browse

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ISBT Central Office

[email protected]

Marnixstraat 317, 1016 TB

Amsterdam, the Netherlands

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