Application Form Use of the ISBT logo

Full name ^* (required)

Email ^* (required)

Name of the Applicant Organisation ^* (required)

Address of the Organisation ^* (required)

Is your organisation an established teaching institute?

Yes

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

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

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

Is it a virtual, face-to-face or hybrid meeting? ^* (required)

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

Who are the expected delegates? ^* (required)

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

Please upload the biographies of the confirmed speakers

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

Motivational letter ^* (required)

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Information about your organisation ^* (required)

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Program ^* (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)