Bursary application for the EULAR/ACR exchange programme 2018

Please fill out the form carefully.
All fields marked with * must be filled out

Please note:

For technical reasons, EULAR will only be able to accept uploads in PDF format.
Be sure to prepare all your required documents as PDFs before uploading. Thank you for your understanding.

Personal information

Family name* First name(s)*
Address street 1* Address street 2
Zip code* City*
Gender* Female       Male
Phone number* Fax number
Email* Date of birth*

Working unit information

Academic degree* Date of thesis
Unit name*
Unit address 1* Unit address 2
Unit zip code* Unit city*
Unit country*
Unit phone number* Unit fax number

Additional information and supporting documents

I have received a bursary from EULAR in previous years No    Yes (Please specify below)
course, congress, year, amount in EUR etc.
Important, please also include your Research Interest here!
Personal statement outlining how your participation in the
2018 EULAR/ACR program will benefit your research career
and how you can contribute to the program. *
(other than your financial need for a bursary).
Please state your motivation for wanting to attend this particular event.

Document Attachment

Please select the files to be uploaded by clicking the button below on right side of the upload field(s).
Only PDF documents (.pdf) can be attached.
Please make sure your uploaded document(s) is not protected by a password.

Important information for Mac-users:

Please ensure your files are named properly including the file extension pdf.
Please upload your CV including a list of publications as PDF*
Please upload the following documents (merged into one single file):
- Letter of recommendation from a senior academician within rheumatology
- Letter of support from Chief of Rheumatology (Early Career Applicants Only)
as PDF
Please be aware that this procedure can last for several minutes.
Don't leave this page before the procedure is finished.
You will receive a confirmation on your screen after successful submission.