ISSM - ESSM Scholarships

ONLINE APPLICATION

Before you start your application, please note:

The registration fee for the complete program is EUR 2700. ISSM is offering a scholarship covering the full amount of the registration fee. The registration fee is inclusive of tuition fees, meals and accommodation. ISSM scholars will need to pay for their own travel and any additional expenses.
Applications from those working in lower-income countries and/or who are experiencing financial hardship will be given priority.
Applications will only be accepted from ISSM members in good standing. If you are not a member, you can apply here.
Early application is advisable. All applications should be received no later than June 15, 2020; successful applicants will be notified of award of bursaries in the last week of July 2020.
All applicants, whether seeking a bursary or not, MUST apply using this form and attach their curriculum vitae and a letter from their organization signed by the chairman of the department where they are employed stating their professional degree.

Personal contact details

* Required field

Gender

Male

Female

Title

First name*

Last name*

Degree

Organization*

Department

Function*

Address for correspondence *

Institute

Home

Address*

City*

Country*

Zipcode*

State/Province

Telephone*

Fax

E-mail*

Professional Experience

Current Professional Status*

Professional Qualifications*

Post Graduate Studies (qualifications and dates)*

Research Interests (thesis, grants, publications)*

Relevant experience in Sexual Medicine (max 200 words) *
Words

Please indicate if you want to attend the ESSM School on Sexual Medicine or the Advanced Course *

I am applying for a scholarship to attend the ESSM School on Sexual Medicine

I am applying for a scholarship to attend The Advanced Course

Applicants Personal Statement

Provide a personal statement describing how participation will be of benefit to you and to your academic career in particular (maximum 200 words) *
Words

Membership Status

Are you an ISSM member?*

Yes

(Applications will only be accepted from ISSM members in good standing. If you are not a member, you can apply here)

Do you belong to a regional Sexual Medicine Society?*

Yes

Please specify: APSSM, ESSM, MESSM, SASSM, SLAMS, SMSNA*

Are you active in an ISSM Committee?*

Yes

If yes, please specify in which committee you are active:*

Extra information/criteria

If paying the cost of the full course fees would cause you financial hardship, please describe why the grant is of importance to you (maximum 100 words) *
Words

Upload your Curriculum Vitae in pdf here (max 15MB | Allowed filetypes: .doc, .docx, .pdf)*

Upload the letter from your organization signed by the chairman of the department where you are employed stating your professional degree here (max 15MB | Allowed filetypes: .doc, .docx, .pdf)*

APPLY FOR AN ISSM SCHOLARSHIP to
THE ESSM SCHOOL OF SEXUAL MEDICINE or
THE ADVANCED COURSE 2020

Budapest, Hungary, November 6 – 15, 2020

ONLINE APPLICATION