Educational activity proposal form

Before completing the form, please take a moment to familiarize yourself with EXCEMED's guidelines for submitting a proposal:

• EXCEMED supports and encourages proposals from hospitals, universities, medical societies and associations, patient associations, health centres, pharmaceutical companies and companies providing healthcare goods and services.
• EXCEMED considers proposals for international educational activities including live educational events (international symposia, conferences, preceptorships, etc.) and the development of e-learning activities (online courses, websites, etc.) and publications. 
• The Foundation accepts proposals that fall under its scientific fields of interest: Neurology, Reproductive Medicine, Oncology, Allergology, Endocrinology & Metabolism (including Thyroid and Diabetes), Dermatology, Immunology and Cardiovascular.
• The Foundation may also evaluate proposals that fall outside its current scientific fields of interest.
• All proposals must be submitted in English.
• Those submitting proposals are kindly requested not to combine two separate projects into a single proposal.
• It is important that the rationale or need for the educational activity is clearly defined, the general subject of the educational activity is scientifically valid and the target audience is clearly identified in the Proposal Form.
• Please note that as the Foundation receives many excellent proposals each year and does not have the funding to support them, we require that all proposals must specify the intended source of funding for the activity and the amount committed. Please record in the Proposal Form the name and contact person within any grantor organization with whom you have already agreed funding, together with the associated value.
• Proposals may be submitted at any time during the year but are reviewed and evaluated only twice a year, after the end of March and the end of September.
• Once you have submitted your proposal, EXCEMED will confirm that your proposal form has been received and will be assessed during the next evaluation process.

All fields are mandatory. If you have no information to include in a field, please insert N.A.