ECFS Short-Term Fellowships

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The European Cystic Fibrosis Society provides financial grants in support of travel/accommodation to a CF Centre or CF laboratory for transfer of a specific technique between 2 centres. Before completing this form, please read the ECFS Short-Term Fellowships Terms of Reference (https://www.ecfs.eu/society-details/short-term-fellowships [1]), and specifically please note the requirement to submit:

Your CV
A document confirming your date of birth (e.g. passport, ID Card)
A letter from your Institution/PI supporting the action
A supporting letter from the hosting institution confirming the visit and training to be given

Please only submit files with a .gif, .jpg, .png, .doc, or docx extension - no other file types will be accepted.

Please complete all the sections below.

1. Applicant's Information

Your Organisation/Institution *

Your First and Last Name *

Date of Birth *

Day

Month

Year

ECFS Membership Number *

Job Title *

Department *

Street Address *

Town/City *

Postal Code *

Country *

Telephone Number *

Please include the country code

Email *

If you have previously received an ECFS Short-Term Fellowship, please provide the ECFS Grant ID

This excludes travel grants previously given for ECFS Conferences, Meetings or Courses where different terms have applied.

2. Activity Information

Centre or Laboratory being visited

Name of Facility/Institution being visited *

Street Address *

City/Town *

Postal Code *

Country *

Name of Supervisor of work at site being visited *

Dates of Visit

From *

Day

Month

Year

To *

Day

Month

Year

Enter the specific techniques(s) you are to learn and its applicability in the CF field *

Provide a statement on the beneficial impact the technique(s) learned will bring to your CF Centre/Laboratory *

3. Funding Information

What is the amount being requested (in Euro). Maximum 750 *

Provide a cost justification for the request *

I confirm that the same funding support requested in the Grant Application will not be be sought from another source *

Confirm

4. Acknowledgment Information

All the information submitted in connection with this activity is compliant with the ECFS Short-Term Fellowships Terms of Reference *

Confirm

The ECFS reserves the right to publish grant information on the ECFS website and to report the information to the ECFS Membership *

Confirm

I understand that if the grant application is successful, a refund of expenses will be made after the activity *

Confirm

A refund of expenses can only be made on completion of the activity. An expense claim form with original receipts is to be sent to the ECFS, together with a report from the activity.

5. Files to upload

The files will be uploaded with the "Submit" action

Applicant's CV *

More information

Files must be less than 20 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.

Confirmation of Date of Birth *

Attach a copy of a document which confirms your date of birth (passport, identity card, etc.)
More information

Files must be less than 30 MB.
Allowed file types: gif jpg jpeg png bmp eps tif pdf docx.

Institutional Supporting Letter *

Letter from your Institution/Principal Investigator supporting the action
More information

Files must be less than 30 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.

Acceptance letter from hosting hospital or laboratory *

The acceptance letter must confirm the visit and type of training to be given
More information

Files must be less than 30 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.