European Society of Ophthalmology

Apply for an Educational Grant

Your Details

Saluation*
First Name*
Last Name*
Email Address*
Gender*
Date of Birth*
DD slash MM slash YYYY
City*
Country*
Languages spoken fluently (must include language of centre being visited)*
Years since finalised ophthalmological residency
Please enter a number from 0 to 90.
I have not finished my residency
Total amount of years in ophthalmology including residency
Please enter a number from 0 to 90.

Your Hospital/Clinic Details

Hospital / Clinic Name & Address*
Supervisor Name / Contact Details*

Hospital/Clinic you wish to visit (1)

Name*
City*
Country*
Subspeciality you wish to study*

Hospital/Clinic you wish to visit (2)

Name*
City*
Country*
Subspeciality you wish to study*

Past Applications

Have you applied for a grant previously
If so what year?
Please confirm you have not received a grant previously
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Upload Your CV & Photo

Your CV*
Accepted file types: zip, doc, docx, txt, rtf, pdf, Max. file size: 50 MB.
Statement from supervisor/chair of the department supporting your application*
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Your Photo
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Phone
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