Home LP2023 Bursary Application Form (BDIAP Schools) Please complete the form below to apply for a bursary to attend Liverpool Pathology 2023. Applicants are required to provide two short references in support of their application. The references must be submitted by email to Louisa Coulthurst in order to complete your bursary application. BDIAP Schools Reference Guidance (PDF). Liverpool Pathology will take place at The University of Liverpool, Liverpool, UK on 27-29 June 2023. *Title *First Name *Surname *Date of Birth *Address Line 1 Address Line 2 Address Line 3 *Town *Postcode/ZIP *Country *Phone *Email *Are you a Member of the BDIAP?YesNo If Yes, please provide your IAP Reference number *Are you a Member of another IAP Division?Yes No If Yes, please specify which division Year Medical Qualification received Medical School Attended *Are you a Trainee or Consultant?TraineeConsultant *Present Post If you are a trainee, which year of training are you in?FirstSecondThirdFourthFifthOther If Other, please specify If you are a consultant, is your post permanent or locum?PermanentLocum Date appointed to consultant post (if applicable) *Have you submitted an abstract for the meeting?YesNo Please upload a copy of your abstract *Have you applied for a bursary elsewhere? YesNo If Yes, please give details *Name and Email Address of first referee *Name and Email Address of second referee *Declaration I understand that my data will be stored by the BDIAP and I may be contacted in the future by the BDIAP on matters relating to this application and/or my membership. This data will be stored in accordance with the BDIAP's data privacy policies. Your data may be shared with the Pathological Society and the congress organiser, Abbey Conference & Events, for the purpose of Liverpool Pathology 2023 only. I may request that my data is deleted at any time using the data deletion request form in the data privacy policies section of the website however I understand that my data is stored as a contractual necessity of my application/membership of the BDIAP so that if I ask for my data to be deleted this will also mean that I am cancelling my membership and/or withdrawing my application.