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. *TitleTitle required *First NameFirst Name required *SurnameSurname required *Date of BirthDate of Birth required *Address Line 1Address Line 1 required Address Line 2 Address Line 3 *TownTown required *Postcode/ZIPPostcode/ZIP required *CountryCountry required *PhonePhone requiredInvalid phone *EmailEmail requiredInvalid email *Are you a Member of the BDIAP?YesNoAre you a Member of the BDIAP? required If Yes, please provide your IAP Reference number *Are you a Member of another IAP Division?Yes NoAre you a Member of another IAP Division? required If Yes, please specify which division Year Medical Qualification received Medical School Attended *Are you a Trainee or Consultant?TraineeConsultantAre you a Trainee or Consultant? required *Present PostPresent Post required 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) Invalid date. Expected 'dd/mm/yyyy' or 'dd/mm/yyyy hh:mm' *Have you submitted an abstract for the meeting?YesNoHave you submitted an abstract for the meeting? required Please upload a copy of your abstract *Have you applied for a bursary elsewhere? YesNoHave you applied for a bursary elsewhere? required If Yes, please give details *Name and Email Address of first refereeName and Email Address of first referee required *Name and Email Address of second refereeName and Email Address of second referee required *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.Declaration required Please complete the Google reCAPTCHA