Home Study Days Bursary Application Form 2023 (Trainees) Please complete the form below to apply for a bursary to attend the BDIAP Study Days. You must ask your Clinical Lead / Head of Department / Laboratory Manager / Line Manager (as appropriate) to complete the Verification Document, which can be downloaded here (PDF) or here (Word), and submit it by email to Louisa Coulthurst in order to complete your bursary application. The Study Days will take place in London on Monday 6 and Tuesday 7 March 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 County *Postcode/ZIPPostcode/ZIP required *CountryCountry required *PhonePhone requiredInvalid phone *EmailEmail requiredInvalid email *IAP Reference NumberIAP Reference Number required *QualificationsQualifications required *National Training NumberNational Training Number required *Year of TrainingYear of Training required *Date of Training CompletionDate of Training Completion required *Present PostPresent Post required *Trust/Institute of Present PostTrust/Institute of Present Post required *Study Day you wish to attendMolecular PathologyApproach to Cut-UpBothStudy Day you wish to attend required *How would I benefit from being awarded a BDIAP bursary? How would I benefit from being awarded a BDIAP bursary? required *Name and Email Address of current Clinical Lead/Head of Department who will complete and submit the verification form Name and Email Address of current Clinical Lead/Head of Department who will complete and submit the verification form 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 and will not be released to third parties. 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