USCAP 2023 Bursary Application Form

Please complete the form below to apply for a bursary to attend the 112th Annual USCAP Meeting.

You must upload the following documents:

A short CV focusing on training in histopathology.
Your abstract details, including a copy of your abstract and a statement of your contribution to the project (word limit 200).
Confirmation of your abstract submission.
Confirmation from your head of department/educational supervisor of your trainee status.

Note: All four upload documents (specified above) must be uploaded when completing the online application form. It is not possible to save and return to the application form.

This event takes place in New Orleans, Louisiana, United States on 11-16 March 2023.

*Title

*First Name

*Surname

*Date of Birth

*Address Line 1

Address Line 2

Address Line 3

*Town

County

*Postcode/ZIP

*Country

*Phone

*Email

*IAP Reference Number

*Year of Training

*Present Post

*Department and Institute of Present Post

*Please upload a short CV focusing on training in histopathology

*Please upload your abstract details, including a copy of your abstract and a statement of your contribution to the project (word limit 200)

*Please upload confirmation of your abstract submission

*Please upload confirmation from your head of department/educational supervisor of your trainee status

*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.

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