Virtual BTOG 2022 Scholarship Fund

Download the Virtual BTOG 2022 Scholarship Fund Terms of Reference here.

Your Name(Required)

First Last

Your Job Title(Required)

Your Email(Required)

Work Address(Required)

Street Address Address Line 2 City County/Region Postcode Country

Your contact telephone number(Required)

Brief description of your role and your work with thoracic malignancies(Required)

Benefits of attending Virtual BTOG 2022 to you and patients(Required)

Your Role(Required)

Radiographer

Trainee doctor (up to and including specialist registrar grade)

Lung Cancer/Mesothelioma Clinical Nurse Specialist

Other Nurse

Allied health professional

Other Nurse (please state)(Required)

Allied health professional (please state)(Required)

Details of Scholarship Fund Application

You can apply for funding for your registration fee to maximum of £100 per application.

£100 concessionary rate registration fee for full conference applies to allied health professionals, nurse specialists, radiographers and trainee doctors up to and including specialist registrar grade.

Applicant Declaration

Tick the box below to confirm this declaration.

I confirm that
I am a Healthcare Professional involved in the care and treatment of patients with thoracic malignancies or involved in research within the UK.
I would like to apply for funding to attend Virtual BTOG 2022 from the Virtual BTOG 2022 Scholarship Fund.
I have not applied to another source or received funding from another source for the funding in this application.
I will register and attend Virtual BTOG 2022 and have submitted an abstract.
If I do not attend for any reason, I will take every step to let BTOG know as soon as possible so that we can allocate scholarship to another registrant.

Your Declaration(Required)
Tick to confirm that you agree to the above declaration.

Application Date(Required)
DD slash MM slash YYYY

BTOG Declaration

The BTOG Education Scholarship Fund Committee is made up of two members of the BTOG steering committee. They will review applications received against the terms of reference and within the timeframe stated in the terms of reference.

Any sponsor/s have no input into the review of applications or decisions relating to payment of scholarship funds.

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