Your Name (required)
Your Job Title (required)
Your Email (required)
Work Address (required)
Your contact telephone number (required)
Brief description of your role and your work with thoracic malignancies: (required)
Benefits of attending BTOG 2019 to you and patients:
Please indicate below:
RadiographerTrainee doctor (up to and including specialist registrar grade)ConsultantLung Cancer/Mesothelioma Clinical Nurse Specialist
Allied health professional
You can apply for funding for your registration fee, travel and/or accommodation for 1 night at the venue hotel – maximum total scholarship is £375
Please note you cannot apply for the conference dinner fee.
£230 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 or£350 full rate registration fee for full conference applies to consultants.
£130 concessionary rate registration fee for 1 day only or£200 full rate registration fee for 1 day only registration.
Accommodation at venue hotel Clayton Hotel Burlington Road is charged at €140 (approx. £125) per night single occupancy
Flights must be economy and accommodation must be at the venue hotel.
Total scholarship applied for
Tick all three boxes below:
I confirm I am a Healthcare Professional involved in the care and treatment of patients with thoracic malignancies or involved in research within the UK.
I confirm that I have submitted an abstract to BTOG 2019 and will attend BTOG 2019.
I confirm that
Application date (DD-MM-YYYY):
The BTOG Education Scholarship Fund Committee is made up of 2 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.
The sponsor has no input into the review of applications or decisions relating to payment of scholarship funds.