ESGE Fellowship Grant Application

ESGE Fellowship Grants
Observational Training with Experts

Please complete the following application form and submit by clicking below on the button "Submit Application".

Personal details

Title(Required)

Name(Required)

First name Surname (family name)

ESGE Member ID(Required)

Date of birth(Required)

(must be below the age of 40 as at 1 Jan 2025)

Gender(Required)

Languages spoken(Required)

Qualification(Required)

Highest level of degree received to date

Contact details

Email(Required)

Enter Email Confirm Email

Telephone(Required)

Address(Required)

Street Address Address Line 2 City ZIP / Postal Code Country

Place of employment(Required)

Type of institution(Required)

Specialties

Choice of specialities (procedures) to be covered during training period(Required)

Choice of host centres

Choice of unit - Please indicate three (3) preferred units

Where possible, your preferences for host units will be taken into account. Generally, only one grantee is accepted per unit, and you may, therefore, be assigned to a unit which was not on your preferred list. This is at the discretion of ESGE and is non-negotiable, however, the utmost care is given to ensure that you are training in the endoscopic procedures of your choice.

First choice(Required)

Second choice(Required)

Third choice(Required)

Possible training period(Required)