Online Application form

APPLICATION FORM FOR THE

SLARD Fellowship Made possible with the educational grant of
AOSSM Fellowship Made possible with the educational grant of
APOSSM Fellowship Made possible with the educational grant of
ESSKA EUROPEAN ARTHROSCOPY Fellowship Made possible with the educational grant of
ESSKA KNEE ARTHROPLASTY Fellowship Made possible with the educational grant of
ESSKA Scholarship Made possible with the educational grant of
ESSKA KNEE REPLACEMENT Visiting Fellowship Made possible with the educational grant of
ESSKA SENIOR Fellowship Made possible with the educational grant of
ESSKA CHELSEA Fellowship Made possible with the educational grant of

For your information, you can apply at the same time for more than one fellowship.

* Mandatory fields

General information

Family name *

First name *

Date of birth *

Accepted formats: dd/mm/yyyy, yyyy-mm-dd

Place of birth *

Citizenship *

Office address *

Zip code *

City *

Country *

Phone number *

Fax number *

Email address *

Website

Home address *

Home zip code *

Home city *

Home country *

Home phone number *

Home fax number *

Home email address *

Curriculum Vitae

Graduate university *

Date *

Accepted formats: dd/mm/yyyy, yyyy-mm-dd

Post graduate education *

speciality, location, date

Academic title *

Special awards *

Present occupation *

Member of ESSKA
yes no

Written spoken english
yes

Clinical research *

Basic research *

Titles lectures *

Titles of 3 lectures that you can present during the fellowship tour (approx. 20 min.):

Quantity of papers in Medline *

Quantity of papers in totality *

Quantity of papers in press *

Quantity of presentations *

Quantity of poster presentations *

interests & expectations

What are your interests and expectations with regards to the chosen educational programmes ? *

validation

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You've got the right to change or cancel your personal data (section 34 of the law on informatic and freedom). If you wish so, please contact : Dolenc.Brigitte@chl.lu

European Society of Sports Traumatology Knee Surgery and Arthroscopy

ESSKA Executive Office Luxembourg

Education

Application : Your application will not be considered in case you do not select at least one educational programme !

Quicklinks

ESSKA Congress 2012

KSSTA journal

Search Website

Keywords *

European Society of Sports Traumatology Knee Surgery and Arthroscopy

ESSKA Executive Office Luxembourg

Education