Dear applicant, thank you for your interest in the April round of the ESID Fellowships. Please complete this Application Form in full and answer to all questions before submitting it.

The Form has three sections requesting the following information:
1) Applicant's Details
2) Statement of Career Goals and Description of Objectives & Plan
3) Supporting Documents - CV, Letter of Invitation from the accepting institution, Letter of support from the applicant’s head of department or supervisor

In case you have any questions at any point of the application process, you can reach out to us at esidadministration@esid.org.
Applicant's Deatils

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* 1. First name

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* 2. Last name

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* 4. Phone

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* 5. Age

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* 6. Country of residence

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* 7. Current position

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* 8. Name of your institution

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* 9. Name of your supervisor (or who signs your recommendation letter)

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* 10. Have you received ESID Fellowship before? (If yes, please state the type and year)

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* 11. Please choose the type of fellowship you are applying for.

Statement of Career Goals

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* 12. Please specify:

To better understand your background and objectives, please provide a typewritten statement (maximum 200 words per section) outlining your career goals, your plan to achieve them, and how the ESID Fellowship will support your career development.

Use the questions below as a guide, and aim for clarity and specificity in your response, avoiding general statements.

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* 13. What is your current professional role in the field of Primary Immunodeficiencies (PID)?

a. Describe your current position, institution, and primary responsibilities.
b. How does your work relate to the diagnosis, research, or treatment of PID?

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* 14. What specific challenges or gaps do you encounter in your professional setting regarding PID?

a. Are there particular limitations in resources, expertise, or collaboration that you face?
b. How do you currently address these challenges?

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* 15. How will this Fellowship contribute to your professional development?

a. What is your professional objective for the next 5 years? What position do you aspire to (e.g., practicing physician, clinical scientist, diagnostic laboratory specialist, laboratory researcher, etc)? In which country do you plan to work in 5 years?
b. Describe specific skills, knowledge, or experiences you expect to gain.
c. How do you plan to apply what you learn in your future career?

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* 16. How will your participation in this Fellowship contribute to the expansion of knowledge or capacity-building in your region?

a. How do you plan to share your expertise with colleagues, institutions, or local organizations?
b. What impact do you anticipate on research, education, or healthcare in your community?

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* 17. Do you have a defined collaboration plan to establish a long-term professional network during and after the Fellowship? Is this fellowship part of a long-term collaboration/professional network between your current institution and the hosting institution?

How do you plan to maintain and strengthen these connections after the Fellowship?

Fellowship Objectives and Plan
In this section, please provide a description of the activities planned during the fellowship (up to 400 words) - project plan, clinical observership, etc. Include a timeline defining the months/weeks planned for each objective.

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* 18. Description of objectives and plan

Here, please specify if you have been involved in any activity of ESID (e.g., Summer School, other ESID Schools, ESID Juniors JC/CC, Educational Video, ESID Junior Country Representative, any abstract submitted to ESID meeting)? Please, provide an answer and details below.

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* 19. Previous ESID Comitment

Supporting Documents
Please upload the following documents:

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* 20. Curriculum Vitae in English with special highlight on list of publications/meeting communications of PID

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.
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* 21. Letter of invitation from the accepting institution (mentioning any other funding you are receiving)

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.
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* 22. Letter of support from the applicant’s head of department or supervisor – Each supervisor can recommend only 1 applicant and write 1 single letter of support.

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.
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* 23. Feel free to upload any additional Gantt charts or other figures and documents which would support your application.

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.
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* 24. Are you an active ESID Junior Member (preference will be given to ESID Junior Members)

If your membership has expired, you can renew or become a member here: https://esid.org/membership/join-esid/

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* 25. If you are not an active ESID Junior member, please justify your status or describe your specific situation. (Skip if not applicable)

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* 26. If you are not an ESID Junior member (but have another type of ESID membership) and you are between 35 and 40 years old and don't hold a permanent position - please download the Juniors Member Declaration Form HERE, complete it and upload it here. (Skip if not applicable)

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.
Choose File

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