EUPATI Training Course - Application Form

INSTRUCTIONS: This form should only be used by applicants for the EUPATI Training Course Patient Experts in Medicines Research & Development. Please answer each question in full, providing also details when required. Incomplete applications and/or applications received after the deadline will not be considered. You can preview the application form by downloading it from the EUPATI web page.

The information inserted is saved automatically. You can move from one page to the other by clicking Next or Previous. If you close your navigator before the final submission your information will be lost. The application will be submitted once you click Done. You will not be able to make changes after that. Filling the application itself should take you half an hour (without taking into account the motivation letter to be sent separately by email). Should you have any problems while completing the application please contact us at applications@patientsacademy.eu . For further information about the programme or application please consult the “Guide for Applicants.” Thank you for your interest in EUPATI Training Course.

The training course is available for a total of 100 participants. The course is structured in two cycles involving 50 participants each. The selection of participants will be done in two separate phases.

The current selection procedure will chose the 50 participants who will attend the first cycle starting in September 2014 and finishing in November 2015.

PROFILE OF ELIGIBLE APPLICANTS

Applications are open to all individuals who fit any of the following profiles (the list does not intend to give an order of priorities):

• Employee or volunteer of a patient organisation
• Patient with a chronic and/or lifelong illness/condition who is not affiliated with a patient organisation and who participates or intends to participate in projects/activities/committees/etc. to represent his/her personal experience as patient and/or the perspective of an informal group of patients
• Family member/carer (not affiliated with a patient organisation) of a patient with a chronic and/or lifelong illness/condition who participates or intends to participate in projects/activities/committees/etc. to represent patients.

Applications will be accepted from candidates living in the European Region according to the WHO definition www.who.int/about/regions/euro/en/index.html

Applicants should have some knowledge of medicines research and development; however not at an expert level.