IICMP

Bursary Application Form

2021 – Neurophysiology Online Courses Funding – Extended Deadline. Open to all Neurophysiologists working in publicly funded hospitals

Funding to support ASET EEG, EP, IOM (€250 x 2) & LMT (€330 x 1 ) online courses
Submit your application online only – see below
Distributed on a first come first served basis
Enquiries to Karen Dobbyn at ProfessionalDevelopment@iicmp.ie

Bursary Application Form

Step 1 of 2

Personal Information
First Name*
Last Name*
IICMP Membership No*
Phone
Email*
Enter Email Confirm Email
Address*
Street Address City County / State / Region ZIP / Postal Code Country
Discipline*
Workplace*
Have you received funding through the IICMP in the past? Please give details*

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IICMP

Bursary Application Form

Bursary Application Form

Step 1 of 2

Personal Information

Course/Meeting Details