Scholarship Application

Thank you for your interest in the IEDLI Scholarship for the Leadership Essentials Course! Please review the eligibility requirements for this scholarship.

In addition filling out the application form, please email the following materials to kshah2@bwh.harvard.edu:

• A personal statement describing your current ED leadership role and your future goals with respect to emergency medicine development in your hospital and/or region. Please also include how you think this course will help advance your ED development plans.
• CV (curriculum vitae)
• A recommendation letter from your current supervisor.

Application Deadline:

Name *

First

Last

Email *

Job Title *

Institute/Company *

Work Address *

City *

State/Province *

Country *

Zip/Postal Code *

If you receive the IEDLI Scholarship, do you have a funding source for the reduced registration fee ($650.00 USD), and the travel, housing, and visa costs? *

• Yes
• No

Submit