Educational Grant Application

EDUCATIONAL GRANT | UNRESTRICTED EDUCATIONAL SPONSORSHIP

wikonect, as the PCO of the 13th MAC 2024 in Munich, Germany, adheres to the MedTech Europe Code of Ethical Business Practice which sets strict, clear and transparent rules for our industry’s relationship with Healthcare Professionals (HCPs) and Healthcare Organisations (HCOs), including support to independent medical education via grants. For more information about the MedTech Europe Code of Ethics please visit:
https://www.medtecheurope.org/resource-library/medtech-europe-code-of-ethical-business-practice/

Please read before completing the form:

  • Grant applications must be submitted until August 30th, 2024. Any application not complying with this timeline will be rejected.
  • Please note that there is no guarantee that all of the amount requested will be granted. wikonect may reject, approve in full or approve a lower amount at its absolute discretion.

How to complete the form:

  • Fields marked with an * are required. Please complete the following details and confirm your entries by clicking “Continue”.
  • The personal information, which you fill in within this form, will be used for further organizational steps as e.g. travel arrangements, if the application is approved. Therefore, we kindly ask you to be precise with your personal data (as in your passport) and inform us about changes later on.

Application Form – Educational Grant

Educational Grant 2024

Personal data

Gender
Name
Name
First Name / Forename and Middle Name
Last Name / Surname

Address data

Address
Address
Street
Addition to address (e.g. Building; VAT-No.)
Zip/Postal
City
Country

Communication

(e.g. 0049611204809236)
please confirm your email address

Educational Grant Statistics

Educational Grant HCO

Are you applying for this Educational Grant in the name of your institution?
Later on you are going to send us the names of physicians, who you would like to receive an Educational Grant. (HCOs only)

Educational Grant Packages

Which services would you like to apply for?

Previous Grant Support

Has your organization already applied for or received funding from wikonect before?
If “yes”, please indicate the amount, date and purpose of the requested / awarded grant?