MICHAEL FOUNDATION - the Epilepsy Foundation

Application for VIREPA Support from the MICHAEL FOUNDATION

To apply for VIREPA Support the following papers/documents are required:

Your age
Daily practice and professional career specific to the VIREPA course for which application is being made
Current employment
A personal letter of motivation specific to the VIREPA course and for the application for grant

Applications incl. papers/documents must be received at the latest four weeks before the start of the VIREPA course at the MICHAEL FOUNDATION.

Application for VIREPA Support from the MICHAEL FOUNDATION

I hereby apply for VIREPA Support from the MICHAEL FOUNDATION.

Please enter your name, address, age, e-mail address and your VIREPA Course.
If you are applying for support for multiple courses, please enter them separated by a comma.
(Fields marked with * must be filled out).

Gender:

Academic Title:

Institution/Workplace:

Institution/Workplace [+]:

First Name:

Please enter your first name.

Last Name:

Please enter your last name.

Address:

Please enter your address (street, number).

ZIP Code:

Please enter your zip code.

City:

Please enter your city.

Country:

Please enter your country.

E-mail:

Please enter your e-mail address.

Phone:

Age:

Please enter your age.

VIREPA Course(s):

Please enter your VIREPA Course(s) an.

Notice:

Please click "Next". In the following step you can check your details and correct them if necessary.

After submitting your application, you will receive an e-mail with a password-protected link to upload your papers and documents (PDF preferred). Please submit documents and media that are not available in electronic form or that cannot be accessed via link/download or that cannot be uploaded (e.g. due to their file size) by post to the MICHAEL FOUNDATION (mailing address see footer).

Please note that your application cannot be considered without the required papers/documents!
Legal recourse is excluded.

Stipends for VIREPA Distance Education Courses

Application for VIREPA Support from the MICHAEL FOUNDATION

Application for VIREPA Support from the MICHAEL FOUNDATION