Registration

Registration deadline

June 30, 2019

All participants will be notified about the status of application till 15 of July, 2019.

Course price- 100 eur

First Name *

Last Name *

Gender *

Female
Male

Date of Birth *

Country *

Mobile phone *

E-mail *

Institution *

Department *

Street Address *

City *

Postal Code *

1. How many years of formal surgical training (residenship) have you accomplished? *

2. How many years of laparoscopic surgery training you had so far? *

3. What is your experience in laparoscopic surgery (beginner, intermediate, advanced)? *

4. Have you attended any specialized laparoscopic surgery courses? *

Yes
No

5. Do you routinely assist during laparoscopic operations? *

Yes
No

6. Do you routinely perform laparoscopic procedures? *

Yes
No

7. Have you attended previous surgical skills courses? *

Yes
No

Curriculum Vitae (not longer than 1 page in .pdf format) *

Motivation letter (not longer than 1 page in .pdf format) *

Letter of Recommendation (not longer than 1 page in .pdf format) *

Confirmation of registration

All participants will be notified about the status of application till 15 of July, 2019. The registration will be confirmed by e-mail when we choose the best candidates. Those who do not receive a confirmation notice before the Course are strongly recommended to contact the Course Secretariat.