ISPE LATAM Conference Scholarship

Thank you for your interest in applying for the LATAM conference scholarship for ISPE LATAM Pharmacoepidemiology Congress.

The deadline to apply is August 15th, 2025. The deadline will not be extended, and proposals submitted via other means will not be accepted.

1. First Name *This question is required.

2. Last Name *This question is required.

3. Address *This question is required.

Address Line 1
Address Line 2
City
State
Country

4. Country of Residence (not country of birth) *This question is required.

5. Email *This question is required. This question requires a valid email address.

6. Affiliation *This question is required.

Please provide a letter of recommendation in support of your scholarship application:

*This question is required.

File: {{filename}} delete

Recommendation Details

*This question is required.

Name of person providing letter of recommendation:

Credentials of the person providing letter of recommendation:

*This question is required.

Affiliation of the person providing your letter of recommendation:

*This question is required.

Relationship:

Are they an ISPE member?

*This question is required.

9. Have you received an ISPE scholarship in the past 3 years *This question is required.

If yes - what was the most recent year you received the scholarship? *This question is required.

10. Are you a student or within 3 years of PhD/Masters graduation? *This question is required.

Please upload a student ID, proof of enrolment, graduation certificate or something similar. *This question is required.

File: {{filename}} delete

11. Have you submitted an abstract?

Name of abstract *This question is required.

Abstract ID