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Solicitud de beca – HIV Workshop
Barcelona 2018 – Material downloads
---Médico de atención primaria / Generalista - Primary care physician / GeneralistMédico especialista - Specialty physicianAsociado/a médico - Physician assistantEnfermero/a - NurseEnfermería de práctica avanzada - Nurse practitionerFarmacéutico/a - PharmacistProfesional de la industria farmacéutica - Pharma professionalInvestigador/a clínico/a - Clinical ResearcherEstudiante (PhD, HCP) - Student (PhD, HCP)Becado - FellowMédico residente - Resident Medical InternTrabajador social - Social workerPsiquiatra - PsychiatristOtro - Other
Si ha seleccionado “Otro”, por favor especifique / If you selected "Other", please specify
Si ha seleccionado “Médico especialista” o “Médico residente”, por favor especifique su especialidad / If you selected "Speciality Physician" or "Resident Medical Intern", please specify your speciality
Número aproximado de pacientes con VIH tratados por mes, si aplica / Average number of HIV patients treated per month, if applicable
Años de dedicación en el campo del VIH / Years of dedication to the HIV field
¿Tiene alguna restricción alimenticia? ¿Cuál? / Do you have any dietary restrictions?
¿Prefiere comer menú vegetariano/vegano? ¿Cuál? / Do you prefer to eat vegetarian/vegan menu? which one?
No Vegetariano / Vegetarian Vegano / Vegan
Necesito beca de alojamiento / I need lodging grant
Sí / Yes No
Necesito beca de traslado / I need transportation grant/Air tickets
Sí / Yes No
Motivación para solicitar la beca / Motivation for applying
CV ó carta de intención / Please complete this field with your CV or letter of intent.
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