MDS-ES Visiting Trainee Grant Application Confirmation by Host Institution Host Department Information Head of Department: Fellowship Supervisor: __________________________________________________________ Institution: Address: Tel: Fax: E-mail: Visiting Trainee Acceptance Confirmation The applicant has been accepted for an MDS-ES Visiting Trainee Grant by this department for a 6-month ___ Research training ___ Clinical training Date of commencement: We confirm that we will work directly with the applicant to arrange the necessary observer contract/honorary contract for the applicant to attend clinics and ward rounds. MDS-ES will not be required to pay any institutional overhead charges in respect to this placement. Select one from below: We can assist the applicant with finding suitable accommodation for the duration of the Training or We cannot assist the applicant with finding suitable accommodation for the duration of the Training Date Signature Head of Department Date Signature Administrative Head of Institute
MDS-ES Visiting Trainee Grant Application Confirmation by Host Institution Host Department Information Head of Department: Fellowship Supervisor: __________________________________________________________ Institution: Address: Tel: Fax: E-mail: Visiting Trainee Acceptance Confirmation The applicant has been accepted for an MDS-ES Visiting Trainee Grant by this department for a 6-month ___ Research training ___ Clinical training Date of commencement: We confirm that we will work directly with the applicant to arrange the necessary observer contract/honorary contract for the applicant to attend clinics and ward rounds. MDS-ES will not be required to pay any institutional overhead charges in respect to this placement. Select one from below: We can assist the applicant with finding suitable accommodation for the duration of the Training or We cannot assist the applicant with finding suitable accommodation for the duration of the Training Date Signature Head of Department Date Signature Administrative Head of Institute
ConfirmationbyHostForm.docx