{"id":1601,"date":"2022-03-02T14:40:17","date_gmt":"2022-03-02T14:40:17","guid":{"rendered":"https:\/\/covispharma.com\/?page_id=1601"},"modified":"2023-10-03T07:54:47","modified_gmt":"2023-10-03T07:54:47","slug":"ime-application","status":"publish","type":"page","link":"https:\/\/covispharma.com\/index.php\/ime-application\/","title":{"rendered":"Educational Grant Application"},"content":{"rendered":"

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Educational Grant Application<\/h1>\n

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INDEPENDENT MEDICAL EDUCATION REQUEST FORM<\/strong>
ACCREDITED AND NON-ACCREDITED EDUCATIONAL ACTIVITIES<\/strong><\/strong><\/h2>\n

Grant requests should be submitted to AMAG at least 60 days in advance of the scheduled event <\/em>and must be on institutional letterhead accompanied by an IRS Form W9, proof of accreditation: <\/em>(ACCME, ACPE or other) via certificate and a detailed budget and tentative agenda.<\/em><\/h3>\n

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EDUCATIONAL GRANT REQUEST FORM<\/strong>
ACCREDITED AND NON-ACCREDITED EDUCATIONAL ACTIVITIES<\/strong><\/strong><\/h2>\n

(FORMULAIRE DE DEMANDE DE SUBVENTION \u00c0 DES FINS \u00c9DUCATIVES (ACTIVIT\u00c9S ACCR\u00c9DIT\u00c9ES ET NON ACCR\u00c9DIT\u00c9ES) )<\/strong><\/h3>\n

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Grant requests should be submitted to Covis at least 60 days in advance of the scheduled event <\/em>and must be on institutional letterhead accompanied by an IRS Form W9 (US Only), proof of accreditation: <\/em><\/span>(ACCME, ACPE or other) via certificate and a detailed budget and tentative agenda.<\/span> <\/em>(Les demandes de subvention doivent \u00eatre soumises \u00e0 Covis au moins 60 jours avant l\u2019\u00e9v\u00e9nement pr\u00e9vu. La demande en ligne doit \u00eatre accompagn\u00e9e d\u2019un r\u00e9sum\u00e9 de la demande sur papier \u00e0 en-t\u00eate de l\u2019institution, du formulaire W9 de l\u2019IRS (\u00c9tats-Unis uniquement), d\u2019un budget d\u00e9taill\u00e9, d\u2019une preuve d\u2019accr\u00e9ditation (le cas \u00e9ch\u00e9ant) et d\u2019un ordre du jour.)<\/em><\/span><\/h3>\n

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Grant requests should be submitted to Covis at least 60 days in advance of the scheduled event <\/em>and must be on institutional letterhead accompanied by an IRS Form W9 (US Only), proof of accreditation: <\/em><\/span>(ACCME, ACPE or other) via certificate and a detailed budget and tentative agenda.<\/span> <\/em>(Les demandes de subvention doivent \u00eatre soumises \u00e0 Covis au moins 60 jours avant l\u2019\u00e9v\u00e9nement pr\u00e9vu. La demande en ligne doit \u00eatre accompagn\u00e9e d\u2019un r\u00e9sum\u00e9 de la demande sur papier \u00e0 en-t\u00eate de l\u2019institution, du formulaire W9 de l\u2019IRS (\u00c9tats-Unis uniquement), d\u2019un budget d\u00e9taill\u00e9, d\u2019une preuve d\u2019accr\u00e9ditation (le cas \u00e9ch\u00e9ant) et d\u2019un ordre du jour.)<\/em><\/span><\/h3>\n

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Grant requests should be submitted to Covis at least 60 days in advance of the scheduled event <\/em>and must be on institutional letterhead accompanied by an IRS Form W9 (US Only), proof of accreditation: <\/em><\/span>(ACCME, ACPE or other) via certificate and a detailed budget and tentative agenda.<\/span> <\/em>(Les demandes de subvention doivent \u00eatre soumises \u00e0 Covis au moins 60 jours avant l\u2019\u00e9v\u00e9nement pr\u00e9vu. La demande en ligne doit \u00eatre accompagn\u00e9e d\u2019un r\u00e9sum\u00e9 de la demande sur papier \u00e0 en-t\u00eate de l\u2019institution, du formulaire W9 de l\u2019IRS (\u00c9tats-Unis uniquement), d\u2019un budget d\u00e9taill\u00e9, d\u2019une preuve d\u2019accr\u00e9ditation (le cas \u00e9ch\u00e9ant) et d\u2019un ordre du jour.)<\/em><\/span><\/h3>\n

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Note: Your application will be reviewed solely based on the scientific merit of the program. An educational grant will not be determined in a manner that takes into account the volume or value of any business otherwise generated with Covis. In addition, an educational grant will not affect the purchase, use, recommending or arranging for the use of any Covis product. Grant funds will not be issued to an individual. The grant and programs described herein should be for scientific and education purposes only and should not promote Covis or its pharmaceutical products, directly or indirectly. (Remarque : Votre candidature sera examin\u00e9e uniquement sur la base de la valeur scientifique du programme. Une subvention \u00e0 des fins \u00e9ducatives ne sera pas \u00e9tablie d\u2019une mani\u00e8re qui tient compte du volume ou de la valeur de revenues autrement g\u00e9n\u00e9r\u00e9s avec Covis. De plus, une subvention pour \u00e9tudes n\u2019aura aucune incidence sur l\u2019achat, l\u2019utilisation, la recommandation ou l\u2019organisation de l\u2019utilisation d\u2019un produit de Covis. Les subventions ne seront pas \u00e9mises \u00e0 un particulier. La subvention et les programmes d\u00e9crits \u00e0 m\u00eame ce document, devraient \u00eatre offerts \u00e0 des fins scientifiques et \u00e9ducatives seulement et ne devraient pas promouvoir Covis ou ses produits pharmaceutiques, directement ou indirectement.)<\/span><\/p>\n

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Note: Your application will be reviewed solely based on the scientific merit of the program. An educational grant will not be determined in a manner that takes into account the volume or value of any business otherwise generated with Covis. In addition, an educational grant will not affect the purchase, use, recommending or arranging for the use of any Covis product. Grant funds will not be issued to an individual. The grant and programs described herein should be for scientific and education purposes only and should not promote Covis or its pharmaceutical products, directly or indirectly. (Remarque : Votre candidature sera examin\u00e9e uniquement sur la base de la valeur scientifique du programme. Une subvention \u00e0 des fins \u00e9ducatives ne sera pas \u00e9tablie d\u2019une mani\u00e8re qui tient compte du volume ou de la valeur de revenues autrement g\u00e9n\u00e9r\u00e9s avec Covis. De plus, une subvention pour \u00e9tudes n\u2019aura aucune incidence sur l\u2019achat, l\u2019utilisation, la recommandation ou l\u2019organisation de l\u2019utilisation d\u2019un produit de Covis. Les subventions ne seront pas \u00e9mises \u00e0 un particulier. La subvention et les programmes d\u00e9crits \u00e0 m\u00eame ce document, devraient \u00eatre offerts \u00e0 des fins scientifiques et \u00e9ducatives seulement et ne devraient pas promouvoir Covis ou ses produits pharmaceutiques, directement ou indirectement.)<\/span><\/p>\n

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Note:\u00a0 Your application will be reviewed solely based on the scientific merit of the program.\u00a0 An educational grant will not be determined in a manner that takes into account the volume or value of any business otherwise generated with Covis.\u00a0 In addition, an educational grant will not affect the purchase, use, recommending or arranging for the use of any Covis product.\u00a0 Grant funds will not be issued to an individual.\u00a0 The grant and programs described herein should be for scientific and education purposes only and should not promote Covis or its pharmaceutical products, directly or indirectly. (Remarque : Votre candidature sera examin\u00e9e uniquement sur la base de la valeur scientifique du programme. Une subvention \u00e0 des fins \u00e9ducatives ne sera pas \u00e9tablie d\u2019une mani\u00e8re qui tient compte du volume ou de la valeur de revenues autrement g\u00e9n\u00e9r\u00e9s avec Covis. De plus, une subvention pour \u00e9tudes n\u2019aura aucune incidence sur l\u2019achat, l\u2019utilisation, la recommandation ou l\u2019organisation de l\u2019utilisation d\u2019un produit de Covis. Les subventions ne seront pas \u00e9mises \u00e0 un particulier. La subvention et les programmes d\u00e9crits \u00e0 m\u00eame ce document, devraient \u00eatre offerts \u00e0 des fins scientifiques et \u00e9ducatives seulement et ne devraient pas promouvoir Covis ou ses produits pharmaceutiques, directement ou indirectement.)<\/span><\/p>\n

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Note: Your application will be reviewed solely based on the scientific merit of the program. An educational grant will not be determined in a manner that takes into account the volume or value of any business otherwise generated with Covis. In addition, an educational grant will not affect the purchase, use, recommending or arranging for the use of any Covis product. Grant funds will not be issued to an individual. The grant and programs described herein should be for scientific and education purposes only and should not promote Covis or its pharmaceutical products, directly or indirectly. (Remarque : Votre candidature sera examin\u00e9e uniquement sur la base de la valeur scientifique du programme. Une subvention \u00e0 des fins \u00e9ducatives ne sera pas \u00e9tablie d\u2019une mani\u00e8re qui tient compte du volume ou de la valeur de revenues autrement g\u00e9n\u00e9r\u00e9s avec Covis. De plus, une subvention pour \u00e9tudes n\u2019aura aucune incidence sur l\u2019achat, l\u2019utilisation, la recommandation ou l\u2019organisation de l\u2019utilisation d\u2019un produit de Covis. Les subventions ne seront pas \u00e9mises \u00e0 un particulier. La subvention et les programmes d\u00e9crits \u00e0 m\u00eame ce document, devraient \u00eatre offerts \u00e0 des fins scientifiques et \u00e9ducatives seulement et ne devraient pas promouvoir Covis ou ses produits pharmaceutiques, directement ou indirectement.)<\/span><\/p>\n

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NOTE For FMOQ Associations in Canada:\u00a0 If you require financial support for a meal, room rental, or AV equipment, please include details of the request in the below application form. (NOTE Pour les associations de la FMOQ au Canada\u00a0:\u00a0 Si vous avez besoin d\u2019une aide financi\u00e8re pour un repas, la location d\u2019une salle ou du mat\u00e9riel audiovisuel, veuillez indiquer les d\u00e9tails de votre demande dans le formulaire de demande ci-dessous)<\/span><\/p>\n

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    This program is accredited; send proof of accrediting body.<\/span><\/span>This program is non-accredited.<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t

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