Application form for the first EULAR Immunology Course

Lisbon, April 1-2, 2016

This one and a half day course is aimed at young rheumatologists and researchers working in the field of immunology under 40 years of age. It is a course with competitive admission. Applicants will be selected based on their application form, which includes a CV, a personal statement and a short description of a current or potential future research project focusing on innate or adaptive immunity. A specific template for the project submission is provided (see last page). The project might be selected by the faculty for presentation and discussion in one of the workshops. Applicants should have at least some previous knowledge in immunology, as this is not a beginner’s course.

The main goal of the course is to increase the interest, knowledge and skills of young researchers in immunology and stimulate critical thinking in the design and reading of experimental research. Furthermore, the course will also allow young researchers to get together, which will facilitate future collaborations; as well as interaction with the prestigious speakers.

The course will further focus on interactive learning and practical training, as reflected in the time dedicated for discussion and workshops.

Please note that the course is run entirely in English: a high level of English is mandatory.

The application deadline is 9 December 2015. Confirmation of participation will be sent by email before mid January 2016.

Please fill in the form below (where boxes exist they can be checked by double-clicking the box and choosing the option checked), submit a short abstract of a potential research project and send it to:

Mrs Gaëlle Notzli, c/o MCI Suisse SA

Phone: +41 22 33 99 628

Fax: +41 22 33 99 601

E-mail:

Please indicate as header:

EULAR Immunology Course Lisbon 2016

GENERAL DATA
Name:
Year of birth:
Gender:
Nationality:
Current position:
Work affiliation, institution and country:
Name of Head of Department:
Telephone:
Email:
Alternative email (optional):
IMMUNOLOGY KNOWLEDGE
Have you had previous experience in immunology? Yes No
If yes, please explain (maximum 100 words):
CURRICULUM VITAE
Main diplomas and year:
Current activities:
% time spent for clinical work:
% time spent for research:
Grants and awards:
International experience:
Are you a member of EMEUNET? Yes No
Have you already participated in a EULAR project or a EULAR workgroup?
Yes No
If yes please explain:
Have you already participated in a EULAR course?
Yes No
If yes, which one/ones:
Publications or oral presentations at major congresses (maximum 10 in total; if more than 10 please choose only 10):
PERSONAL STATEMENT (please explain here in maximum 100 words, what this course will bring you and why you want to come)
KNOWLEDGE OF THE COURSE - How did you hear about this course?
EMEUNET website, newsletter or email
EMEUNET member , name please:
EULAR website
Twitter Facebook
A senior physician told me about it , name please:
A junior colleague told me about it , name please:
Other , please specify:
ACCOMODATION (if accepted to the course)
1 night 2 nights
BURSARY
Would you like to apply for a EULAR bursary? Yes No
If yes, please apply online separately.
TEMPLATE FOR THE PROJECT SUBMISSION
Title:
Bibliographic reference (one review paper or an original paper):
Introduction (3-5 sentences):
Subject of the potential research project (1-2 sentences):

Example:

Title: Impact of microbiota on autoimmunity mechanism

Bibliographic reference: Belkaid Y and Segre JA. Dialogue between skin microbiota and immunity. Science, 2014, 346(6212):954-959

Introduction: These past few years, a number of investigators have showed that microbiomes of the gut, skin and lung interact with their environment, notably the immune system. This equilibrium is important for maintaining the barrier integrity. However, in predisposed individuals, a change of the microbiota could facilitate the onset or the exacerbation of autoimmune disease.

Subject of the potential research project: With this research project I want to evaluate interactions between microbiota, epithelial barrier, and the immune system in an autoimmune disease context. I plan to use human samples, in vitro experiments and a murine model.