Index

EDF Euroderm Excellence Application Form 2025

22^nd Edition of the EDF Euroderm Excellence Training Program

November 18^th- 21^st 2025, Rome, Italy

Personal information

Title:

First name:

Last name:

Date of birth:

Nationality:

Email:

Retype email:

Address:

Address 2:

Postal code:

Country:

City:

Phone: (+ country / city code)

Mobile: (+ country / city code)

Education and training

Current position and number of years of dermatology residency completed

We remind you that the EDF Euroderm Excellence course is intended for residents in their final year of training and that only a single Euroderm Excellence course can be attended by any trainee during their residency period.

Already applied to previous Euroderm Excellence Training Program?

Yes

Please note that if you have participated in any of the previous editions, you will not be able to participate again in the program. Participation in the training program is a one-time opportunity.

Number of years of residency provided in your Country:

Please specify the year of residency you will be at the time of Euroderm Excellence 2025:

Current Hospital:

Current Head of Department:

Country of hospital: Please type min. one letter

NIF/NIE

Your motivation to participate:

English level

Listening:

Reading:

Speaking:

Writing:

English Language Certificate, if earned:

University

University:

Post-Graduation Training: Please list by year the 3 most recent and/or relevant and include full list in CV

Competence: Please list the themes/specialties in which you are more competent/stronger by knowledge, skill or experience or write additional competences like being a teacher, researcher, volunteer, etc.

Publications/ Abstracts: Please list by year the 3 most recent and/or relevant and include full list in CV (please provide full references: Name, Title, Journal, Volume, Pages, Year)

Awards: Please list by year the 3 most recent and/or relevant and include full list in CV

International Experience:

Member of any Medical Society:

Other skills / various

Personal Interest:

Are you seeking an academic career?

Yes

Are you seeking a private practice career?

Yes

Are you seeking a career in R&D?

Yes

How did you hear about Euroderm Excellence Training Program?

Leaflet

Poster

Euroderm Excellence Website

EDF Website

Word of mouth

Other

Other:

Registration fee

Thanks to the generous support of the sponsors, course expenses (incl. breakfasts, lunches, coffee breaks and networking reception) and accommodation (3 nights at the A. Roma Hotel) are covered for all residents attending the course. In addition, it enables EDF to offer a reduced registration fee* of EUR 200. The registration fee only applies to selected residents.

This arrangement does not cover for individual travel costs.

*Should an applicant not be able to cover the registration fee, EDF offers the possibility to apply for a personal sponsorship.

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