Application to Host a Future ISUCRS Biennial Congress

1 Applicant

Name of applicant *

First name *

Last name *

E-Mail Address *

Phone number (including international Country Calling Codes) *

Please upload your curriculum vitae * Choose file No file chosen

PDF, DOC or DOCX · max 8 MB.

2 The Congress

Which year are you applying for? *

Is the application on behalf of any local or national organization? *

City and country where the meeting is to be held. *

Suggested dates of meeting *

Are these dates coinciding with any major local/national/international meeting attracting colorectal surgeons? *

If the meeting is not going to be located in a major city inform about access routes. *

Will the meeeting be sponsored by any university/medical school? (If Yes - endorsement should accompany this form) *

Endorsement Form (see above) Choose file No file chosen

PDF, DOC, DOCX, JPG or PNG · max 8 MB. Required if the meeting is sponsored by a university/medical school.

3 Organization & Facilities

What other support is offered by scientific or governmental authorities? *

Do you have well organized supporting group which can devote enough time for the organization of the meeting? Please detail.

Detail the possibilities to finance the meeting (including availability of resources to promote a meeting).

Name of suggested hotel/hotels. Room prices (single/double). Complimentary guest rooms/meeting rooms/refreshments.

If meeting is going to be held at convention center, please detail facilities and distance from hotel and available transportation.

Describe suggested social program.

4 Financial Terms

PLEASE NOTE THAT A MINIMUM CONTRIBUTION OF $30,000–$50,000 (SUBJECT TO DISCUSSION & NEGOTIATION) IS EXPECTED TO BE MADE TO ISUCRS FOLLOWING THE CONFERENCE

Do you accept that ISUCRS will not give financial assistance? *

Do you accept to work for financial gain from the meeting and that any surplus is given to ISUCRS? *

Do you agree to co-organize the scientific program with ISUCRS, and do you accept that all final decisions regarding the program will be made by the ISUCRS Program Committee? *

Date *

Fields marked * are required.