About | Educational Grants | EDUCATIONAL GRANT APPLICATION – BASIC

EDUCATIONAL GRANT APPLICATION – BASIC

This application is intended for requests to support educational funding that does not involve a meeting, course, workshop, or lab opportunity. If you are unsure if you are completing the correct application, please reach out to grants@globusmedical.com for assistance.
Today's Date*
MM slash DD slash YYYY
Requestor Information
Name*
First Last
Institution*
Phone*
Email*
GMI Sales Representative
Request Information
Amount Requested*
Brief Description of the Request*
Payable to*
Payable Address*
Attachments
Formal Letter of Request*
Accepted file types: jpg, pdf, doc, docx, csv, xls, xlsx, Max. file size: 50 MB.
Allowed file types: jpg, pdf, doc, docx, csv, xls, xlsx
Other
Accepted file types: jpg, pdf, doc, docx, csv, xls, xlsx, Max. file size: 50 MB.
Allowed file types: jpg, pdf, doc, docx, csv, xls, xlsx
Additional documents and/or information may be required based on the nature of your request. A representative from the Grants team will be in touch if this is the case.