About | Educational Grants | Educational Grant for Educational EventsEducational Grant for Educational Events Educational Grant Application – Educational Events The following application is intended for requests to support educational funding for a meeting, course, workshop, lab opportunity, or other educational event that takes place outside of the United States. If you are unsure if you are completing the correct application, please reach out to grants@globusmedical.com for assistance.Today's Date* YYYY dash MM dash DD Requestor InformationName* First name Last name Title* Email* Phone number* Organization/Institution* Organization/Institution Address* Requested Amount* In the event of an approval, we will require you to issue an invoice to your local Globus Medical office.* Yes, I understand Payable to* Payable Address*Program Name* Program Location* Program Start Date*Requests must be entered at least 45 days prior to the event start date. YYYY dash MM dash DD Program End Date* YYYY dash MM dash DD Registration Deadline* YYYY dash MM dash DD Does the event offer Continuing Medical Education (CME) credits?YesNoTarget Audience Estimated Number of Attendees Is there an exhibit opportunity?YesNoExhibit type*BoothTabletopWhat is the cost to exhibit? Are there opportunities to support educational programs at your event, such as workshops, cadaver stations, etc?YesNoWorkshopsCadaver LabsHow many stations are you requesting support for?What is the cost per station?Will Globus Medical equipment be required?YesNoIs a specimen required?YesNoWho is responsible for obtaining the specimen? Required DocumentsSigned Letter of Request on Company Letterhead*Max. file size: 50 MB.Budget*Max. file size: 50 MB.Agenda*Max. file size: 50 MB.Sponsorship Information/Prospectus (if applicable)Max. file size: 50 MB.To access the Ethical MedTech Conference Vetting System, please use the following link: https://www.ethicalmedtech.eu/conference-vetting-system/search-events/Has the educational event been submitted in the Ethical MedTech Conference Vetting System? Once you have located your event, please provide the link here* Check "I agree" below to agree to these terms.*• Requesting organization agrees to comply with all applicable MedTech Code provisions • If a grant is provided, GMI has the right to verify, at any time, that the grant was used for the intended purpose. • The funds will be used only for the intended purposes of this request and will not be used in violation of any government laws. • No Globus employee implicitly or explicitly offered a contribution to induce the recipient, its personnel, or me to purchase, use, order, or recommend Globus products or to reward prior purchases, uses, orders, or recommendations of Globus products. • The funds awarded will not be used in violation of any healthcare code of ethics. • Globus Medical reserves the right to request the return of award at any time upon failure to comply with procedures and legal regulations. • All information included on the documentation attached to this request form by the Requestor and/or Recipient is accurate. I agreeName*
