Application form to become a Fellow of ECMM

Personal data applicant

1. Candidate Information

Candidate First Name

Candidate First and Middle Name Initial(s)

Candidate Last Name

Title

Specialty

Years of professional working in this specialty

Organization

Department/Division

Sub Department

Address 1

Address 2

Zip Code

City

Country

Phone Number

Email Address

Verify Email Address

2. Academic Background and Employment history

Please note (multipe entries possible)

Academic Background:

Institution
Year of Graduation
Degree

Employment history:

Institution
Position held
Years of service

max 300 words*

Photo

3. Membership in a National Mycological Society/Mycology Chapter

Name of Society and if applicable Chapter:

Member Number

Member since

4. Recommendation Letters

The application is supported by the following two members of the ECMM council or FECMM
See website for an overview of council members and fellows

Member 1:

Member 2:

5. Preferred payment schedule

See ECMM website for fee amounts

Please select:

By registering, you (the delegate) agree that your personal data will be processed for registration and handling purposes, as well as to send you information in connection with this fellowship. Any personal data will be solely used in accordance with current EU data protection legislation(GDPR) and will not be disclosed to a third party without the delegate’s written consent.
If you do not submit the data indicated as “required”, we cannot complete your registration.

*I accept the terms of the data use agreement

Thank you for your application

Your application has now been completed.
You can still use your login name to enter the application.
However you can only get a overview of your application form. You cannot make any changes.

On behalf of Subcommittee chair and ECMM president we kindly ask you to send the documents mentioned below to president@ecmm.info

1. Letter of application

2. Point by point statement explaining how the prerequisites were met; (also include evidence on how the applicant has contributed to the career development of others in clinical mycology)

3. Full CV

4. Full list of publications including impact factors at the time of acceptance and number of citations

5. Two letters of suport from experts in the field.

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Personal data applicant

2. Academic Background and Employment history

3. Membership in a National Mycological Society/Mycology Chapter

4. Recommendation Letters

5. Preferred payment schedule

Prerequisites

Prerequisites

Summary

Thank you for your application

Application form to become a Fellow of ECMM

Personal data applicant

2. Academic Background and Employment history

Add/Replace Photo

3. Membership in a National Mycological Society/Mycology Chapter

4. Recommendation Letters

5. Preferred payment schedule

Prerequisites

Prerequisites

Summary

Thank you for your application

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