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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:
--Select an option--
Ms.
Mr.
Dr.
Prof.
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
No
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:
Select your level
Basic user
Independent user
Proficient user
Reading:
Select your level
Basic user
Independent user
Proficient user
Speaking:
Select your level
Basic user
Independent user
Proficient user
Writing:
Select your level
Basic user
Independent user
Proficient user
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
No
Are you seeking a private practice career?
Yes
No
Are you seeking a career in R&D?
Yes
No
How did you hear about Euroderm Excellence Training Program?
Leaflet
Poster
Euroderm Excellence Website
EDF Website
Word of mouth
Other
Other:
Upload your Curriculum Vitae:
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