Online Application

* denotes mandatory data

Please note that it is necessary to submit all required documents for your course at the time you submit your VIREPA application. Though it is important to keep the application deadline in mind, do not submit your application until you are able to upload all required documents. When the application deadline has been reached, the Course Directors will review each application for quality and completeness. Incomplete applications will not be considered.

Applicants will be informed of the outcome of their application within 3-4 weeks after the application deadline.

Please complete the information below and upload the required documents. The application is not submitted until you click the Submit at the bottom of the form.

Course Selection
Personal Information

* Gender

Bursary

Please note that only one ILAE bursary per year per person is possible. Bursaries will be partial bursaries involving partial payment. Partial bursaries will only be available for participants living in countries with low and lower middle income. See categories according to the statistics of the World Bank here

* Do you wish to apply for financial support?: *
(partial bursary)
Partial bursaries will only be available for participants living in countries with low and lower middle income.

Please note that, in case of a bursary request, you agree that your name will be saved in an ILAE database accessible to ILAE course organizers only.

Mandatory requirement for bursary applicants:

1 a) Submission of a letter of recommendation from the bursary applicant’s current workplace or from the leadership of the local ILAE Chapter or Regional Commission stating the expected benefit to the epilepsy care and development in the bursary applicant’s community specific to the VIREPA course for which application is being made.

1 b) In case such evidence cannot be submitted, a personal letter of motivation is required outlining the benefit the bursary candidate expects from his/her daily practice and professional career specific to the VIREPA course for which application is being made.

Please note that this requirement (letter of recommendation OR personal letter of motivation) is mandatory and is an important part of the decision-making process for the granting of any bursary. Upload the letter with the other required course documents below.

* I confirm that I have not been granted another bursary from the ILAE in 2017:*

* I have applied for another bursary from the ILAE in 2017:*

Please note that only one ILAE bursary per year is possible per person.

Documents

Please upload the required documents below. All submitted documents must be PDF, Word format or jpg. If you have difficulty uploading the required documents below. They may also be sent:

  1. by email to courses@ilae.org
  2. by fax 001.860.201.1111
Confirmation

I confirm I have a minimum of 4 months of practical experience with clinical EEG

For Completion by EEG Basic, Advanced and Pediatric Course Applicants

I confirm that I am currently working with neonates and children with epilepsy, including the EEG studies, and will be able to contribute my own case histories and neonatal EEG samples as required for course tasks.

For Completion by Pediatric EEG Course Applicants

I confirm I have a minimum of 4 months of practical experience with clinical EEG and PSG

For Completion by Epilepsy and Sleep Course Applicants

Please be patient. The submission process may take a few minutes depending upon your bandwidth. Clicking Submit button more than once will result in a duplicate submission