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Swiss Infectious Disease Society International Society for Infectious Diseases APPLICATION FOR SSI/ISID INFECTIOUS DISEASES FELLOWSHIP Instructions To apply for the fellowship, please submit the following materials: A completed application form A current curriculum vitae A personal statement describing your career goals and objectives and how you expect the fellowship to contribute to your professional development and to benefit your home institution/country (1-2 pages) Two letters of reference from your home institution (e.g. hospital administrator, clinical director, service chief, departmental chair) One letter of commitment from your home institution guaranteeing your position upon completion of the fellowship Deadline The deadline for applications is 1 April. Electronic submission of application materials is preferred – please send to [email protected]. Applications may be sent by mail to: Professional Development Working Group International Society for Infectious Diseases 9 Babcock Street, 3rd Floor Boston, MA 02446 USA Please ensure that mailed application materials are postmarked by 1 April. Contact Please direct your inquiries to the Professional Development Working Group at [email protected]. Swiss Infectious Disease Society International Society for Infectious Diseases APPLICATION FORM - INFECTIOUS DISEASES FELLOWSHIP Please type or print legibly: Name (Last, First, Middle) Date of Birth Nationality Title/Position Department/School/Institution Address Phone Number Fax Number Email Address Language Proficiency (circle one): in German Fluent in French List research topics and training sites of interest, in order of preference 1. 2. 3. Fluent