PoTS UK invites applications for awards for travel and accommodation expenses from academics or clinicians with particular clinical expertise in Postural Tachycardia Syndrome (PoTS) or allied conditions and/or having conducted novel research in the field.

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1. Name

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2. Job title

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3. Place of work

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4. Describe your reason for travel to the UK

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5. Provide the dates of your intended travel

Date
Date

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6. Have you been invited to deliver a lecture?

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7. Has an application to deliver a lecture been accepted?

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8. Please provide details of the event

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9. Provide an abstract of your presentation in under 200 words

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10. Give details of all publications that you have authored/co-authored that are relevant to PoTS or related disorders

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11. Are you currently undertaking any PoTS related research?

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12. Please provide any details on this research that you are able to share in less than 100 words

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13. Do you provide a clinical PoTS related service?

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14. Provide a short biography in less than 400 words

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15. How much funding are you seeking in British pounds?

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16. Please provide a breakdown of these costs

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17. Have you received or do you plan to apply for any other sponsorship to attend this event?

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18. Provide details of how you anticipate your presentation will improve knowledge of clinicians or researchers in the UK or improve patient healthcare, care or wellbeing

Thank you for taking the time to complete this survey. 

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