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ESCP Fellowship Host Centre Information Form

Please complete this form to provide ESCP with the characteristics of your Host Centre to receive our fellows for a 3-month or 6-month Fellowship.

This form must be submitted by the Host Centre Director or the Fellowship Supervisor.

* indicates information that you are required to provide

General information and contact details
What you can offer

Compensation

e.g. salary, lodging, meal
Future educational collaboration with ESCP
In the future virtual reality technology may allow experts to provide remote proctorship.
This is mainly to have informal advice from a senior surgeon or expert in the field about a difficult case.
Rules, regulations and practical issues
e.g. HR contract, ID badge, induction process, IT access
Form submission