Application Form EMVAC 2026

1. Personal Details

First Name *

Last Name *

Gender *
Male Female

Year of Birth *

Nationality *

Region *

Country of Employment: *

City *

Postal Code

Address *

Current Position/Function *

Institution/Company/Agency *

Email *

Mobile Phone *

Work Phone

Skills (select one or more): *

Communication

Epidemiology

Vaccination policies

Vaccine research

Vaccine safety

Vaccine trials

Other

2. Education, Experience, Motivation

Who will cover registration, accommodation, and travel fees? *

My institution/company

Self-funded

Applying for a grant

Request support from the organizer

Other:

Previous vaccinology courses attended (if any) *

Qualifications (start with most recent): *

Highest Academic Degree Certificate(s)
Copies of relevant university degree(s) (e.g., MD, PhD, MPH, MSc, or equivalent).

Drag & Drop your certificate files here or click to upload (maximum 5 files, max 10MB each, only PDF/Word allowed)

Professional Experience (start with most recent): *

Upload Experience Certificate

Drag & Drop your certificate files here or click to upload (maximum 5 files, max 10MB each, only PDF/Word allowed)

Upload Curriculum Vitae (CV)
Signed CV highlighting relevant experience in immunization, public health, vaccinology, leadership, and policy work.

Drag & Drop your CV here or click to upload (maximum 5 files, max 10MB each, only PDF/Word allowed)

3. Experience in Vaccinology

Experience in Vaccinology Details * Maximum 3500 characters.

Upload Vaccinology Certificate

Drag & Drop additional files here or click to upload (maximum 5 files, max 5MB each, only PDF/Word allowed)

4. Expected Impact and Motivations

Expected Impact and Motivations details * Maximum 3500 characters.

5. Scientific Contributions

List up to five key scientific contributions (publications, methodologies, tools, datasets, guidelines, etc.). For each, include authors, title, source, year, and pages if applicable. *

Evidence of Relevant Professional or Scientific Contributions
You may upload supporting documents (PDF/Word, max 10MB each, up to 5 files). This field is optional.

Such as key publications, policy documents, guidelines, or official reports demonstrating impact in immunization or public health.

6. How did you hear about the EMVAC Course?

7. Letters of Recommendation

Two Signed Letters of Recommendation *

One from a senior authority within your current institution confirming institutional support.
One from an external expert familiar with your professional work.

Drag & Drop your recommendation letters here or click to upload (maximum 5 files, max 10MB each, only PDF/Word allowed)

8. Additonal uploading letters

Official Institutional Endorsement Letter *
Confirming nomination (if applicable) and approval for participation, including confirmation that the applicant will be released to attend the full course.

Drag & Drop your endorsement letter here or click to upload (maximum 5 files, max 10MB each, only PDF/Word allowed)

Proof of Current Employment / Appointment Letter *
Official documentation confirming current position and responsibilities.

Drag & Drop your employment proof files here or click to upload (maximum 5 files, max 10MB each, only PDF/Word allowed)