Request edit access
IRAP Scholarship Application Form
Details on the IHE USA's Interoperability Research Award Program (IRAP) are found at

You must complete the following requirements by October 6, 2017 in order for your application to be considered:

1. Complete and submit this application form.
2. Register your IHE Connectathon test system in Gazelle (
3. Sign & return your IHE North American Connectathon 2018 Contract to IHE USA at

If you have questions, please contact IHE USA staff at

Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms