Medicine 2.0 Epatient Scholarship Application
We plan to give about 10-20 tickets away for free to epatients (cannot be academics, conference presenters, healthcare professionals, employers or owners of companies in the health sector).
Epatients having sources of funding (e.g. from professional patient associations) enjoy discounted rates and are expected to register normally. Epatients without sources of funding can apply for a free ticket using this form.
THESE TICKETS ARE GIVEN AWAY ON A SPACE-AVAILABILITY BASIS AND A DECISION MAY BE MADE ONLY 2-4 WEEKS BEFORE THE CONFERENCE.
WE CANNOT PAY FOR TRAVEL AND ACCOMMODATION.
If you want to be sure to attend the conference, we suggest to find funding through other sources and register normally.
To apply for a free conference pass (web-only or in person) apply here.

1. Please first create a useraccount on the Medicine 2.0 site at http://www.medicine20congress.com/ocs/index.php/med/med2012/user/account
2. When registering on the Medicine 2.0 site, make sure to upload a photo, as well as fill in the bio statement
3.  We will make a decision on whether or not we can give you a free ticket based on your bio in your useraccount, your responses here, and based on space availability
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Medicine 2.0 Username *
The username you login with at http://www.medicine20congress.com/ocs/index.php/med/med2012/user (if you don't have an account, CREATE ONE)
Are you applying for a web-access ticket, or an in-person ticket? *
What city/country are you from? *
What is your occupation? *
Who is your employer? *
If you are self-employed, state the nature of your work
What sector are you working in? *
Describe how you currently use the Internet or social media or mobile apps for health/medical purposes *
Would you be willing to speak / present on stage? If so, what would you present/talk about? *
Describe how you would benefit from attending Medicine 2.0 *
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