Event Sponsoring Request Form

Please recopy the administrative information of your application and attach the application file. An automatic confirmation email will be sent upon successful submission.

Sponsoring request form

Event information

Event title * *

Type of event *

Conference
Workshop
Training/Summer school

Event date(s) *

Event location * *

Target audience * *

Expected number of participants * *

Type of sponsorship *

Lump sum (max. CHF 5k)
Deficit guarantee (max. CHF 20k)

Amount requested from SPHN (CHF) * *

Is ≥50% of the budget covered by other funding sources? *

Yes
No

Institutions involved *

BFH
EMPA
EPFL
ETHZ
FHNW
FHO
HES-SO
HSLU
PSI
SIB
University of Basel
University of Bern
University of Fribourg
University of Geneva
University of Lausanne
University of Luzern
University of Neuchâtel
Università della Svizzera italiana (USI)
University of Zurich
University Hospital Basel (USB)
University Hospital Bern (Insel)
University Hospital Geneva (HUG)
University Hospital Lausanne (CHUV)
University Hospital Zurich (USZ)
ZHAW

Other institutions involved

Other sponsors involved

Keywords (max. 5) *

Contact details

Last Name * *

First Name * *

Host institution * *

Address * *

Postcode * *

City * *

Email address *

Telephone

File Upload

Click or drag a file to this area to upload.

Application upload (1 file, max. 20MB); .doc, .docx, .pdf allowed.

Captcha *

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Comment

Swiss Personalized Health Network (SPHN)
Haus der Akademien | Laupenstrasse 7 | CH-3001 Bern
E-mail SPHN

Personalized Health Informatics Group (PHI)
Elisabethenstrasse 43 | CH-4051 Basel
E-mail PHI

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