ࡱ> GIFq` b0bjbjqPqP :6::6%*8L$*F(n"fhhhhhhh="^h9hbbbfbfbbrT: pb|pf0 """L6b,>hhd*** *** *** Philip Dear Foundation European Section International College of Dentists Grant Application Form The European Section of The International College of Dentists established the Philip Dear Foundation in the year 2005 to commemorate the 50th Anniversary of the founding of the Section as an autonomous unit in 1955. Through the Foundation, the European Section seeks to support: worthwhile Continuing Dental Education programmes oral health related projects and programmes which encourage the expansion, development and cohesion of the European Section of the ICD. All requests for support will be considered by the Funds Trustees who will then make recommendations on appropriate projects to the Board at the annual meeting of Regents. Projects demonstrating the possibility of achieving a sustainable improvement in standards of dental education and/or oral health, and of encouraging an expansion of the ICD into areas as yet unrepresented within the European Section are most likely to receive support. Such projects must be within the financial means of the Section. Funds Requested ________________ Date ____________________ 1. Title of programme to be funded: ________________________________________________________________________ 2. Is this the first request made to this Fund? ( ) Yes ( ) No  3. Is this to be a one-time request? ( ) Yes ( ) No 4. Will this Foundation be the only source of funds? ( ) Yes ( ) No 5. Will there be an accounting of the funds expended? ________________________________________________________________________ 6. Who will administer the funds and the Project? ________________________________________________________________________ 7. Are other Projects of this nature being done? ( ) Yes ( ) No Please describe: __________________________________________________________________ ________________________________________________________________________________________________________________________ 8. Name and phone numbers of persons working in the Project: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 9. Budget considerations and time involved: __________________________________________________________________________________________________________________________ 10. Abstract of Project. Provide a running description of the Project, specific aim, methodology, long term objectives, and benefits: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 11. How will the Philip Dear Foundation receive public recognition for participating in this Project? ________________________________________________________________________________________________________________________________________________________________________________________________________________________ 12. Applicant: _____________________________________________________ ______________________________________________________ Mail the completed application to: Dr Jan van Hoeve Dr Frans Kroon Hon. Treasurer Secretary-General European Section ICD European Section ICD Overzicht 16862, iepenlaan 9 CR Oosterbeek 2061 GG Bloemendaal, The Netherlands The Netherlands E-Mail:  HYPERLINK "mailto:vh@planet.nl" vh@planet.nl Email:   JK\abcӿwfL5L'hzh+3w5OJQJ^J,h.R5>*B*CJOJQJ\^JaJph2hzh3;|5>*B*CJOJQJ\^JaJph!hzh3;|B*OJQJ^Jph/hzh3;|5B*CJOJQJ\^JaJph/hzhz5B*CJOJQJ\^JaJph/hzh[5B*CJOJQJ\^JaJph&hh[5CJOJQJ\^JaJ&hh6Z5CJOJQJ\^JaJ/hzh6Z5B*CJOJQJ\^JaJph(JKbc| K L j l BU 7$8$H$gd$ & F7$8$H$a$gd $7$8$H$a$gd$a$gd $7$8$H$a$gd<0a0cgx: < C H I h i r y z { Ķ|o\\OEOohMOJQJ^JhzhVbOJQJ^J$hzh+3wB*OJQJ\^Jphhzh9OJQJ^J'hzhWB*H*OJQJ\^Jph$hzh9B*OJQJ\^Jph$hzhWB*OJQJ\^JphhhWOJQJ\^JhzhWOJQJ^J!hzh2SB*OJQJ^Jph!hzh+3wB*OJQJ^Jphhzh+3wOJQJ^J J L x > ϱϤ}pchzh+3wOJQJ^JhhOJQJ^JhhOJQJ^JhhVbOJQJ^Jhh6ZOJQJ^Jhh+3wOJQJ^J hzhVbOJQJ^JmH sH hzhzOJQJ^JhzhVbOJQJ^JhMOJQJ^Jhzh9OJQJ^JhzhOJQJ^J"  F J j +.12;<BTU{|ڼxeeeTeeTe!hzh3;|B*OJQJ^Jph$hzhB*OJQJ\^Jph$hzh[B*OJQJ\^JphhMB*OJQJ\^Jph$hzh3;|B*OJQJ\^Jphhh6ZOJQJ\^Jhh3;|OJQJ\^Jhhz5OJQJ\^Jhh3;|5OJQJ\^J)hzh+3wB*CJOJQJ^JaJph   WXVW.0u 7$8$H$^gd 7$8$H$gdEUVX  ($,6UVt`t`&hMB*CJOJQJ\^JaJph,hzhB*CJOJQJ\^JaJph,hzh3;|B*CJOJQJ\^JaJph,hMhMB*CJOJQJ\^JaJphhMB*OJQJ\^Jph!hzh3;|B*OJQJ^Jph$hzhB*OJQJ\^Jph$hzh3;|B*OJQJ\^Jph! -?ituʷݷ݃uguVE!hzh3;|B*OJQJ^Jph!hzhzB*OJQJ^Jphh+3wB*OJQJ^JphhzB*OJQJ^Jph!hzh+3wB*OJQJ^JphhMB*OJQJ\^Jph$hzh2SB*OJQJ\^Jph$hzhB*OJQJ\^Jph$hzh[B*OJQJ\^Jph$hzh3;|B*OJQJ\^JphhzB*OJQJ\^Jph H]hz~õõ×m_WOW> h0?0A0B0D0E0G0H0Q0R0S0^0_0h]hgd3;| &`#$gd3;|e[$\$^egd h[$\$^hgdhh[$\$`hgdh h7$8$H$^hgd 0'0(0:0;0<0=0?0@0B0C0E0F0H0I0O0P0Q0S0T0Z0[0\0]0^0`0}}}}smsmisms^smih*B*phB^@2B Normal (Web)dd[$\$*W`A* hStrong5\\6(JKbc|KLNOBU  WXV W . 0 u Hi689;<>?ABKLMXYZ]0000000 0 0 000000000000000000000000000000000000000000000I00I00I00I00I00I00I00I00I00ڤI00I00@0@0I00ڤI00 Hi]K0e>I0K0K00I00K00@ $$$$$'c `0b0 _0b0 a0!4\XX  '!!U lLSVLSW LSX,MSYlMS((6 ]5== ]>*urn:schemas-microsoft-com:office:smarttags PersonNameV*urn:schemas-microsoft-com:office:smarttagsplacehttp://www.5iantlavalamp.com/Z*urn:schemas-microsoft-com:office:smarttags PlaceNamehttp://www.5iantlavalamp.com/Z*urn:schemas-microsoft-com:office:smarttags PlaceTypehttp://www.5iantlavalamp.com/ @HQ]hlvz~668899;<>?ABZ]i668899;<>?ABZ]3Kc<O0Uz X  U 0 x z668899;<>?ABZ]z~668899;<>?ABZ]e3BhG2:OOLLVF[7 hh^h`o(hH) ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. 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