European Hematology Association
Attn: Ans Steuten
Koninginnegracht 12b
2514 AA The Hague
The Netherlands
Place, Date
Dear Reader,
This letter confirms that [APPLICANT FIRST NAME, LAST NAME] intends to submit an application for the
2013 Translational Research Training in Hematology Program.
The title of the proposed research project will be [PROJECT TITLE].
The project and application are supported by [MENTOR FULL NAME, MENTOR POSITION of MENTOR
INSTITUTION].
We have completed the TRTH letter of intent form and submit all required documents along with this letter.
We herewith confirm to be aware of the terms and conditions related to participation in the TRTH Program:

Applicant must attend TRTH meetings at the following three events:
1. A week-long course held in March 2013
2. The 18th Annual EHA Congress in Stockholm, Sweden, June 2013
3. The 55th Annual ASH Meeting



Applicant must respond to follow-up surveys in the future.
Applicant must sign a statement of confidentiality before the start of the program.
Applicant must accept responsibility for travel expenses which exceed the allowed amounts and/or travel
arrangements which are outside of the established policies and procedures of TRTH.
By signing this letter [APPLICANT FIRST NAME, LAST NAME] and [MENTOR FULL NAME] agree to
comply with the terms and conditions for participation in the TRTH Program if the applicant is accepted.
APPLICANT NAME
MENTOR NAME
Signature
Signature
Place, Date
Place, Date
TRTH 2013 Applicant Information Form
FULL NAME:
POSITION TITLE:
INSTITUTION:
DEPARTMENT:
FULL MAILING ADDRESS:
TELEPHONE:
EMAIL:
EHA or ASH MEMBER NUMBER:
DEGREE(S):
 MD graduation date: dd/mm/yyyy
 PhD graduation date: dd/mm/yyyy
DATE OF BIRTH: dd/mm/yyyy
 MALE  FEMALE
NATIONALITY:
RESIDING IN: [country]
APPLICANT TRAINING:
 In training in a hematology sub-specialty
 In training in a post-graduate training program
Hematologist in training
 An established hematologist
 Other (specify):
APPLICANT WORKS IN A:
 Research laboratory
 Hematology department (non-clinical post)
 Clinical hematology department
 Other (specify):
RESEARCH TOPIC TITLE:
MENTOR NAME:
MENTOR INSTITUTION:
MENTOR EHA or ASH MEMBER NUMBER:
ROLE OF MENTOR IN PROPOSED RESEARCH PROJECT:
INFORMATION ON FUNDING OF PROPOSED RESEARCH PROJECT:
 The proposed research project or part of it has not been funded by any grant
 The proposed research project is funded by a grant of [name grant institute] for the amount
of [currency and amount of funding].
 The proposed project has not been funded yet, but (a) grant application(s) has/have been
Submitted to [name & affiliations grant institute].
HOW DID YOU LEARN ABOUT THE EHA-ASH TRANSLATIONAL RESEARCH TRAINING IN
HEMATOLOGY?:
INSTRUCTIONS: TRTH 2012 Letter of Intent (LOI) and Applicant Information Form
LOI and APPLICANT INFORMATION FORM DEADLINE: JUNE 29, 2012
Your submission must include:
1.
2.
3.
4.
Completed and signed Letter of Intent
Completed Applicant Information Form
A 350-word maximum abstract describing the proposed research project (references not necessary)
Your CV or biosketch
Please include all documents in one PDF file and name the submission file as follows:
LastName_FirstName-LOITRTH2013.pdf
Submissions not formatted correctly and/or with missing or incorrect documents will not be considered.
TERMS & CONDITIONS
 If accepted to the program, applicants must agree to comply to the conditions of participation in the
Translational Research Training in Hematology program and participate in the following three events:
1. A week-long course held in March 2013
2. The 18th Congress of EHA in Stockholm, Sweden, June 2013
3. The 55th Annual ASH Meeting



Applicants must agree to respond to follow-up surveys in the future.
All participants must sign a statement of confidentiality before the start of the program.
Applicant must accept responsibility for travel expenses which exceed the allowed amounts and/or travel
arrangements which are outside of the established policies and procedures of TRTH.
To vary representation within the program, only one individual per medical school/institution/department will
be accepted.
COSTS
There is no registration or application fee, however, by applying, applicants agree to the terms & conditions.
EHA and ASH arrange all travel and accommodation for the TRTH spring course and follow-up meetings as
follows:
Spring Course
Accommodation, food and economy class airfare up to € 750, are arranged and covered by EHA and
ASH.
Follow-up Meetings
Economy class airfare up to € 750 and two nights accommodation in a designated hotel are
arranged and covered by EHA and ASH for each follow-up meeting.
The trainee is responsible for additional hotel nights and airfare costs above the established allowable
amounts. Additional details of the TRTH travel policy are communicated to awardees upon acceptance into
the program.
If there are special circumstances regarding the trainee's or institute's ability to cover additional costs,
applicants are still encouraged to apply. The mentor should include an addendum that explains the financial
difficulties that exist.