CORDIS® CARDIAC & VASCULAR INSTITUTESM
Cordis Corporation
Educational Grant Guidelines and Criteria
Cordis Corporation is committed to the education of Health Care Practitioners and supports educational
endeavors through the CORDIS® CARDIAC & VASCULAR INSTITUTESM. A major pillar of the
CORDIS® CARDIAC & VASCULAR INSTITUTESM mission is to support the education and training of
physicians and other Health Care Professionals. By supporting education, patient outcomes are
improved through procedural expertise while clinical evidence is used to continually innovate and
advance treatment. With a focus on education, CORDIS® CARDIAC & VASCULAR INSTITUTESM works
to expand the reach of vascular techniques and treatments for the millions of people with
cardiovascular disease.
The review and approval of all educational grants for Cordis Corporation resides within
CORDIS® CARDIAC & VASCULAR INSTITUTESM. We support educational events that align with our
disease states and therapeutic categories, and reflect our current educational focus. All grants are
provided in strict compliance with the AdvaMed Code of Ethics for Healthcare Professionals.
Educational grants must support bona fide educational activities and involve a scientific exchange of
information with a medical focus. In addition, educational grants are provided without condition of
product use or contingent upon any commitment to purchase, use or recommend the use of Cordis
products.
We consider educational grant requests from academic and community medical centers, medical
societies, professional associations and government agencies. Cordis may not have the resources to
fund all educational grant requests it receives, and by necessity, the company may exclude certain
requests.
Educational grants cannot be used for the following:
Capital or capital projects
General operating support
Personal development
Charitable contributions
General support of educational institutions
Program endowments
Lobbying, political or fraternal activities
Private foundations
Trips or Tours
Fundraising events/activities, social events or goodwill advertising
Individuals, including scholarships for individuals (medical fellowships are exception)
Promotional activities (promotion of specific products or company)
This form should not be used for research grants or charitable contributions. For
technical or in-kind grants, and fellowship grant inquiries, contact the Grants and
Fellowships Department at meded@crdus.jnj.com.
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Guidelines for Educational Grant
Accredited Educational Activity
Activities that serve to maintain, develop, or increase the knowledge, skills and professional performance and relationships
that a healthcare professional uses to provide services for patients, the public, or the profession. Continuing Medical
Education and other accredited activities are planned and implemented in accordance with the Essential Areas and Policies
of the Accreditation Council for Continuing Medical Education (ACCME) or comparable organizations governing accreditation
for other healthcare professionals. Proof of accreditation will be required for submission.
Non-Accredited Educational Activity
A grant to a requestor to prepare or distribute educational materials to providers or patients. Educational grants may not be
used to subsidize activities that a customer is already required to, or customarily, performs as part of its business activities.
Funds must be used only for specific educational expenses identified by the requestor. Presentations regarding Cordis
products, if any, must remain on label.
The attached grant application must be completed in its’ entirety, to include all required attachments, and with the
following requirements. Applications must be received (at minimum) 60 days prior to the start of the program.
Applications submitted less than 60 days prior to event may not be considered.
REQUIREMENTS FOR GRANT:
□
□
□
Grant requests for accredited educational activity must come from the CME/CE provider. Cordis
Corporation will not accept educational grant requests from physician faculty or physician course
director.
Exhibit opportunity must not be referenced in the educational grant request letter. Cordis’ decision to
support is based solely on the educational merit of the meeting.
Fully complete attached application and submit all required documents which include:
o Cover letter with signature on CME/CE Provider or Institution letterhead to include following:
 General description of program, requested grant amount, and how funds will be used.
 Background information of organization requesting funds to include description, mission,
history, ownership and tax-exempt status of organization.
 Statement of educational purpose and objectives, and general description of content.
Educational objectives must be learner-based.
 Needs Analysis - should explain the unmet educational need(s) being addressed and how
the meeting will address this unmet need.
o Agenda
o Detailed budget
o W-9
o Accreditation documentation:



Must include statement that cites activities have been planned and implemented in accordance with
the Essential Areas and Policies of the Accreditation Council for Continuing Medical education
(ACCME) or comparable organizations governing accreditation for other healthcare professionals.
This may be in the form of a stand-alone statement of accreditation or included in a brochure
describing the accredited activity.
Must provide copy of CME/CE provider’s accreditation certificate and statement of number of credit
hours.
If 3rd Party CME/CE Provider used, must include provider’s written review and approval of
program.
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CORDIS® CARDIAC & VASCULAR INSTITUTESM
Cordis Corporation
Application for Educational Grant
Date of Application: _____________
This fully completed application, to include all required attachments, must be received (at minimum) 60 days prior to
the start of the program and be submitted with the following requirements:
1.
2.
3.
Cover Letter with signature on CME/CE Provider or Institution letterhead to include general description of program, requested grant
amount and how funds will be used. Background information of organization requesting funds to include description, mission, history,
ownership and tax-exempt status of organization, agenda, a statement of educational purpose and objectives, and general description of
content. Educational objectives must be learner-based. Needs Analysis must explain the unmet educational need(s) being addressed and
how the meeting will address this unmet need.
Fully Completed Application
Submit with all Required Attachments per Section #3
Only fully completed applications will be accepted for review.
Accredited Educational Activity
Non-Accredited Educational Activity
Activities that serve to maintain, develop, or increase the knowledge, skills
and professional performance and relationships that a healthcare
professional uses to provide services for patients, the public, or the
profession. Continuing Medical Education and other accredited activities
are planned and implemented in accordance with the Essential Areas and
Policies of the Accreditation Council for Continuing Medical Education
(ACCME) or comparable organizations governing accreditation for other
healthcare professionals. Proof of accreditation will be required for
submission.
A grant to a requestor to prepare or distribute educational materials to
providers or patients. Educational grants may not be used to subsidize
activities that a customer is already required to, or customarily, performs
as part of its business activities. Funds must be used only for specific
educational expenses identified by the requestor. Presentations
regarding Cordis products, if any, must remain on label.
2. REQUIRED FOR ALL PROGRAMS:
Requestor Information:
Name:
Institution:
Title:
Address:
Phone:
Fax:
Email:
Program Details:
Title:
Program Date:
**Must give at least 60
days prior notice
Location:
Amount of Restricted Educational Grant Requested:
$
USD
Target Audience:
Physicians
Medium:
Live
Expected Attendance:
Nurses
Teleconference
Patients
Other ________
Webcast
CD-ROM
Educational Grant Application Cordis.com Ver. 1
# of Attendees: _________
Other
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Cordis Corporation
Payee Information:
*Check
Payable to:
Address:
Attention:
Tax ID #
Phone:
Fax:
Email:
* If payee is not the CME/CE provider, a statement from the CME/CE provider identifying the “remit to” details must be included.*
REQUIRED FOR ACCREDITED PROGRAMS ONLY:
CME/CE Accreditation:
Is this program CME/ CE-accredited?
Yes
No
If “yes”, please provide information about the accrediting body below and attach copy of certification.
Name:
No. of Hours:
Address:
Category of Credit:
Are you working with an outside CME/CE Provider?
Yes
No
If yes, please identify the CME/CE accrediting body. Attach a copy of its CME/CE certification and written approval of the program.
Name:
Address:
3. REQUIRED ATTACHMENTS:
Cover letter on CME/CE Provider / Institution’s letterhead with Signature
Yes
Background Information of Organization Requesting Funds (must include):
Description, mission, history, ownership and tax-exempt status of organization
Agenda
Yes
Detailed Meeting Budget
Yes
W-9 Form
Yes
CME/CE Provider Certificate (if applicable)
Yes
If 3rd Party CME/CE Provider used, include copy of provider’s written approval of program
Yes
Educational Grant Application Cordis.com Ver. 1
Yes
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Cordis Corporation
Certification
The above information and any other supporting information attached is, to the best of my knowledge, a complete and accurate description of
my/our request for restricted educational support from Cordis for this activity. I understand that if the request is approved, Cordis funding will
be in the form of a restricted educational grant and that neither the grant nor my/our acceptance of the grant is conditioned or tied in any way
to: 1) the referring business payable under Medicare or Medicaid; or, 2) the purchasing or ordering of products or services payable under
Medicare or Medicaid. I understand that the grant is conditioned on the execution by both parties of a written grant agreement that reflects
the criteria for Cordis funding shown on the attached sheet . I understand that past support does not guarantee future support and that the
Grant Review Committee’s decision is final. I understand that all educational grants provided by Cordis will be posted to the
company website at www.Cordis.com, and may also be disclosed as required by law. I understand that disclosure will include
the name of our organization, the monetary value of the grant provided and the purpose(s) for the funding. I understand
that Cordis requires a reconciliation of all grants provided and should this grant be approved, I agree to provide such
information.
**Please note that only fully COMPLETED applications (including cover letter and required attachments) will be considered.**
Printed Name:
Signature:
Title:
Date:
Please submit application with your cover letter and required attachments
Via email to: MedEd@crdus.jnj.com
For questions or clarifications, please call 1-866-526-1239
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