American Society of Hematology

International Outreach Initiative Application

To apply online for the International Outreach Initiative, please complete and submit the form below.

Eligible applicants will be from low-or middle-income countries and must be affiliated with a hospital, university, clinic, or a cooperative group of institutions within an eligible region. ASH will not consider applications for personal or individual use.

Applicant Contact Information:

* = Required Field

 
 
 
 
* Facility Type:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 

Please provide a brief statement describing how the materials will be used and distributed at your institution.

 
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