Educational Grants

Organizations with a bona fide educational purpose and defined need may seek an educational grant from Oxford Immunotec.  Fill out the form below to submit a request for an educational grant.

Requester Information

* Indicates mandatory entry

Entity Information

Is your organization either a government entity or partially owned by a government entity?
Entity Requesting Grant*
Entity Tax ID#*
Address*
Country*
State*
Zip Code*

Contact Information

* Indicates mandatory entry
First Name*
Last Name*
Title*
Email Address*
Phone Number*

PROGRAM DESCRIPTION

* Indicates mandatory entry
Area of Interest
Title of Program*
Program Type*
Overview*
Learning Objectives*
Program Agenda*
Will this program provide continuing
education credits?*
Accreditation Type
ACCME number of credit hours  
AAFP number of credit hours  
ANCC number of credit hours  
AOA (CCME) number of credit hours  
AAPA number of credit hours  
Technical Accreditations number of credit hours  
Other number of credit hours  
Estimated Program Start Date
Estimated Program End Date
Estimated Length of Program
Name of Accreditation Provider,
If applicable
Address
Program Location(s)*
Venue State Program Date
Number of Speakers*
Speaker Credentials*
Intended Audience*
Specialty*
Estimated Total Program Attendees*
Is a Third Party assisting with program implementation?
Name of Third Party*
Address 1*
Address 2
Country*
State*
Zip*
Contact Name*
Contact Phone*
Contact Email Address*
Third Party Tax ID #
   

BUDGET DETAILS

* Indicates mandatory entry

Itemized Budget

Whole numbers only, no decimals please
Advertising*
Conference Fees*
Course Materials*
Content Development and Preparation*
Faculty Honoraria*
Program Management
Miscellaneous
 
Forms
To access a blank W-9    Click here
Add W-9 *
Add IRS Letter, if applicable
   
Are you expecting any additional sponsors for this program*

 
Educational grant requests are reviewed on their merit by a select review committee, comprised of company personnel with no sales responsibilities, and approvals are never related to or conditioned upon past, current, or future use of products or services. Grants are provided in accordance with the U.S. Food and Drug Administration’s Guidance on Industry-Supported Scientific and Educational Activities, the AdvaMed Code of Ethics for Interactions with Healthcare Professionals ("AdvaMed Code") and/or other relevant industry standards. When required by national and/or local law, Oxford Immunotec will report all transfers of value. Responsibility and control over the selection, content, faculty, educational methods, materials, and venue for an independent medical education event belongs solely to the organizers of the activity.

By clicking submit, I certify that I am authorized to submit this request on behalf of the named entity. I further clarify that this request has not been solicited by Oxford Immunotec sales or marketing personnel and that this request and any funding provided as a result of this request is not being sought as, and is not intended to be, an inducement to purchase, recommend, or refer any product or service offered by Oxford Immunotec.