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Journal Clubs and Rounds application form

Personal data about you collected by Abbvie Corporation, ("AbbVie"), as part of your grant or donation request is subject to our Privacy Notice which describes how AbbVie processes your personal data and your data privacy rights.

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Legal authorized representative to sign contract

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Briefly outline your funding request (75 to 200 characters)

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The amount should be inclusive of all fees related to the event, as per the detailed budget breakdown.
 

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Is the venue appropriate and conducive to learnings? required
Can Abbvie employees attend a Journal Club or Round as an observer? required
Have funds been solicited from other sources? required

Please also attach your dated letter of request on your organizations letterhead,including a detailed budget breakdown, with the completed application form.

*As part of our ongoing commitment to maintain a high level of integrity of our grants and donations program, we review our selection criteria on an ongoing basis.