XOVA Application Form 1 Contact 2 Project 3 Funding 4 Précis/Abstract 5 Photography 6 Completed Contact details Organization Details Organization legal name * (with whom the grant agreement would be made) Country Address line 1 Address line 2 City State Province Zip/Postal code Telephone Email Website address Mission statement Has this organization endorsed your application? * - Select -YesNoApplicant Details Title First Name Last Name Institution / Hospital Address line 1 Address line 2 City State Province Zip/Postal code Email Telephone Have you previously submitted this project for a XOVA grant? - None -YesNo If so, in which year did you submit your project? - None -20112012201320142015201620172018201920202021 Did you receive XOVA funding? - None -YesNo How did you hear about XOVA? Next Page >
