Grant Requests

In support of our mission to transform how cardiovascular disease is diagnosed and treated, and improve the health of patients, CathWorks provides grants or sponsorships to the following:

Academic institutions
Medical centers
Medical and professional societies and associations
Patient organizations providing cardiovascular education

We offer educational grants for:

Accredited and non-accredited continuing education programs for healthcare providers
Patient education materials
Fellowships
Congress support

How to apply

Please complete the grant request form below to share your program’s details with us. For more information, please contact: [email protected].

* required fields

Type of grant requesting*

Organization requesting grant*

Amount requesting*

Grant Description

Program title*

Program start date

(This includes conference dates or conference dates for travel scholarship)

Program end date

(This includes conference dates or conference dates for travel scholarship)

Program detailed description*

Program location*

Detailed use of funds attached

Yes

Educational Program/Congress Information

Not applicable (N/A)

Number/Type of attendees expected (i.e., Interventional Cardiologists)

Names of other sponsors/potential sponsors

What does CathWorks receive in exchange for funding (i.e., recognition on signage, meeting materials, etc.)

Presentation type

Accreditation Information

N/A

Accrediting body name

Number of hours

Category of credit

Is an opportunity available for exhibit/advertisement space*

Yes

If yes, describe type of exhibit or advertisement space and additional cost, if any

Acknowledgement

Acknowledgement*

*REQUIRED: By checking here, the submitter certifies that CathWorks will not control or influence the program content, selection of faculty, or scholarship recipients.

Additional Information

Date by when CathWorks decision is required, if any

If approved, deliver check to (name)

If approved, deliver check to address

Employer Identification Number (EIN) or Taxpayer Identification Number (TIN) (U.S. submissions only)

Organization website

CathWorks contact, if any

Attachments Needed

Requestor must submit the following documents with this Grant Request:

Upload W-9 Form

Accepted file types: pdf, doc, docx, xls, xlsx, ppt, pptx, txt, Max. file size: 5 MB.

Upload Program Objectives or Course Agenda*

Accepted file types: pdf, doc, docx, xls, xlsx, ppt, pptx, txt, Max. file size: 5 MB.

Upload Detailed Proposed Budget*

Accepted file types: pdf, doc, docx, xls, xlsx, ppt, pptx, txt, Max. file size: 5 MB.

Upload Accreditation Statement

Accepted file types: pdf, doc, docx, xls, xlsx, ppt, pptx, txt, Max. file size: 5 MB.

Investigator / Institution Information

Investigator first name*

Investigator last name*

Investigator title*

Institution name*

Investigator email*

Investigator phone*

Country*

State / Province*

Street address*

City / Suburb*

Zip / Postal code*

Study Information

Already uploaded

I have provided the study information in the attached Protocol document (please upload file at bottom of form)

Study title / topic*

Primary objective*

Hypothesis*

Study rationale and its relevance to CathWorks*

Please describe the study design (e.g., single-arm, observational study)*

Required number of patients. If possible, please provide details of power calculation (e.g., power, level of significance, effect size and standard deviation, supportive citations)*

Please list the number of centers*

Please describe the enrollment criteria*

Please describe the treatment details (e.g., procedural steps)*

Please list the study endpoints, associated measurement methods and analysis plan*

Please estimate study duration (time in months for start-up, enrollment, and follow-up)*

Please estimate study start date*

Please estimate study end date*

Please describe the evidence dissemination plan (target scientific congresses, journals, submission dates, etc.)*

Attachments Needed

Requestor must submit the following documents with this Grant Request:

Upload Detailed Proposed Budget*

Accepted file types: pdf, doc, docx, xls, xlsx, ppt, pptx, txt, Max. file size: 10 MB.

Upload Protocol*

Accepted file types: pdf, doc, docx, xls, xlsx, ppt, pptx, txt, Max. file size: 10 MB.

Requestor Information

Submission of this Grant Request and documentation does not guarantee approval of the request by CathWorks. CathWorks will only fund grants that the CathWorks Grant Review Committee has approved. CathWorks reserves the right to award less than the amount requested.

The undersigned represents and warrants he/she has the authority to submit this request on behalf of the organization requesting the grant, and that this request is unrelated to the purchase of CathWorks product. In addition, the undersigned warrants that CathWorks will have no control over any relevant content, speaker selection, or scholarship recipients, where applicable.

Your first name*

Your last name*

Your title*

Your email*

CAPTCHA

Phone

This field is for validation purposes and should be left unchanged.

Grant Requests

We offer educational grants for:

How to apply

Grant Description

Educational Program/Congress Information

Accreditation Information

Acknowledgement

Additional Information

Attachments Needed

Investigator / Institution Information

Study Information

Attachments Needed

Requestor Information

Regulatory Status

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