Program Endorsement

Application for Program Endorsement


This online form is to apply for official WABIP endorsement of your scientific/educational program, seminar, workshop, or conference.

Benefits of endorsement include:

  1. Announcement on: the WABIP website, the WABIP Newsletter and on our social media platforms (Facebook, Twitter, Instagram, etc.)
  2. Delivery of electronic Bronchoscopy Education Project learning materials upon request
  3. Consultation regarding scientific program content as needed
There is no financial cost to organizers by applying for or obtaining WABIP program endorsements. Please note that the WABIP is in under no obligation to provide any financial support to organizers, programs or events, as a result of obtaining WABIP endorsements.

Please fill out your information below using a Desktop PC or Mac:

  1. Name of Applicant: *
    Please type your full name.
  2. Email Address: *
    Invalid email address (make sure there are NO spaces)
  3. WABIP Member Society:
    Please type your full name.
  4. Program Title: *
    Please type the title.
  5. Program Director:
    Please type your full name.
  6. Program Date: *
    Please type the date.
  7. Program Location: *
    Please type the location.
  8. Program Type (select all that apply): *
    Invalid Input
  9. Major funding sources: *
    Please include funding sources.
  10. Other potential sponsors:
    Invalid Input
  11. Are Continued Medical Education credits (or equivalent) being offered? *
    Must choose one.
  12. Will you consider Bronchoscopy Education Project resources to be used in this program? (resource downloads here) *
    Must choose one.
  13. Learning Objectives: *
    Please include Learning Objectives.
  14. Upload the scientific program (preliminary or finalized): *
    Must upload at least one file.
    Required・ENGLISH only (translation OK)・File size limit: 6 MB max
  15. Upload image of your brochure, flyer or other marketing materials:
    Must choose file
    Optional・JPG, PNG or PDF file type only・File size limit: 5 MB max
  16. Website address:
    Please type the title.
  17. Additional information or comments:
    Invalid Input

  18. AGREEMENT

    As a condition of WABIP endorsement of this program, I hereby agree that:
  19. (Must check all boxes) *
    Must check all boxes
  20. Signature: *
    Please type your signature.
  21. Click: *