Sydenham International Conference for Students APPLICATION FORM

Key Information • run by CMF in London, England • 4 -12 February 2018 • for medical students and young doctors from all over the world • to equip them for Christian leadership among medical students

The conference is conducted in English, so it is necessary for all delegates to have sufficient English to attend talks and enter into discussions in English without a translator. More information about CMF and SYD 2018 can be found on our website: www.cmf.org.uk/students/syd/

Thank you for agreeing to provide a reference to support attendance at the above conference. Once completed, please send it to us by email to: [email protected]

All references must be received by the application deadline of 02 October 2017.

APPLICANT DETAILS:

Full name:

Country:

REFEREE DETAILS:

Full Name:

Email address:

Contact telephone number:

Your role/occupation: How long have you known the applicant? In what capacity have you known the applicant? REFERENCE: Yes No

Does this person have a personal faith in Christ that is reflected in their character and lifestyle?

Is this person involved in Christian ministry among medical students?

Does this person show leadership potential? Does this person have sufficient English to attend lectures and seminars, and partake in discussion groups in English without translation? Please give any additional supporting comments below:

Why would this person particularly benefit from this conference, this year?