Welcome to Individual Sponsorship Application Form

We detected you are from Australia Change

To begin, please complete the below application form. A PDF copy of your completed application will be sent to you via email upon submission. Note: One applicant per form only please.

All fields are mandatory, unless specified.

Individual sponsorship criteria

AbbVie may support individuals to attend third-party educational events that:

Support scientific and medical knowledge and understanding

Are directly related to the applicant’s area of expertise

AbbVie may book and pay for the following to support the applicant:

Flights

Accommodation

Registration

Not fundable

Incidentals

Expenses of a guest, family member, or a companion

AbbVie books and pays for all flights, accommodation, and registration fees directly and will not reimburse the applicant for these expenses. Booked flights are based upon the most direct and practical route to and from the educational event without providing additional time for purposes unrelated to the educational event.

Therapy Areas Sponsorship Available

SELECT ALL THAT APPLY

Eye Care/Ophthalmology (Retina, Glaucoma)

Immunology (Gastroenterology, Rheumatology, Dermatology)

Neurology and/or Rehabilitation (Movement disorders, Headache/Migraine, Spasticity)

Oncology (Solid/Haematological Malignancy, e.g., Prostate Cancer, Leukaemia/Lymphoma)

Urology (Overactive Bladder, Neurogenic Detrusor Overactivity)

Virology (Hepatitis C)

Please select at least one of the above check boxes.

NAME OF APPLICANT

INSTITUTION NAME

I certify that where applicable I have received my employer’s approval (including any private and/or public employers) to request and receive funding from a pharmaceutical company. I consent to the collection of my information for the administration of my request.

I have read and understand the sponsorship criteria

I consent to AbbVie Pty Ltd and/or AbbVie Limited, both AbbVie companies collecting and processing my personal data in accordance with their Privacy Notices https://www.abbvie.com.au/privacy.html (AU) or https://www.abbvie.co.nz/privacy.html (NZ)

Individual sponsorship application form to attend a third-party educational event

Individual sponsorship criteria