PEER visits 2025 for PGMP - Application form

The PEER (Participation, Exchange, Education, Reach) visits support civil society organisations (CSOs) interested to visit a peer (host) organisation for up to two weeks to learn from them in areas they wish to develop.

Eligibility

Open to UICC full member organisations involved in the Patient Group Mentoring programme.

Open call: 1st October to 22nd October

Contact information

1. Home organisation information

Organisation name:

Country:

Contact email:

Confirm your email address:

2. Primary contact person

Name

Last name

Job title / role within the organisation:

3. Peer (host) organisation information

Please provide details about the organisation you plan to visit during your PEER visit.

Important: Please note that you are responsible for contacting the peer organisation and agreeing with them on the timeline and objectives prior to submitting this application. Please also work with them to complete the template letter of attestation to be submitted with this application.

Peer organisation name:

Full name of the contact person at peer organisation:

Contact email:

Confirm email:

Full address of peer organisation:

City:

Country:

Choice of organisation:

Briefly describe why this peer organisation was selected and what you hope to learn from them.

Peer organisation attestation

Please upload a joint attestation letter, using the template provided below, signed by both you and the host organisation. This letter should confirm your mutual agreement for the PEER visit, including the host organisation’s willingness to receive you, the agreed objectives, and the proposed dates of the visit.
One file only.
100 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Attestation letter_PEER visits

Details of the visit

4. Visit objectives

Please describe the main SMART objectives of the proposed regional peer learning visit.
(e.g., What specific knowledge do you hope to gain through this visit? Why is it important to your work?)

Your reply:

5. Planned activities

What activities do you plan to carry out during the learning visit to help you achieve your objectives?

(Please describe the main actions you intend to undertake — for example: meetings, site visits, workshops, job shadowing, joint planning sessions, etc.)

Your reply:

6. Expected outcomes

What tangible outcomes do you hope to achieve from this visit?
(e.g.: How will this visit contribute to your organisation’s goals? How are you going to transfer and implement the learnings from the visit?)

Your reply:

7. Proposed timeline

Please specify the agreed dates for the visit (maximum duration: two weeks).
Important: kindly note that the visit should be completed before 31 March 2026.

Start date:

End date:

8. Travel information

Departure airport (name and city):

Expected departure date from your home airport:

Destination airport (name and city):

Expected return date from the peer organisation's airport:

9. Do you have any additional comments ?

Your reply:

Privacy policy and use of personal data

By completing and submitting this form, you confirm that you have provided the requested information and documents, and that you consent to the use of your personal data for this purpose. By submitting this form, you also confirm your agreement with UICC’s privacy policy.

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Last update

Tuesday 30 September 2025