Request edit access
Decolonise STEM: Panellist Application
Please complete the form below to register your interest in taking part in one of the panels at the Decolonise STEM symposium on October 5th 2019 at University College London. All answers will remain confidential.

Please see our website https://decolonisestem.home.blog/ and refer to the call for panellists for more details about the symposium and the proposed panels. If you require any additional help completing this form, please feel free to drop us an email at decolonisestem@gmail.com.

Applications close 17th August 2019. We hope to respond to applications within a week of this deadline and by September 1st at the latest.
Email *
Name *
Panel of interest *
In no more than 300 words, please describe why you would like to take part in this panel and what you would like to contribute to it. You can refer to the call for panellists on our website to find some prompts that might be helpful: https://decolonisestem.home.blog/ *
Please provide a short bio to let us know a little bit about you *
We have funds available to provide travel bursaries for some attendees. Would you like to apply for a bursary to cover travel expenses to UCL? *
If you answered yes to the above, are you able to estimate the cost of travel? If so, please indicate this below.
Where will you be travelling from on October 5th?
Clear selection
Please let us know if you have any accessibility requirements.
Please let us know if you require any special adjustments.
Do you have any dietary requirements? If so, please outline them below.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy