Covenant of Mayors delegation to the ChangeNOW Summit, Paris, 31 January 2020
Application form
Email address *
Name of your city *
Your answer
Country *
Please note that the call is restricted to EU Member States.
Population of the city *
Your answer
Name of local politician interested in attending *
Your answer
Title of local politician interested in attending *
Your answer
I would like to meet with innovators in the field of... *
You can tick several boxes. Your answers will be used to prepare the afternoon meetings with innovators.
Required
Please tell us more about your challenges on the above-mentioned fields (maximum 3 examples).
Your answer
I am willing to attend or give a presentation in a conference session on... *
Please note that we will not be able to accommodate all politicians with a speaking slot.
If you are willing to give a presentation, could you propose a topic for the presentation?
Your answer
If you have specific expectations towards the event, please feel free to indicate them here
Your answer
Name of contact person *
Your answer
Email address of contact person *
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Covenant of Mayors Office. Report Abuse