STOMP CY Pilot Programme Application Form
Please complete the fields below to be considered for the STOMP CY pilot programme. Please submit your application by June 12, 2019. All applications will be reviewed by the CyprusInno and CSI teams. Those selected to participate in the programme will be notified and sent a terms of participation form, release form, and parental consent form. All forms must be signed for participation. Should you have any questions, please feel free to reach out to us at info@cyprusinno.com. Best of luck and we look forward to meeting you! :)
Email address *
First Name *
Your answer
Last Name *
Your answer
Age *
Your answer
City of Residence *
Your answer
Phone Number (if applicable)
Your answer
Do you know what entrepreneurship is? *
Are you interested in entrepreneurship or in launching your own business? *
Why do you want to be a part of this programme? *
Your answer
Are you available on June 15 from 10AM - 5PM? *
Will you require transportation to and from Nicosia? *
This event may require crossing to the south side or north side. Do you have any issues crossing the checkpoint? *
Have you ever met someone from the other community before? (From Turkish Cypriot community or Greek Cypriot Community) *
Please rate your level of proficiency in English *
Poor
Excellent
What school do you attend? *
Your answer
What school year are you in? *
Your answer
Please list the full name and contact information (email and phone number) of a parent below *
Your answer
You understand that a Terms of Participation form, a Release Form, and a Parental Consent Form must be signed before acceptance to this programme *
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