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! :)
* Required
Email address
*
Your email
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?
*
Yes
Sort of
No
Are you interested in entrepreneurship or in launching your own business?
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Yes
No
I don't know yet
Why do you want to be a part of this programme?
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Your answer
Are you available on June 15 from 10AM - 5PM?
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Yes
No
Will you require transportation to and from Nicosia?
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Yes
No
Other:
This event may require crossing to the south side or north side. Do you have any issues crossing the checkpoint?
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Yes
No
Other:
Have you ever met someone from the other community before? (From Turkish Cypriot community or Greek Cypriot Community)
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Yes
No
Please rate your level of proficiency in English
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Poor
1
2
3
4
5
Excellent
What school do you attend?
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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
*
Yes
No
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