EMERGENCE: Practice Exchange - Registration for Respondents
Please complete this form in English only.
Submission deadline is Midnight, 15 May 2018 (12am 16 May) Central European Time.

While registration for participation is not required, it will help our team best manage the flow of people and match participants to respondents. Based on your availability choices, our team will contact you to confirm days of attendance, though you are welcome to attend on other days in addition to these.

If you have any questions or need additional support in completing this form please email Programs Coordinator Brad Caleb Lee at brad.caleb.lee@pq.cz

Email address *
First Name *
Your answer
Surname *
Your answer
Country/Region *
Your answer
You are *
Required
If an educator, what university?
Your answer
Design Areas *
Required
Preferred Days *
Required
How many days would you like to commit to participating? *
Have you attended a PQ before? *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service