JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
AGNES Researchers Network Seminar 2026 — Registration Form
Welcome to the official registration page for the
Maiden AGNES Network Seminar 2025
, themed:
“Reconnecting Excellence: Showcasing AGNES Impact and Inspiring the Next Generation of African Scientists.”
🗓
Date:
Wednesday, 21 January 2026
⏰
Time:
11:00 AM – 1:00 PM (WAT/GMT+1)
💻
Venue:
Zoom Webinar (link will be share by email before the event)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
1. Full Name
*
Your answer
2. Email Address
*
(Required — Zoom link will be sent here)
Your answer
3. Country/Nationality
*
Choose
Angola
Benin
Botswana
Burkina Faso
Burundi
Cabo Verde
Cameroon
Central African Republic (the)
Chad
Comoros (the)
Congo (the)
Côte d'Ivoire
Democratic Republic of the Congo (the)
Djibouti
Equatorial Guinea
Eritrea
Eswatini
Ethiopia
Gabon
Gambia (the)
Ghana
Guinea
Guinea-Bissau
Kenya
Lesotho
Liberia
Madagascar
Malawi
Mali
Mauritania
Mauritius
Mayotte
Mozambique
Namibia
Niger (the)
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
South Sudan
Sudan (the)
Togo
United Republic of Tanzania (the)
Uganda
Zambia
Zimbabwe
4. Name of Institutional
*
(University / Research Institute / Organisation / Independent Researcher)
Your answer
5. Position / Role
*
(e.g., PhD Student, Lecturer, Postdoc, Researcher, Professor, Student, Administrator, etc.)
Your answer
6. Are you an AGNES Member, Grantee, or New Participant?
*
AGNES Member
AGNES Past Grantee (Bayer, JRG, MG, etc.)
New/Prospective Participant
Other:
7. If applicable, please indicate which AGNES grant you were awarded
*
AGNES Intra-Africa Mobility Grant (MG)
AGNES Intra-Africa Mobility Grant (MG) - Supplementary
AGNES Junior Researcher Grant (JRG)
AGNES Junior Researcher Grant (JRG) - Supplementary
AGNES Bayer Science Foundation Research Grant
Not applicable
Other:
8. What aspects of AGNES are you most interested in learning about during the seminar?
AGNES Grants & Opportunities
Research Mobility Support
Success Stories from AGNES Alumni
Strengthening the AGNES Network
Membership Opportunities
Collaboration Possibilities
Other:
9. Do you have any questions you would like the speakers to address?
*
Your answer
10. Would you like to be added to the AGNES Mailing List for future updates and calls?
*
Yes
No
11. How did you hear about this seminar?
*
AGNES Website
Email Invitation
WhatsApp/Telegram
Social Media (Facebook, LinkedIn, X/Twitter)
Referral from a colleague
Other:
12. Consent for livestream and recording
*
I understand that this seminar may be recorded and livestreamed, and I agree that screenshots, group images, and video excerpts may be used for AGNES documentation and publicity.
Required
13. Consent to be contacted
*
I consent to being contacted by the AGNES Office regarding my participation in this event.
I consent to being contacted by the AGNES Office regarding relevant AGNES opportunities.
Required
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of AGNES-H Workspace.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report