Con.Junction Application Form
Thank you for applying to Con.Junction! Please fill out the following form in as much detail as possible, and we will get back to you shortly. Please email junction@jdc.org with any questions.
General Information
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Cellphone Number *
Your answer
Nationality *
Your answer
Country of Residence *
Your answer
Occupation *
Your answer
Emergency Contact Name, Number, and Relationship to you *
Your answer
Kosher-style food will be served (vegetarian + fish). Please let us know if you have any other specific request by choosing from the list below. (If you request supervised kosher food please select the 'kosher' option from the list) *
Required
Do you have any physical limitations or any medical conditions, including allergies, that we should be aware of? *
Your answer
Conference Participation
Please fill out the following questions to tell us more about yourself!
Please write a short bio about yourself that tells us more about you! *
This bio may be used to introduce you to other participants.
Your answer
Do you have any institutional, organizational, or academic affiliation? *
Your answer
Please specify your fields of interest. *
I.e. Photography, Business, Education, etc.
Your answer
Where are you in your professional career? Please describe your professional path, your passions, and what you would like your next step to be. *
Your answer
Which professional track most interests you? *
Read the track descriptions here for more information: http://www.junction.nu/programs/conjunction/ No worries that's not a binding choice!
Why did you choose this track? Please describe what you would most like to gain from attending Con.Junction. *
Read the track descriptions here for more information: http://www.junction.nu/programs/conjunction/
Your answer
Are you interested in leading part of a workshop? If so, what kind of workshop? *
Your answer
Accomodation will be in double room, do you have a preferred roommate? *
Required
If yes please specify
Your answer
How did you hear about Con.Junction? *
Do you agree to pay the 250 euro participation fee that covers your hotel stay, food, and program? *
Please read the terms and conditions linked here. Do you agree to the terms and conditions? *
Click here to read: http://www.junction.nu/waiver/
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