Call for experts to Thematic Group of the United For Smart Sustainable Cities (U4SSC) Initiative “Blockchain 4 Cities”
Applicants are invited to complete this online application form in order to participate in the rolling ongoing call for experts. Selected applicants will be notified and invited to participate in subsequent meetings accordingly.
Sign in to Google to save your progress. Learn more
Email address *
First name *
Your name
Family name *
Your family name
Phone number country code *
Select country code
Phone number *
Insert phone number
Provide your Skype ID or other alternative online web conferencing facility to reach you *
Professional sector *
Select from drop down your closest sector
Are you from an organization? *
Required
Motivation *
A few sentences on your familiarity with the U4SSC and thematic group's topic and your expert contribution.
Education/Professional Qualifications *
List down relevant education, qualifications, trainings (if any)
Practical experience *
Briefly describe the main elements of your experience and knowledge as it relates to the thematic group.
Membership and professional affiliation
List relevant platforms, organizations and affiliations you are involved in and a description of your work.
The thematic group outputs may include your name, professional capacity (researcher, scientist, official etc) and country on the U4SSC website and publications. Do you accept? *
Do you agree and confirm that you comply to the terms of participation in the Call for Experts document (see attached)? *
I declare that I am able to contribute to the thematic group, in the language specified. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms