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Scienсe Connects (Registration form)
If you cannot take part in this Workshop, but are interested in fostering academic collaboration with researchers in Ukraine and future scientific diaspora activities, please also fill in this registration form.

This one-day EaP PLUS Workshop «SCIENCE CONNECTS: Strengthening the Interaction between Researchers in Ukraine and Scientific Diaspora», will be carried out in Kyiv on May, 15 2017.

We welcome Ukrainian scientists and scientists of Ukrainian origin living and working abroad (“scientific diaspora”), representatives of governmental and non-governmental organizations, international organizations concerned with the development of science and the dissemination and use of research results.

By registering, you also have an opportunity to be included in the searchable database of the Ukrainian Scientific Diaspora.

Would you attend the Workshop?
If you would like to participate in Workshop, do you agree that your personal information (incl. contact e-mail address) to be included in the list of Workshop participants and distributed to the Workshop participants, also electronically?
Name, Surname
Title
e-mail
Country (you are living now)
What is your current affiliation (who is your main employer)?
If you have a second affiliation, please indicate
Does your organization have status of Enterprise (SME)?
What is your current position (job title)?
Are you involved in the research/manufacturing/innovative/management activity? (please, specify)
Please indicate the name of the university/research institute you have studied/worked before moving abroad
Do you have PhD or other scientific degree?
What is your main field of research?
Required
Please indicate a few keywords best characterizing your research/ professional interests
Do (did) you take part in joint projects of FP EU/any other international programmes with Ukrainian partners?
If you consider yourself a part of scientific diaspora, do you agree to be included into the dedicated database “Ukrainian Scientific Diaspora”, which is planned to be published in open access on the web-sites of the National Academy of Sciences of Ukraine and the EC EaP PLUS project? (we will not pass this information to third-parties).
What types of activity you possibly could be involved:
Required
If you are going to stay for a few extra days in Ukraine, would you be interested to offer a research lecture/ seminar to interested audience of students/ researchers (e.g. at the university you graduated)?
What is the tentative title of your talk?
Would you wish us to assist you with the organization of such a talk?
Submit
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