AP-SGW 2017 Application Form
This is the online application form for the applicants seek to attend the 4th Asia-Pacific Space Generation Workshop (AP-SGW 2017)
Email address
1. Email address
Your answer
2. SGAC User Name
If you are not a SGAC member yet, please sign up here http://www.spacegeneration.org/join-sgac/join-as-a-member.html
Your answer
3. First Name
Your answer
4. Last Name
Your answer
5. Date of Birth
MM
/
DD
/
YYYY
6. Gender
Your answer
7. Country of Citizenship
Your answer
8. Second Country of Residence
Your answer
9. Country of Residence
Your answer
10. Current Status
Mark only one oval.
Required
11. Affiliation
University or Organization you are associated with.
Your answer
12. Have you ever been involved with SGAC in the past, and in what way? (Max. 100 words)
Your answer
13. Please describe your motivation for participating in the 4th Asia-Pacific Space Generation Workshop (AP-SGW 2017). (Max. 300 words)
Your answer
14. Do you plan to participate in the Speed Mentoring Event?
Plenary Session and Discussion with Space Entrepreneurs for nurturing the budding entrepreneur in You. (Schedule: - 13th November, 9 am - 12 noon)
Required
15. Please give us a summary of your academic/professional background (Max. 300 words)
Your answer
16. What unique perspectives will you bring to the AP-SGW? (Max. 150 words)
Your answer
17. How do you intend to participate in AP-SGW 2017?
Mark only one oval.
Required
18. If you intend to attend in person, please select one of the options
Mark only one oval.
Required
19. Please indicate the Working Group you would be interested to join. (Check only 2 options)
Required
20. Please indicate if you would be available as a rapporteur for one of the working groups
Mark only one oval.
Required
21. Do you intend to participate in the 24th Asia-Pacific Regional Space Agency Forum (APRSAF) in Bengaluru, India, as well?
Mark only one oval.
Required
22. How did you hear about AP-SGW 2017?
Your answer
23. Do you need a VISA to attend AP-SGW 2017?
Mark only one oval.
Required
24. In case you need a visa to attend, do you need an invitation letter from SGAC?
Mark only one oval.
Required
25. If selected as a Delegate, do you have any food preferences ? Please chose the most appropriate one.
A copy of your responses will be emailed to the address you provided.
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