Application Form | Digital Innovation Exhibition

Question Title

* 1. Submitter's Name

Question Title

* 2. Where are you located (city & country)?

Question Title

* 3. Email

Question Title

* 4. Phone Number

Question Title

* 5. Institutional Affiliation

Question Title

* 6. Title/role

Question Title

* 7. Type of Institution

Educational institution

Research organization

Non-profit

Private sector

Government

Other

Question Title

* 8. Title of your project/ exhibition booth

Question Title

* 9. Abstract of your project

Question Title

* 10. Background/motivation of your project

Question Title

* 11. Sample or intended audience/beneficiaries

Question Title

* 12. Methodology or approach

Question Title

* 13. Demonstrated or expected outcome or impact of your project

Question Title

* 14. At what stage of completion is your project?

Question Title

* 15. How will your team benefit from inclusion at “Access to Agency: Empowering Women through Digital Inclusion”?

Question Title

* 16. Do you require any special accommodations in order to to present at the exhibition?

Question Title

* 17. Please upload, as a PDF, either your poster (using our template) or a outline of the materials you need for your booth.