ICOM-US Prague Contact List- August 2022

You can complete as much information as you are comfortable sharing with others in Prague and can opt in/out.

This information will only be shared with ICOM-US members and posted on the members only page on our website for viewing only access.

Contact mshevlin@hauck.com or icomus@icom.museum with any questions.

Question Title

* 1. Contact Information

First Name *

Last Name *

Professional Affiliation

Job Title

City/Town

State/Province

Country of Residence *

Question Title

* 2. Email Contact Address for when in Prague:

Question Title

* 3. Phone Contact Number for when in Prague:

Question Title

* 4. ICOM-US Member Category:

Regular Individual

Student Individual

Retired Individual

Supporting Individual

Institutional Representative

Question Title

* 5. ICOM-US Member Number:

Question Title

* 6. International Committee(s) Involvement:

Question Title

* 7. Additional committees participation or leadership positions held, list below:

Question Title

* 8. Are you an ICOM-US 2022 travel grant recipient for Prague?

Yes

Question Title

* 9. Prague participation:

In person

Virtual

Question Title

* 10. Hotel in Prague:

Question Title

* 11. Arrival Date:

Question Title

* 12. Arrival Airline:

Question Title

* 13. Arrival Airport:

Question Title

* 14. Departure Date:

Question Title

* 15. Departure Airline:

Question Title

* 16. Departure Airport:

Question Title

* 17. Do you use a separate texting app for international travel? If so, please list the apps below (ex- WhatsApp, GroupMe, Signal).

Question Title

* 18. Are you giving a presentation in Prague or have session information you would like to share with your fellow US colleagues to attend? Please list the information below:

Question Title

* 19. Do you plan to attend the ICOM-US member reception in Prague the evening of August 23rd?

Yes

Unsure

Question Title

* 20. Social Media Handles:

Instagram

Facebook

Twitter

Tik Tok

ICOM-US Prague Contact List- August 2022

Question Title

* 1. Contact Information

Question Title

* 2. Email Contact Address for when in Prague:

Question Title

* 3. Phone Contact Number for when in Prague:

Question Title

* 4. ICOM-US Member Category:

Question Title

* 5. ICOM-US Member Number:

Question Title

* 6. International Committee(s) Involvement:

Question Title

* 7. Additional committees participation or leadership positions held, list below:

Question Title

* 8. Are you an ICOM-US 2022 travel grant recipient for Prague?

Question Title

* 9. Prague participation:

Question Title

* 10. Hotel in Prague:

Question Title

* 11. Arrival Date:

Question Title

* 12. Arrival Airline:

Question Title

* 13. Arrival Airport:

Question Title

* 14. Departure Date:

Question Title

* 15. Departure Airline:

Question Title

* 16. Departure Airport:

Question Title

* 17. Do you use a separate texting app for international travel? If so, please list the apps below (ex- WhatsApp, GroupMe, Signal).

Question Title

* 18. Are you giving a presentation in Prague or have session information you would like to share with your fellow US colleagues to attend? Please list the information below:

Question Title

* 19. Do you plan to attend the ICOM-US member reception in Prague the evening of August 23rd?

Question Title

* 20. Social Media Handles:

Question Title

* 21. Questions, Comments or Concerns