ICA27 Regional Hub Application Form *indicated required field NOTE: There can only be one primary point of contact. This individual will receive all correspondence related to the Hub application. Question Title * 1. Country where Regional Hub is to be held: (Required.) Question Title * 2. City where Regional Hub is to be held: (Required.) Question Title * 3. Given (first) name of primary contact/host: (Required.) Question Title * 4. Surname of primary Regional Hub contact/host: (Required.) Question Title * 5. Email address of primary contact/host: (Required.) Question Title * 6. Check each box below to confirm that your Hub proposal meets eligibility criteria: (Required.) I confirm that, as the primary contact/host, I am a current member of ICA in good standing (or your university is an institutional member of ICA) and have been for at least the past year, with ICA Division or Interest Group involvement (e.g., committee work, event attendance, or a leadership role). Our proposed Hub will be located outside of the Europe geographic region as defined by the UN Statistics Division's M49 standard geographic regions list. *If you are applying for an exemption to this requirement, still check this box and add the additional information requested in the box below. Our proposed Hub will be in a country without an existing ICA Regional Chapter. ICA Regional Chapters have the exclusive right to operate a Hub within its borders. If you are interested in partnering with them on a Hub, do not check this box. Instead, discontinue your proposal and reach out to the chapter's leadership to explore that possibility. Our proposed Hub will be located somewhere that allows small groups to gather safely, without creating health or security risks for participants -- ICA will not support activities that could jeopardize member or attendee safety. Page1 / 10 10% of survey complete. Next