Question Title

* 1. First name

Question Title

* 2. Last name

Question Title

* 3. Name of your university (in English)

Question Title

* 4. City

Question Title

* 5. Country

Question Title

* 6. Email

Question Title

* 7. Mobile phone number (for internal/emergency use only)

Question Title

* 8. Position (job title)

Question Title

* 9. Participation: tick one or more of the following

Question Title

* 10. IP Workshop "Realising Ideas" - Friday morning

Question Title

* 11. If you are participating in the IP Workshop, please give an idea of a possible topic/subject for an intensive course:

Question Title

* 12. Dinner on Thursday at Valand Academy

Question Title

* 13. Dinner Friday

Question Title

* 14. Arrival day

Date

Question Title

* 15. Day of Deparature

Date

T