Registration form

Application for Arctic Floating University – 2020 Expedition Project


Personal information:
Name/ Surname*
Country*
City*
Date of birth* Выбрать дату в календаре (DD.MM.YYYY)
Telephone*
E-mail*
Accounts in social networks
Permanent Address in home country (City or Town/Country/Postal/Zip Code)*
Do you need the visa support?**
Employer / educational organization (for student)*
Position / educational program and level of education (bachelor's, master's, postgraduate)*
Year of study (for student)
Emergency Contact
Relationship to you*
Telephone number*
Mobile number*
E-mail
Language Proficiency
Primary language*
Other languages spoken fluently *
Science and Research
Do you have a plan to carry out your own field work?
Description of field work
Geographical area of field work
Description of research equipment needed
 

* - Required fields