CONVERSE Workshop Application

Contact Information

First Name *

Last Name *

Email *

Organization/Insititution *0 / 100

Fields of expertise *0 / 100

Would you like to attend in person or virtually? *In PersonVirtual

Do you need financial support to travel to the workshop? *YesNo

If you need financial support, please provide an approximate amount *

USD

Please provide a short paragraph on what you would like to get out of this meeting. *

0 / 300

Please provide a short paragraph on what you can contribute to the meeting. *

0 / 300