مسابقة مختبر الشهرة
FameLab Egypt 2013
Registration Form
Welcome to FameLab Egypt – FameLab was introduced in Egypt by the British Council in partnership with the Research, Development & Innovation (RDI) Programme, a programme of the Ministry of Scientific Research funded by the European Commission.
Date and Venue of Local Heats/Competitions:
Please tick the most appropriate date to participate in one of the local heats/competitions:
Cairo University Monday 4 March 2013
Assiut University Wednesday 13 March 2013
Alexandria University Saturday 16 March 2013
Ain Shams University Wednesday 20 March 2013
Suez Canal University (Ismailia) Sunday 24 March 2013
Kindly note that Registration Forms will be accepted on a first-come, first-served basis.
Personal Information:
Title: Name:
Date of Birth (dd/mm/year):
E-mail 1:
E-mail 2:
Mobile: Phone:
Home address:
Organisation:
Position:
What is your highest scientific or technical qualification? (Please specify e.g. BSc, MSc, PhD)
Which scientific field/area of research do you work in?
How many years have you worked in the area of research?
Is your work funded by an organization?
FameLab related questions:
How did you hear about FameLab?
Please explain why you have decided to enter the competition and what you hope to gain professionally and/or personally.
What scientific subjects have you chosen for your presentation and why?
Did you join the FameLab Egypt competition last year?
Yes No
Excluding FameLab, have you ever been involved in science communication activities aimed at non-specialist audiences (e.g. the public, school groups or families)?
Yes No Not sure
If yes,
please explain:
Other questions:
We may want to use your e-mail address to send you details of British Council or RDI activities, services and events (including social events) which you may find of interest.
Yes, I would like to receive details of British Council and RDI activities, services and events
Would you like us to pass your details to science communication or media organisations that might be able to offer you other opportunities in these fields?
Yes, please No, thanks
Disclaimer: The British Council, the RDI Programme, Ain Shams University, Alexandria University, Assiut University, Cairo University and Suez Canal University in Ismailia (competition venues) are not liable for any loss or damage to property either at the event or when travelling to the event, nor for any personal injury during the event.
Signature Date
Signing the Registration Form indicates that you have read and agree to the Terms and Conditions of the FameLab Egypt Competition.
Please send the completed form ONLY by e-mail to: information@britishcouncil.org.eg
with the Subject line: FameLab Application 2013
Deadline for receipt of Registration Forms: Tuesday 26 February 2013
British Council: www.britishcouncil.org.eg
Research, Development & Innovation (RDI) Programme: www.rdi.eg.net
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