Engaged Research Conference Sponsorship Application

Please fill in the form below:

Title*: Name*:
Surname*:
Email Address*:
Institution/Company*:
Sector (e.g. Higher education, government...):
Discipline:
Country *:
Are you presenting at the Engaged Research Conference?: If yes, please provide acceptance letter:
Are you affiliated with an African university?: If yes, please provide proof of affiliation:
Are you a PhD candidate?: If yes, please provide proof of registration:
Have you completed your PhD?: If yes, please provide proof of completion:
How long have you been a researcher?: Do you intend to develop your presentation into a full article for submission to the special issue journal on engaged research?: