JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Travel Grant Application for State of the Map Nigeria Conference 2022
* Indicates required question
Email
*
Your email
Full name
*
Your answer
OSM username
*
Your answer
Phone number
*
Your answer
What coverage of travel grant do you need?
Flight Ticket
Travel Road
Accomodation
Conference registration
Are you currently a student in any high institution?
*
Yes
No
If "YES" what is the name of your institution?
*
Your answer
Do you identify yourself as a woman,a minority group ?
Yes
No
Other:
Clear selection
If Yes, can you expain briefly
Your answer
Are you a current or past member of Unique Mappers?
*
Yes
No
What is your current contribution using of the Unique Mappers Leaderboard(please,state the leaderboard )
Your answer
Where do you reside, presently?
*
Your answer
Did you have an accepted presentation for SOTM2022
*
Yes
No
Did you submit a presentation
Yes
No
Clear selection
If yes, what is the title of your presentation
Your answer
Have you attended other GIS events before?
*
Yes
No
If "Yes" list them.
*
Your answer
Are you making any presentation at the State of the Map Conference Nigeria, 2022?
*
Yes
No
Will you be able to cover the direct costs of your travel to State of the Map Conference Nigeria, Port Harcourt 2022?
*
Yes
No
Why do you want to be at State of the Map Conference Nigeria, 2022? (your motivation)
*
Your answer
In not more than 200 words, what impact will attending SotM Nigeria 2022 conference make in your career?
*
Your answer
Are there commitment(s) that will likely keep you engaged between 1st to 3rd of December 2022?
Please state them here, if any.
*
Your answer
Send me a copy of my responses.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
