CU Asia 2021 Scholarship Application Form

Name *

Email *

Country of Residency *

What do you work? *

Have you been to CU Asia before? *

Yes

No

Other:

Where did you hear about CU Asia? *

What is your main motivation to attend CU Asia? *

What do you expect the learn at or take away from the event? *

What new perspectives, interesting topics or skills can you share with others? *

If we are able to provide support to cover some of the ticket costs, are you able to cover travel costs to attend CU Asia? *