VKEMS Online Event - Application Form

This form is for submission of ideas for the The Virtual Forum for Knowledge Exchange in the Mathematical Sciences.  The information on this form will be shared with forum partners for evaluation purposes.


Privacy Policy
The information supplied here will be shared with VKEMS partners for evaluation purposes.   Your details will be handled in-line with the ICMS Privacy Policy, which is available to read here. 
 

1. Name

 

2. Company/Institution

 

3. Email Address

 

4. Contact Telephone Number

 

5. Topic

 

6. Brief Description (including an overview of what business problem/challenge this event will look to address)

 

7. Suggested Participants (either named individuals or areas of expertise)

 

8. Preferred Dates of Proposed Seminar. Please list 3 proposed dates

   DD/MM/YYYY 
 
 
 
 

9. If you have an other questions/comments please list them here and a member of the The Virtual Forum for Knowledge Exchange in the Mathematical Sciences will get back to you.