Entry form faculty SIG

1. Name:
2. Sur name:
3. Affiliation:
4. In which geographical region are you based?Please selectAfricaAsiaAustralia and Pacific IslandsEuropeNorth AmericaLatin America
5. What is your country of origin?
6. What is your country of residence?
7. In which School(s) on Internet Governance did you participate in and which year?
8. Are you an academic lecturer?Please selectyes no
9. What is your focus area in terms of Internet Governance and on which topics do you have a specific expertise on?
10. Tell us about your experience in lecturing.
11. Anything else you would like to tell us about you?
12. You agree, that the data submitted in this form will be used in accodiance to our Privacy Policy for the purpose of setting up a public database.
13. email to contact you (will not be published)(valid email required)