Registration | Department of Chemistry & Polymer Science

Name *

First

Last

Please enter both your first name (given name) and middle initial(s), as well as your last name (surname, family name).

Title

Gender (required for reporting purposes) *

Email *

Affiliation (Department and Institution) *

Position *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Level of knowledge *

Do you require accommodation? *

Accommodation in the students residences is included with registration. If you prefer to organise your own accommodation (at your own cost), please select ‘No’.

Please list any dietary requirements.

Please explain how you would benefit from attending StICS 2023. *

Are you applying for a travel bursary? *

Bursary application

Click or drag a file to this area to upload.

Please upload the following as a single pdf: 1. A motivation written by you explaining why you think you should be awarded a bursary. 2. A budget. 3. A short recommendation from your supervisor or line manager .