Kindly provide your contact information to join the waiting list.

Question Title

* 1. Full Name:

Question Title

* 2. Email:

Question Title

* 3. Institution:

Question Title

* 4. Country of Institution:

Question Title

* 5. What is your current role in your institution?

Question Title

* 6. Where in the Impact Lifecycle are you currently working?

Question Title

* 7. What are your current research impact interests? (max 100 words)

Question Title

* 8. Provide a description or examples (or both) of your involvement in current research impact activities. (max 100 words)

Question Title

* 9. Which element of the impact training interests you the most and what do you hope to gain from attending the training? (max 200 words)

Question Title

* 10. How do you perceive your current level of impact literacy?
(1 - very low, 2 - low,  3 - medium, 4 - high, 5 - very high)

1 5
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 11. What set of skills do you bring for your impact related work?

Question Title

* 12. GDPR Confirmation

T