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DASSAN19: Ignite Form
Fields marked with an
*
are required
HTML
Les champs marqués d'un * sont obligatoires
"IGNITE" PRESENTATIONS
PRÉSENTATIONS "ENFLAMMER"
Application Form
Formulaire de candidature
First Name / Prénom
*
Last Name / Nom de famille
*
Title / Profession
Company / Compagnie
Email
*
Phone / Téléphone
*
City / Ville
*
State / État
Postal Code / Code postal
Country / Pays
*
- Select Country -
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegowina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic Of The
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
England
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard And Mc Donald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic Of)
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic Of
Korea, Republic Of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States Of
Moldova, Republic Of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Republic of Kosovo
Reunion
Romania
Russian Federation
Rwanda
Saint Martin
Saint Barthelemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts And Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent And The Grenadines
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard And Jan Mayen Islands
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic Of
Thailand
Timor-Leste
Timor-Leste (East Timor)
Togo
Tokelau
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis And Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Project Name / Nom du projet
*
What is your proposed topic? (100 words) Quel est votre sujet proposé? (100 mots)
*
100 of 100 Word(s) left
What is the impact or change you want to achieve? (100 words) / Quel est l'impact ou le changement que vous souhaitez atteindre? (100 mots)
*
100 of 100 Word(s) left
Presentation language (select all that apply) / Langage de présentation (sélectionnez tout ce qui s'y rapporte)
English
Français
ASL
Which themes are relevant to your proposal? (select all that apply) / Quels sont les thèmes pertinents pour votre proposition? (sélectionnez tout ce qui s'y rapporte)
Inspirational Stories / Histoires inspirantes
Critical Reflection / Réflexion critique
Practical Transformation / Transformation pratique
Support material #1 (direct website link only) / Matériel de support n ° 1 (lien direct vers le site Web uniquement)
Support material #2 (direct website link only) / Matériel de support n ° 2 (lien direct vers le site Web uniquement)
Support material passwords / Mots de passe de matériel de support
Subscribe to our semi-monthly newsletters? / Abonnez-vous à nos newsletters mensuelles?
*
DigitalASO / ArtsPond
BeMused Network
N/A
Additional comments / Commentaires supplémentaires
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