RU SCI TECH Association Registration Thank you for your interest in becoming a member of the Association of Russian-Speaking Science and Technology Professionals. 1. Please prioritise/rank the following proposed aims of the AssociationA. Foster networking with like-minded professionals and disseminate information amongst its members by:i. Sharing professional interests * 1 - Not of Interest 2 - Irrelevant 3 - Fairly Important 4 - Important 5 - Very Important ii. Generating ideas and finding partners within the community for their implementation * 1 - Not of Interest 2 - Irrelevant 3 - Fairly Important 4 - Important 5 - Very Important iii. Circulating information about relevant opportunities, projects and events * 1 - Not of Interest 2 - Irrelevant 3 - Fairly Important 4 - Important 5 - Very Important B. Provide support to the community of Russian-speaking science and technology professionals living abroad by offering professional advice and lobbying the interests of the community * 1 - Not of Interest 2 - Irrelevant 3 - Fairly Important 4 - Important 5 - Very Important C. Facilitate the collaboration between organisations supporting technological innovation in Russia and CIS by:i. Exploring opportunities for joint research projects and commercialisation of technology * 1 - Not of Interest 2 - Irrelevant 3 - Fairly Important 4 - Important 5 - Very Important ii. Facilitating links between Russian & Foreign Organisations * 1 - Not of Interest 2 - Irrelevant 3 - Fairly Important 4 - Important 5 - Very Important iii. Assisting innovative Russian technology companies to raise funds and enter into new markets * 1 - Not of Interest 2 - Irrelevant 3 - Fairly Important 4 - Important 5 - Very Important iv. Providing expertise and support to interested Russian organisations * 1 - Not of Interest 2 - Irrelevant 3 - Fairly Important 4 - Important 5 - Very Important D. Form competent opinion and influence the process of reforming the scientific research and education system in Russia, by providing input in developing its strategies, policies and structures * 1 - Not of Interest 2 - Irrelevant 3 - Fairly Important 4 - Important 5 - Very Important 2. Would you be interested in participating in the Association’s work ? * Yes No If yes, what would be your preferred areas of activity? (please tick those that apply): Fundamental science and its development in Russia Applied research Links with industry Innovation & commercialisation of research Technology entrepreneurship Education programmes Training activities Strategy development in science, policy shaping / white papers etc. 3. Do you have any suggestions/ideas you would like to share with us ? e.g. any other potential goals and activities for the Ru- SciTech community and the association * Yes No If YES, please provide details Personal Details Title * Mr Dr Prof Miss Mrs Ms First Name * Last Name * Email Address * Contact Telephone Number Address * City * County/State Postcode Country of Residence * Organisation * Position * Captcha Code Thank you for completing this application form.