Affiliate application

Once your institution is a member, please complete the affiliate application to become an IWGGD member. Each member of an affiliated institution should submit a separate application.

If you are from industry, please contact us directly at ewggd2020@gmail.com for other ways to support the IWGGD.

Institution

Please select your Institution*(Required)

Your institution must be a member of the IWGGD before you can apply for affiliate membership. Please first complete the Institutional application, on behalf of your institution. (Recommendation required by the head of department). Once your institutional receives its approval, you can then apply as an affiliate member.

Contact Information

Title

First name*

Last name*

Role(Required)

Other

Institution(Required)

Department(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Research Interests(Required)

I consent to being contacted by IWGGD

Yes

I consent to IWGGD storing my information as completed in this form

Yes

I agree to comply with the IWGGD code of practice

Yes

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