Name(required)

Email(required)

Title

Affiliation/institution

Name of Project

Project URL

I will need approval from my institution to take this course Yes No

What is your greatest sustainability challenge?

How do you hope this course will help you?

What special skills do you have that others in the course will benefit from?

Are you applying as part of a team? Yes No

Name/title of your partner

Name/title of supervisor

I can only attend if scholarships are available. Yes No