APPLY NOW

Award(s) Application Selection

Your Details

Salutation:

First Name*:

Last Name*:

Position/Title:

Organisation:

Phone:

Email*:

Can we contact you via email/phone?:

Yes No

Questions

Name of the International conference you would like to attend*:

(include location and year)

Conference dates (if known):

Have you attended this conference previously?:

Yes No

Please tell us about yourself, your education, current employment, past conference committee experience and associations/professional organisations you belong to::

(maximum 500 words)

Please list any committee or board positions on state, national or international associations or conference committees.:

Please tell us about the conference you’d like to attend, the organisation/association that runs it, and why it would be beneficial to attend.:

(maximum 500 words)

Could this conference be hosted in Western Australia in the future?::

Yes No

Please tell us about your work in this area and any career highlights you have to date:

(maximum 500 words)

Please tell us about Western Australia’s research strengths in this area and any industry updates. Are there are Western Australian leaders in this field:

(maximum 500 words)

Other comments:

How did you learn about the Aspire Awards?:

File Upload*:

Please attach an up to date CV/Resume.

Your Signature

Name:

Date:

I declare no conflict of interest or other with this application

* Indicates a required field.

Please enter the 4 character string shown in the box above.

Submit Reset

Have a question about Business Events Perth’s Aspire Awards?

Please contact Director Client Engagement , Tracey Cinavas-Prosser at tcinavas-prosser@beperth.com