IIA Alumni Event (April 1-4, 2019) IIA Alumni Event 2019 Your Passport and Personal Details First Name / Given Name (exactly as it appears in your international passport) * Middle Name (exactly as it appears in your international passport, if applicable) Last Name / Family Name (exactly as it appears in your international passport) * Full Name (exactly as it appears in your international passport) * IIA recipient organization represented * Your role within the organization * Nationality (as per the international passport you would use to travel. If you hold more than one citizenship, give us the country whose passport you would most likely travel with) * Select nationality Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d’Ivoire Croatia Cuba Cyprus Czech Republic Democratic People’s Republic of Korea Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People’s Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia (Federated States of) Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Palestinian Authority Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Republic of Korea Republic of Moldova Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Tajikistan Thailand The former Yugoslav Republic of Macedonia Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United Republic of Tanzania United States of America Uruguay Uzbekistan Vanuatu Venezuela (Bolivarian Republic of) Viet Nam Yemen Zambia Zimbabwe The IIA Alumni event will take place during the first week of April 2019. Please indicate whether you have valid travel requirements to Germany, if not, please indicate if you need assistance in obtaining a visa. * Yes, I have valid travel requirements to Germany. No, but I don't require assistance in obtaining a visa. No, and I require assistance in obtaining a visa. Your Contact Information Please list the best email and phone numbers where we can reach you. Email Address * Primary Contact Number * Please include the country code and the city/area code of your number. Don't include +, -, or space between numbers. Your primary contact number is your: * Mobile Office Home Please indicate the airport you will need to depart/return from/to: * The Second Intercultural Innovation Award Alumni Meeting will be designed as a learning exchange experience focused on different session led by alumni themselves. In these sessions participants will have the opportunity to give and receive experiences and knowledge, connect and explore synergies. Therefore, the active participation of the alumni will be key to the success of the meeting. For that, alumni interested in taking part in the event will need to respond to the following questions: Giving In which of the following topics do you feel you and your organization could contribute by offering some knowledge and take part in a session? Please select at least one (max 2). * Sustainability Replicability Innovation Common challenges, diverse solutions Success and failure stories Please explain why and how you/your organization could contribute in the session/s you indicated. * Please use a maximum of 400 words or less. Should you think you could contribute to a different session not indicated above please let us know it here and explain how and why. Please use a maximum of 400 words or less. Receiving Which kind of sessions would you like to see in this meeting? * Sustainability Replicability Innovation Common challenges, diverse solutions Success and failure stories OtherOther How can this meeting contribute to help your organization in becoming more sustainable, innovative and replicable? * Please use a maximum of 400 words or less. NOTE: Before submitting this form, please review the information carefully. You will only be allowed to submit the application once. Multiple submissions are not allowed; therefore, it is your responsibility to ensure that all details are correct prior to submission. If you are human, leave this field blank.