Jury Info – IRALEB

Title *

Email address *

Full Name *

Phone Number *

Current Position *

Institution *

University Name

University Name

Other University *

Jury Major of Study *

Other Major of Study *

Jury Level of Diploma? *

Other Diploma *

Have you been member in Judging Panels similar to IRALEB?

Yes No

if yes, please specify

Please select the fields you are interested in evaluating for the Fund and Forum applications *

JuryID