Civic tech summit 2018
Registration Form
In order to register for Civic Tech Summit 2018, please fill in the questionnaire below.
The deadline for the registration of participants is December 1st.

In case your application is successfully selected, you will receive confirmation of participation from the organizers after the deadline for the registration (December 1st).

If you have any questions, please contact the organisers hey@1991.center
Your name
Your surname
Your email
Your phone
Country of residence
City of residence
Your organization or institution
Your Facebook link
Your gender
Occupation
Choose the most accurate sector
Why do you want to come to Civic Tech Summit?
Specify your motivation, please
Is there anything else we should know?
If you have any special needs
Consent
By filling out this form, I hereby give consent for storage and processing of my personal data under the Law of Ukraine on Personal Data Protection.
Consent to receive the newsletter from Civic Tech Summit
I consent to the processing of my personal data in the scope of e-mail address for the purpose of receive commercial information as part of the newsletter from Civic Tech Summit. The controller of your personal data is SocialBoodt NGO with headquarters in Kyiv, Ukraine, vul. Mechnikova 2. Your data will be processed in order to perform the ordered service and to send marketing content in the form of a newsletter, including profiling. Consent can be withdrawn at any time. The withdrawal of consent does not affect the lawfulness of processing based on consent before its withdrawal.
Consent to receive the newsletter from 1991 Civic Tech Center
I consent to the processing of my personal data in the scope of e-mail address for the purpose of receive the newsletter from 1991 Civic Tech Center. The controller of your personal data is SocialBoost NGO with headquarters in Kyiv, Ukraine, vul. Mechnikova, 2. Your data will be processed in order to perform the ordered service and to send marketing content in the form of a newsletter, including profiling. Consent can be withdrawn at any time. The withdrawal of consent does not affect the lawfulness of processing based on consent before its withdrawal.