Civic tech summit 2018
Registration Form
Civic Tech Summit brings together up to 200 opinion leaders and government representatives from Central and Eastern Europe to share their experience, knowledge and thoughts about civic tech.

Seats are limited, so if you want to grab yours, please, fill in the form below. The deadline for the applications is on 25 November.

We will choose the best candidates to participate in the Summit. In case your application is successfully selected, you will receive confirmation letter from the organizers on 30 November.

If you have any questions, please contact the organizers hey@1991.center
Your name
Your surname
Your email
Your phone
Link to your Facebook profile
Country of residence
City of residence
Your organization or institution
Your position
Your gender
Why do you want to participate in the 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. 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.
I would like 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. Mechnykova, 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 Consent can be withdrawn at any time.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.