Aarhus University Seal / Aarhus Universitets segl

Registration form: QGM Nielsen Retreat 2018

QGM Nielsen Retreat 2018 (23-26 October)

The retreat is for QGM employees and close associates of QGM. Participation is free of charge and includes travel as well as local expenses (accommodation and all meals will be provided).

Registration deadline: 23 September 2018

Please complete and submit the form below.

<input type="text" name="Full_name" id="mailformFull_name" size="50" value="" />
<input type="text" name="Email" id="mailformEmail" size="50" value="" />

Annual Meeting with the DNRF (obligatory for QGM staff)

<select name="Annual_Meeting_DNRF" id="mailformAnnual_Meeting_DNRF" size="1"><option value="I would also like to participate in the annual DNRF meeting 23 Oct. 2018 from 10-12">I would also like to participate in the annual DNRF meeting 23 Oct. 2018 from 10-12</option><option value="Unfortunately I cannot participate in the annual DNRF meeting 23 Oct. 2018">Unfortunately I cannot participate in the annual DNRF meeting 23 Oct. 2018</option></select>

Transportation

<select name="Common_bus_transport" id="mailformCommon_bus_transport" size="1"><option value="I would like to use the common bus transport both ways">I would like to use the common bus transport both ways</option><option value="I would like to use the common bus transport to Sandbjerg Estate from Aarhus University">I would like to use the common bus transport to Sandbjerg Estate from Aarhus University</option><option value="I would like to use the common bus transport from Sandbjerg Estate back to Aarhus University">I would like to use the common bus transport from Sandbjerg Estate back to Aarhus University</option><option value="I'm not going to use the common transport">I'm not going to use the common transport</option></select>

Participation

<select name="Participation" id="mailformParticipation" size="1"><option value="I'm participating in the entire retreat">I'm participating in the entire retreat</option><option value="I'm not participating in the entire retreat">I'm not participating in the entire retreat</option></select>
If you are not participating in the entire retreat, please indicate when you arrive/leave incl. the approximate time of day:
<textarea name="Arrival" id="mailformArrival" cols="20" rows="5"> </textarea>
<textarea name="Proposed_title_of_talk" id="mailformProposed_title_of_talk" cols="20" rows="5"> </textarea>
<textarea name="Please_state_any_dietary_restr" id="mailformPlease_state_any_dietary_restr" cols="50" rows="5"> </textarea>
<textarea name="Comments" id="mailformComments" cols="50" rows="5"> </textarea>
<input type="submit" name="formtype_mail" id="mailformformtype_mail" value="Submit" class="csc-mailform-submit" />