Expression of Interest

Please note we have the following categories of membership available:

Academic Members – universities and institutes that have a substantial level of nanotechnology activities

Industry Members – industries who are already using nanotechnology or would like to adopt nanotechnology for a better tomorrow

Supporting Members – government agencies that promote sustainable nanotechnology No individual-level membership is possible for the Network.

Given Name

Family Name

Email Address *

Name of Organisation *Please enter the organisation you represent. If not applicable, enter as appropriate (e.g. Area of research/expertise)

Website

State/Province where your organisation is based

ZIP / Postal Code

Country

What is your main reason for filling out the Expression of Interest form? *

Please provide further details

If your membership request is proven successful, do we have your permission to use information from your website to populate our website membership page and for promotional purposes (E.g. Twitter)YesNo

Upload file(s)

Please upload high resolution image of your key contact(s) and your organization’s logo. If your membership request is proven successful, we will use these uploads for our website membership page.

Letter of Endorsement *

No file chosen

To accompany your application, please submit a letter from your managing body addressing the nature and scope of your research and/or activities, size of your unit, and that the institution as a whole is in support of your unit to be its official representative in N4SNano.

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