The forum for regional operators in the Middle East

MENOG Fellowship Program - Application Form

This form should be completed to apply for the MENOG fellowship. Please note that this is a Fellowship form request for MENOG 10.

First Name: *

Last Name: *

Gender: *

Male

Female

Nationality: *

If your nationality is not shown, please choose 'other' an specify it in your career details below.

E-mail Address: *

Phone Number: *

Mobile:

Fax:

Address: *

Employer or Affiliation:

Position Held:

If a graduate student, the degree you are pursuing

Briefly describe your professional career, highlighting your current activities and responsibilities. :

If you are graduate student, describe your research activities and any relevant professional experience.

Have you previously attended a MENOG or RIPE Meeting?: *

Yes

No

How does the work of MENOG relate to and impact your work or area of study?: *

What IP-networking topics are you interested in? How do they relate to your work or area of study? : *

Are you currently subscribed to the MENOG mailing list?: *

Yes

No

Why do you wish to attend the MENOG Meeting? : *

What do you intend to accomplish or get out of the experience?

How will you apply what you experience at the MENOG Meeting after the event?: *

Are you involved in any data networking organisations?: *

Yes

No

For example, an ISOC Chapter, ISOC Global Member, regional network operators groups (NOGs) such MENOG, SANOG, etc. Regional Internet Registries (RIRs) such as the RIPE NCC, regional university technical forms, ccTLD operator groups or others?

If yes, please list them:

Have you approached other sources to obtain funding to attend a MENOG Meeting? : *

Yes

No

For example, your organisation or a local association.

Please list the names and contact details of two referees who can support your application. : *

I have read, understood and agree to abide by the Expectations for MENOG Fellows if selected.: *

Yes

No

I understand that if I do not meet these expectations, it may jeopardise my participation in the program. I understand that I am responsible for any other expenses that are not directly covered by the Fellowship Program.

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MENOG Fellowships

MENOG Fellowship Program - Application Form