Wikimedia CEE Meeting 2023/Application text

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Registration Form for Wikimedia CEE Meeting 2023

BACKGROUND

Wikimedia CEE Meeting 2023 is an annual conference centered on Wikimedia projects (Wikipedia and other related projects) in countries of Central and Eastern Europe (more recently, also in Central Asia). It features presentations on Wikimedia projects, other wikis, free/open source software, free knowledge and free content, and the social and technical aspects of these topics.

The WMCEEM23 is organized and hosted by Wikimedia UG Georgia (WMGE) in close collaboration with the Wikimedia CEE Hub and Wikimedia Foundation (WMF).

Registration period for representatives of Wikimedia affiliations (Chapters and User Groups): 1 April 2023 — 31 May 2023.
Registration period for self-funded participants and for everyone else: 1 April 2023 — 31 July 2023.

Delegates who their communities have selected must register using the Affiliate Delegate Registration Form (given below). All expenses for travel, accommodation, food, and transfer from the airport to the hotel and back (in Tbilisi only) will be organized and covered by WMGE. Please note that there will be no reimbursements.

Form Text

General

Please provide some information about you and your affiliation.

First Name (as it appears on your Passport)
Middle Name (as it appears on your Passport)
Last Name (as it appears on your Passport)
Wikimedia Username
Affiliation (WMF / Chapter / User Group / Community) you belong to
Home wiki
In what year did you begin contributing to Wikimedia projects?
Have you attended other international or regional Wikimedia events, such as Wikimedia Summit, Wikimania, or Wikimedia CEE Meeting?
If you selected "yes", which ones?

Your thoughts

Please provide some information about your thoughts.

Can you specify why you think that your participation in the conference will be an added value to the Wikimedia movement in general and to the CEE region communities in particular?
What are the steps that you intend to take after the conference based on the learnings you have received? How do you plan to share them with your community?
What are the skills that you would like to learn from this conference?
Have you submitted a presentation/workshop proposal, or do you intend to do so at this conference? What will it be about?
Do you have any proposal about topics that you would like to present at the conference? Areas that you master and would like to talk about? This is a free space where you can write ideas that come to your mind and think can be relevant to the conference

Personal Data

Your personal data is needed to book travel and accommodation for you. And also (possibly) for a visa or reimbursement.

1. What is the gender designation on your Passport or ID you use to travel with?

Female
Male
Other

2. If you selected "other", please, indicate.

3. Date of birth (as it appears on your Passport)

4. Country of birth (as it appears on your Passport)

5. Country of residence

6. The country of your nationality

7. Passport number

8. Issue date of Passport

9. Expiration date of Passport

10. Place where passport was issued

11. Cell phone (including country prefix)

12. Name of emergency contact: Who should we contact in case of an emergency?

13. Please indicate this person's relationship with you

14. Phone number of emergency contact

15. If you have a disability or any additional special needs, please let us know here and we will be in touch.

16. Dietary preference:

No specific preference
Vegetarian
Vegan
Halal food
Kosher food

Travel and Accommodation

We need some information to better organize everything for you.

1. Please select your preferred means of transport

Plane
Train
Bus

2. Departure city to Georgia

3. Date of arrival in Tbilisi

Thursday, September 14, 2023
Friday, September 15, 2023

4. Date of departure

Sunday, September 17, 2023
Monday, September 18, 2023

5. Destination city

6. Do you need a Visa for Georgia? (Check here: https://new.geoconsul.gov.ge/en/entering-georgia)

Yes
No

7. Are you willing to share a room with someone?

8. If you are willing to share, do you know who you would like to share with?

(If you know other participants with whom you would like to share the room, please list them here. We will do our best to accommodate your request, however we can not guarantee that it will be fulfilled.)

9. If you are not willing to share, please explain.

(Scholarships cover shared accommodation. If a medical or safety issue prevents you from sharing a room, please note it here.)

10. Any notes?

Privacy

We need some more information

1. Do you allow pictures of you to be taken at the conference?

(Do you agree that videos and/or photos of you are published under the free license CC BY-SA 4.0?)

Yes
No

2. Your name badge

First and Last name | Username | Organization
First and Last name | Organization
Username | Organization

3. Participants’ list on Meta-Wiki

First and Last name | Username | Organization
First and Last name | Organization
Username | Organization

UCoC and Friendly space policy

During all conference events, we will apply Friendly Space Policy (https://meta.wikimedia.org/wiki/Wikimedia_CEE_Meeting_2023/DPP%26FSP) for events, as well as the Universal Code of Conduct (https://foundation.wikimedia.org/wiki/Policy:Universal_Code_of_Conduct).

I agree that I will adhere to these policies

Yes

ALL DONE

Now, click on the SUBMIT button.

Thank you for registering.

If you have any questions or comments, or if you need help from WMGE, please feel free to contact us via wmceem2023 wikimedia.ge or info wikimedia.ge.