Event Schedule

09:30 Delegate Registration
10:00 Workshop starts
12:30 Lunch
16:00 Event Close

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* 1. Full Name

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* 2. Email address (that you agree to be used in all correspondence regarding this initiative)

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* 3. Affiliation

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* 4. Role

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* 6. Please specify your gender:

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* 7. Areas of specialism/experience (e.g. degree(s) held, disciplines and areas of application)

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* 8. Please indicate which of the following you most closely associate with:

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* 9. Please also tick below if this applies to you

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* 10. The initiative is addressing the following: driverless cars are a great opportunity for society – discuss. Please provide up to 200 words explaining your initial reaction to this matter:

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* 11. The Driverless Cars Emulsion is distinctive in the approach it is taking to addressing the topic of driverless cars. Please provide up to 200 words explaining your understanding of this distinctive approach and your reactions to it:

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* 12. Please indicate which of the workshop(s) below you are able to commit to attending if offered a place (where the date is yet to be confirmed we will check with you if you are offered a place once the date is known):

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* 13. The initiative includes a limited budget to try and ensure no individual is unable to participate on the basis of not having the means to cover expenses. If you wish to request support please explain briefly why below.

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* 14. The information you provide in submitting this form may be used as part of the initiative’s analysis and reporting but will be treated anonymously. Please tick the box below confirm that you understand and accept this.

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