Global Ambassador Application Form

First name ^* (required)

Surname/Family name ^* (required)

Email address ^* (required)

Membership number ^* (required)

Professional Affiliation ^* (required)

Position/Job Title ^* (required)

Are you based in one of our key target countries?

Current country and city of residence ^* (required)

Postal address ^* (required)

Area(s) of Expertise/Specialisation in Microbiology or Related Fields ^* (required)

Professional Profile (Departmental website, ResearchGate, etc.) or Personal Website ^* (required)

Why are you interested in becoming an AMI Global Ambassador? ^* (required)

How do you believe you can contribute to advancing the mission and vision of Applied Microbiology International through this role? ^* (required)

What strategies or initiatives do you propose to enhance AMI's presence and influence in your region? ^* (required)

Describe your current professional network. How can these connections benefit AMI's objectives? ^* (required)

Have you previously held any roles that required you to act as a liaison or representative between industry, organisations, academic societies or groups? If yes, please provide details. ^* (required)

Do you have experience in organising scientific events, webinars, workshops, or similar gatherings? Please provide examples. ^* (required)

Please submit any additional documentation you believe may support your application

Browse