The home of Nuclear Education

1. Personal information

Attendee Category*

Prefix*

Personal Pronouns*

First Name*

Last Name*

Mobile Number*

Date of Birth*

Personal Email*

Confirm Personal Email

Eg. email@email.com

Nationality*

Country of Residence*

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2. Professional information

Work Division*

Nature of Organisation / Company*

Job Title*

Work Email*

Eg. email@email.com

When did you begin your employment at your current organization?*

How long have you been in your current role?*

Describe your current role including relevant information about teams or projects you manage.*

If you have been in your current role for under 4 years, specify any previous roles you have had (only in the last 4 years).*

How many years total of professional experience do you have?*

Provide a brief summary of your professional experience both related and unrelated to the nuclear industry.*

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3. Education

Bachelor Degree (Degree name, University, Country)

Bachelor Degree completion date

Master Degree (Degree name, University, Country and field if applicable)

Master Degree completion date

PhD (Degree name, University, Country and field if applicable)

PhD completion date

Other Graduate Courses (Name, University, Country and field if applicable)

Other Graduate Course end date

Have you attended any other WNU programmes? If so tell us the year and name of the programme you attended.

English Oral*

English Written*

English Reading*

Additional languages

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4. Getting To Know You

Outline your expectations from the WNU Summer Institute.*

Describe your approach to challenging situations in a professional context.*

Describe the leader you aspire to be; include behaviours, attitudes and characteristics that you associate with leadership and aspire to develop.*

Outline 5 key tasks you perform in your role and explain how they contribute to your organisation.*

Describe your role as if you were sharing it with someone who has no context of your organisation or the nuclear industry.*

Describe which experiences, knowledge and skills you would bring to your Working Group discussions and challenges.*

How do you expect to utilize the learnings and experiences you will gain from the Summer Institute?*

Describe how leadership looks like in your context (your organisation / culture / country).*

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