Questions for Geo-clustering exercise

"*" indicates required fields

Salutation*

Name*

First name Last name

Organisation name*

Please provide us with a short explanation of your current work activities, by filling in the following phrases:

Example: I am a project manager dealing with marine issues addressing Universities in Italy at national level. For the Community4Nature project, during this period, I am focusing on Networking activities for creating a national cluster in Italy.

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Please provide us with a short explanation of your current work activities, by filling in the following phrases:

I am a __________ (position)*

dealing with __________ (topic)*

addressing to __________ (target group).*

For __________ (project), during this last period,*

I am __________ (specific activity I am working on)*

in __________ (territory or region).*

Consent privacy notice*

I agree to the privacy notice.

By submitting your data you accept the terms of use:

- All data collected and managed is in strict compliance with the GDPR;
- We carefully treat all data collected as confidential and it is only used under the framework of the Community4Nature and Dialogue4Nature, two governance projects under the Natural Heritage Mission co-financed by the ERDF in the framework of the Interreg Euro-MED Programme;
- This form serves the unique purpose of collecting your contacts to prepare a list of attendees to our event and thus all data is kept confidential; except for the sharing of information strictly among Programme authorities (Member States, Certification Authority, Audit Authority) in order to perform their legal functions under the framework of the Subsidy Contract ruling the project, no data will be shared with third parties without your express consent and prior notification, still your data may be used anonymously by the Project partners for analytical and statistical purposes;
- You are entitled to request information regarding your data on this database and can request to be deleted at any time from this list;
- Your data on this database will be kept during the lifetime of the project. It is possible that the data will be archived for a period superior to 7 years, but without practical use, for European Union audit purposes.

Consent geo-clustering mailing list

I agree to be included in the geo-clustering mailing list.

Please tick off if you consent for your email to be added to a geo-clustering mailing list with all other participants from your group. You will get all answers from the questions above summed up, and can use this mailing list as an important contact list. Let’s stay in touch and encourage future synergies and collaborations in our territories!