ESA Teach with Space Online Conference 2023 – ESA Education Teacher Trainings

1. Personal Data

Name *

Surname *

Email *

Enter Email

Confirm Email *

Confirm Email

Gender: *

Female

Male

Prefer not to say

OtherOther

Country of residence *

School Name *

School Address: *

What is your current educator role? *

What age range(s) do you teach? *

Where did you hear about the ESA Teach with Space Online Conference? *

2. Application Questions

Have you attended previous ESA Teacher Training Workshop(s)? If yes, please specify which and the year. *

YesYes

No

Share a bit about yourself. Why does Space inspire you? *

3. Personal data consent regarding ESA

I confirm I have read and agreed with the collection and further processing of my personal data as described in the ESA Education Teacher Training Privacy Notice. *

No Yes

Please note that if consent is not provided for this, you will not be able to attend the conference

I agree for my contact details (name/email address, school or organisation type, subjects of teaching/mentoring) to be processed by ESA, also after the conclusion of the conference, in order to be informed (individually, through emailing list, or newsletters) about future free-of-charge education opportunities and activities, and about additional possibilities to be involved.

No Yes

4. Personal data consent regarding ESERO Office in my country

I agree for my contact details (name, email address, school or organisation type, subjects of teaching/mentoring) to be shared by ESA with the ESA ESERO Office in my country, where the processing takes place in accordance with their Privacy Policy / national regulations (links available in Table 2 of the ESA Education Teacher Training Privacy Notice), solely for the following purposes: in order for me to be informed (individually, through emailing list, or newsletters) by ESERO about future free-of-charge education opportunities and activities, and about additional possibilities to be involved.

No Yes

5. Personal data consent regarding national Space Agency/Office/ESA Delegation in my country

I agree for my contact details (name, email address, school or organisation type, subjects of teaching/mentoring) to be processed by the national Space Agency/Office/ESA Delegation of my country in accordance with their Privacy Policy/ national regulations (links available in Table 3 of the ESA Education Teacher Training Privacy Notice), solely for the following purposes: in order for me to be informed (individually, through emailing list, or newsletters) by Space Agency/Office/ESA Delegation of my country about future free-of-charge education opportunities and activities, and about additional possibilities to be involved.

No Yes