Best Practice Workshop on Youth STEM Capacity-building(PPSTI_207_2024A)

Complete all fields and return to Nominations Focal Point below :

Kiho KIM

- Project Overseer, APEC Mentoring Center for the Gifted in Science (AMGS) / Kyungnam Universit

- Email : kihokim@kyungnam.ac.kr , Tel : +82-55-249-2024

Minji KIM

- Project Assistant, APEC Mentoring Center for the Gifted in Science (AMGS) / Kyungnam University

- Email : mjkim1987@kyungnam.ac.kr , Tel : +82-55-249-2020

You may also submit online at :

https://docs.google.com/forms/d/e/1FAIpQLSfXLb8Iko7Pcg9czw3UI8htneTu0XQN3qUA3pWyLrW6BkQ52g/viewform?usp=header

All data provided on this form, including any personal data, is collected by the APEC Secretariat and disclosed via communications with Project Overseers, host economy, and project participants. Disclosure includes transmission of this information outside of Singapore.

ANNEX II - NOMINATION FORM

APEC MEMBER ECONOMY : [INSERT]
NOMINEE 1
Name (CAPITALISE surname)	[INSERT]
Title (Dr/Mr/Ms/Mrs)	[INSERT]	Position	[INSERT]
Gender (M/F)	[INSERT]
Organization	[INSERT]	Email	[INSERT]
Telephone	[INSERT]	Fax	[INSERT]
Nominated as an Expert Speaker	Yes / No	APEC-funded / Self-funded
Nominated as an Active Participant	Yes / No	APEC-funded / Self-funded
Government official	Yes / No
NOMINEE 2
Name (CAPITALISE surname)	[INSERT]
Title (Dr/Mr/Ms/Mrs)	[INSERT]	Position	[INSERT]
Gender (M/F)	[INSERT]
Organization	[INSERT]	Email	[INSERT]
Telephone	[INSERT]	Fax	[INSERT]
Nominated as an Expert Speaker	Yes / No	APEC-funded / Self-funded
Nominated as an Active Participant	Yes / No	APEC-funded / Self-funded
Government official	Yes / No

Name of official making the above Nomination(s) :

- Economy Representative for which APEC Fora :
- Title :
- Organization :
- Email :
- Telephone :
- Fax :

Please complete all fields in this form and email it to the Nominations Focal Point given above, no later than :
June 22, 2025 for both speaker and participant nominations
*** LATE NOMINATIONS MAY NOT BE ACCEPTED ***