1. Personal Information
Name
Title
Department
Affiliation
Address (Street)
Address (City, State, Zip Code)
Email
Mobile
Country of Citizenship
Year of Birth
2. Education
Current Student? YesNo
If yes:
Expected Date of Graduation
Expected Degree
Dissertation Topic / Research Focus
If no:
Latest Degree
University
Year Received
3. CCUS Experience and Interest
Characterize your level of CCUS experience? HighMediumLow
What is your general area of CCUS expertise? CaptureStorageConversionUtilizationTransportModelingPolicyBusinessCommunicationsPublic EngagementNone
What area is of greatest interest for you to learn more about in RECS 2024? CaptureStorageConversionUtilizationTransportModelingPolicyBusinessCommunicationsPublic Engagement
If you have experience with CCUS, what is your specific focus area or research topic?:
Are you working on a DOE funded CCUS project? YesNo
Project Name:
Principal Investigator
4. Statement of Interest
Please describe why you are interested in RECS, what you hope to get out of it, and what you can contribute.
5. Resume or CV
Please submit your current resume or CV
6. Reference Please provide a reference who we may contact to assess your credentials.
Name of Reference:
Email of Reference:
7. How did you hear about RECS?
How did you hear about RECS?
I certify that all information in this application is true and complete to the best of my knowledge. (required)