Registration Form: Season 03 - Cosmofluencer

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Cosmofluencer Season 03 - Registration Form

Personal Details

Name *

Email Address *

Phone *0 / 10

Street Address *

City

State/Province

ZIP / Postal Code

Education

School / College *

Class / Grade as of 31-Mar-24 *

Course *

Town (where the school / college is) *

Socials

Enter your social handles. If you have mulitiple handles, please share the public handle.

Linkedin

Instagram Handle

X (Twitter) Handle

YouTube

A Bit More

Why do you want to join this program? *

What is your career goal - where do you see yourself in 10 years? *

If you had to get someone from the Space community to interact with and inspire you, who would that be? *

Contributions

How would you like to contribute to growing the Astronomy community through Cosmofluencer? *Writing blog postsMaking posts and reels on InstagramHost podcasts or chat sessionsWrite for magazinesMake videos on topicsCheck as many as you want to

If shortlisted, how would you like to be contacted? *Email (mentioned above)Whatsapp (number mentioned above)

Consent *

I permit Giant Leaps Foundation to reach out to me regarding the application to the program, through the details shared above.