Annual Presidents' Meeting 2025 Registration Form Registration Form Personal Particulars Title * ProfessorDrMrMsMrsOther, please specify Others, please specify Pronouns She, Her, HersHe, Him, HisThey, Them, TheirsPrefer not to share pronouns Name Name First First Middle Middle Last Last Full name as it will appear on name badge and in publications * Please select your profile President/Chancellor/Vice-ChancellorSenior AdministratorAccompanying StaffGuestOther University/Institution * Position * Primary email address * Other email address(es) to be copied in correspondences Please provide your LinkedIn webpage or a e-business card webpage. Phone number * Contact person in the event of emergency * Phone number of contact person * Do you have any dietary requirements? Do you have any accessibility and special needs? Event Participation Do you require a visa to enter The United States? * Yes (APRU staff will contact you to assist on a visa letter.) No Which of the following activities do you plan to attend? (check all that apply) UC San Diego Stewart Art Collection Tour, June 22 afternoon Welcome Reception and Dinner, June 22 evening Gala Dinner, June 23 evening Farewell Lunch, June 24 afternoon Would your President like to speak in the APM? If your President would like to speak in the APM, please indicate the level of interest to speak at below section. We appreciate your understanding that, in order to ensure a well-balanced and diverse panel, the final selection will be made based on availability and will be subject to recommendations from the Steering Committee. * Yes, our President would like to speak. Please refer to below section and select from the drop-down menu. No, we will pass this time Should another university representative be completing this form on behalf of the president, please select this option. Topics Topic 1: Collaboration Across Borders: Overcoming Geopolitics and Fractured Global Relations in Research and Education 1 - High interest2 - Moderate interest3 - Low interest We highly encourage you to indicate multiple interest. Please indicate your level of interest by selecting from 1 to 3. Topic 2: University Innovation for Longevity: AI, Biotech, and Public Health; and its ethical challenges 1 - High interest2 - Moderate interest3 - Low interest We highly encourage you to indicate multiple interest. Please indicate your level of interest by selecting from 1 to 3. Topic 3: Impact of Longevity Research and Policy in Higher Education, and Role of Universities 1 - High Interest2 - Moderate Interest3 - Low Interest We highly encourage you to indicate multiple interest. Please indicate your level of interest by selecting from 1 to 3. Please share a short biography for the President * The photo will be used on the APM meeting booklet. Please upload a headshot photo of the President. * Drop a file here or click to upload Choose File Maximum file size: 516MB High-solution photo is recommended. The photo will be used on the APM meeting booklet. Is there any other information you would like to share with the organiser? In connection with the event, we may take photographs and record video footage. We kindly request your permission to use your image in these photographs and videos, which may be used for promotional, educational, and informational purposes by our organization in various media including, but not limited to, websites, social media platforms, presentations, and promotional materials. * I Consent : I hereby grant UCSD and APRU the irrevocable right and permission to use photographs and video recordings of me on organizational and associated websites and in publications, promotional flyers, educational materials, derivative works, or for any other similar purpose without compensation to me. I Do Not Consent: I do not grant UCSD and APRU permission to use my image in any photographs or video recordings. I understand that I will not be included in photographs or videos intended for public use. Submit If you are human, leave this field blank.
