Applicant Background Information
* Mandatory / must be filled
First Name*

Last Name*

Email Address*

Place/Date of Birth*

Phone Number (please include your country code)

Address*

Country(ies) where you hold citizenship*

Education & Employment
Name of university where you obtained your doctoral degree*

Area of expertise/study*

Current employer*

Current title*

Briefly explain your current position*

Please list any professional associations/affiliations of which you are a member

Other
How did you hear about the prize?*

Scientific Excellence
What is your research title?*


Describe you research, technology or business model and how it relates to the 2022 prize topic of Artificial Intelligent (AI) in Health and Safety. Areas of impact could include but not limited to the following: *
• Develop AI technology that promotes improvement of health and safety for individuals, organizations and governments;
• Develop AI applications that support the handling of health issues including the Covid-19 spread and the addressing of the repercussions at the national level;
• Apply AI technology to address safety and security issues in variety of industries;
• Develop the right AI technology for future transformative healthcare and safety industry;
• Inspire and motivate other women scientists and researchers to work on this topic or other relevant STEM topics.


Describe any awards, merits, or official recognition you've received throughout your scientific career. If none, please insert N/A.*


Has your work been featured in the media, academic journals, policy briefs, or any other substantial publications? If yes, please share three of the notable or unique pieces in which you’ve been featured, and in a few sentences, explain why you selected these three*


In one paragraph, please share how you wish to grow as a scientist.*

Mentoring, inspiring, and supporting women and up-and-coming female members of the STEM community
Explain how you mentor, support and/or empower female students, colleagues or other women in STEM. Please provide specific examples.*


Describe how your technology, business practice, or research account for gender participation. Does your work specifically target female stakeholders or integrate gender inclusive practices?*


Share what you are doing to improve opportunities for women in STEM. If you belong to organizations focused on this goal, please share details about the organization and your unique role/contribution.*

Global Citizen
Explain how your work, leverages on the use of science, technology and innovation; help to close development gaps throughout the ASEAN region and beyond.*

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