{"id":1117,"date":"2021-01-15T02:50:42","date_gmt":"2021-01-15T02:50:42","guid":{"rendered":"http:\/\/scienceprize4women.asean.org\/?page_id=1117"},"modified":"2025-08-21T03:19:24","modified_gmt":"2025-08-21T03:19:24","slug":"registration-for-senior-category-the-applicant-must-be-above-45-years-of-age-at-the-time-of-the-close-of-the-application-period","status":"publish","type":"page","link":"https:\/\/scienceprize4women.asean.org\/index.php\/registration-for-senior-category-the-applicant-must-be-above-45-years-of-age-at-the-time-of-the-close-of-the-application-period\/","title":{"rendered":"Application for Senior Category (the applicant must be above 45 years of age at the time of the close of the application period)"},"content":{"rendered":"<p>After filling out the application form below, please send <strong>your CV, Recommendation Letter, Letter of Support and other supporting documents <\/strong>by email to <strong>scienceprize4women@gmail.com<\/strong> . See the details <a href=\"https:\/\/scienceprize4women.asean.org\/index.php\/2019\/11\/21\/application-requirements-documents-2\/rules\/\">application requirement here<\/a>.\u00a0<\/p>\r\n\r\n<p>If you encounter filling out and submitting the online registration, you may download the registration form document <a href=\"https:\/\/scienceprize4women.asean.org\/wp-content\/uploads\/2025\/08\/Application-Form_Senior_2025_country_your-name.docx\"><strong>here<\/strong><\/a> and send it to the science prize&#8217; email along with other required documents.<\/p>\r\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f3049-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"3049\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/1117#wpcf7-f3049-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"3049\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.1\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f3049-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p><b>Applicant Background Information<\/b><br \/>\n<b>* Mandatory \/ must be field<\/b><br \/>\n<label> First Name*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span> <\/label><br \/>\n<label> Last Name*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label><br \/>\n<label> Email Address*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span> <\/label><br \/>\n<label> Place\/Date of Birth*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"place-date-birth\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"place-date-birth\" \/><\/span> <\/label><br \/>\n<label> Phone Number (please include your country code)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"phone-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"phone-number\" \/><\/span> <\/label><br \/>\n<label> Address*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"address\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"address\"><\/textarea><\/span> <\/label><br \/>\n<label> Country(ies) where you hold citizenship*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"citizenship\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"citizenship\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><b>Education & Employment<\/b><br \/>\n<label>Name of university where you obtained your doctoral degree or equivalent*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"education\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"education\" \/><\/span> <\/label><br \/>\n<label> Area of expertise\/study*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"expertise\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"expertise\" \/><\/span> <\/label><br \/>\n<label>Current employer*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"employer\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"employer\" \/><\/span> <\/label><br \/>\n<label>Current title*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"title\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"title\" \/><\/span> <\/label><br \/>\n<label>Briefly explain your current position*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"brief-position\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"brief-position\"><\/textarea><\/span> <\/label><br \/>\n<label> Please list any professional associations\/affiliations of which you are a part<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"association\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"association\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><b>Other<\/b><br \/>\n<label>How did you hear about the prize?*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"how-knows\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"how-knows\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><b>Scientific Excellence<\/b><br \/>\n<label>What is your research title?*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Whatisyourresearchtitle\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Whatisyourresearchtitle\" \/><\/span><br \/>\n<\/label><br \/>\n<label>Describe your research, technology or business model and how it relates to the 2025 prize topic of \u201cGenerative AI for Smart Water Management\u201d Areas of impact could include but not limited to the following: *<br \/>\n\u2022\tDevelop either AI-driven method, application or technology that promotes improvement of water management system for communities, organizations and governments;<br \/>\n\u2022\tDevelop either AI-driven method, application or technology that support the handling of water resources and the addressing of the repercussions at the national level;<br \/>\n\u2022\tApply AI technology to monitor, control, and regulate water resources to increase sustainability and efficiency for the good of communities, organizations and governments;<br \/>\n\u2022\tDevelop the right AI technology for future transformative better water resources management system;<br \/>\n\u2022\tInspire and motivate other women scientists and researchers to work on this topic or other relevant STEM topics.<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"describes\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"describes\"><\/textarea><\/span><br \/>\n<\/label><br \/>\n<label>Describe any awards, merits, or official recognition you\u2019ve received throughout your scientific career. If none, please insert N\/A.*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"awards\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"awards\"><\/textarea><\/span><br \/>\n<\/label><br \/>\n<label>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\u2019ve been featured, and in a few sentences, explain why you selected these three?*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"media-cover\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"media-cover\"><\/textarea><\/span><br \/>\n<\/label><br \/>\n<label>In one paragraph, please share how you wish to grow as a scientist.*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"wishing\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"wishing\"><\/textarea><\/span><br \/>\n<\/label>\n<\/p>\n<p><b>Mentoring, inspiring, and supporting women and up-and-coming female members of the STEM community<\/b><br \/>\n<label>Explain how you mentor, support and\/or empower female students, colleagues or other women in STEM. Please provide specific examples.*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mentoring\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"mentoring\"><\/textarea><\/span><br \/>\n<\/label><br \/>\n<label>Describe how your technology, business practice, or research account for gender mainstreaming efforts. Does your work specifically target female stakeholders or integrate gender inclusive practices?*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"describes-techno\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"describes-techno\"><\/textarea><\/span><br \/>\n<\/label><br \/>\n<label>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.*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"improvement\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"improvement\"><\/textarea><\/span><br \/>\n<\/label>\n<\/p>\n<p><b>Global Citizen<\/b><br \/>\n<label>Explain how your work, leverages on the use of science, technology and innovation; help to close development gaps throughout the ASEAN region and beyond.*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bolster\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"bolster\"><\/textarea><\/span><br \/>\n<\/label>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/>\n<\/p><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"112\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\r\n","protected":false},"excerpt":{"rendered":"<p>After filling out the application form below, please send your CV, Recommendation Letter, Letter of Support and other supporting documents by email to scienceprize4women@gmail.com . See the details application requirement here.\u00a0 If you encounter filling out and submitting the online registration, you may download the registration form document here and send it to the science [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1117","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/scienceprize4women.asean.org\/index.php\/wp-json\/wp\/v2\/pages\/1117","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/scienceprize4women.asean.org\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/scienceprize4women.asean.org\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/scienceprize4women.asean.org\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/scienceprize4women.asean.org\/index.php\/wp-json\/wp\/v2\/comments?post=1117"}],"version-history":[{"count":18,"href":"https:\/\/scienceprize4women.asean.org\/index.php\/wp-json\/wp\/v2\/pages\/1117\/revisions"}],"predecessor-version":[{"id":3173,"href":"https:\/\/scienceprize4women.asean.org\/index.php\/wp-json\/wp\/v2\/pages\/1117\/revisions\/3173"}],"wp:attachment":[{"href":"https:\/\/scienceprize4women.asean.org\/index.php\/wp-json\/wp\/v2\/media?parent=1117"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}