Application
QAI Academic Affiliate
QAI Affiliate Application
Step
1
of
3
- Account Setup
0%
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Username
(Required)
Password
(Required)
Strength indicator
LinkedIn
Google Scholar
Website
Province / Territory
(Required)
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Type of Affiliation
(Required)
Select
Professor
Associate Professor
Assistant Professor
Lecturer
Sessional Instructor
Post-Doc
PhD Student
Masters Student
Undergraduate
College Instructor
Institution
(Required)
Provide your Canadian institution. Format Example - University of British Columbia (not UBC)
Faculty
(Required)
Department
(Required)
Research Area(s)
(Required)
Do you self-identify as part of one of the underrepresented groups in Canada? (Optional)
Yes
No
Per the Employment Equity Act (Optional) The
Employment Equity Act
identifies the designated groups as: women, Indigenous peoples, persons with disabilities, and members of visible minorities.
Academic Affiliate Category
(Required)
Select
Quantum Affiliate
Applied Affiliate
Student Affiliate
Quantum Affiliate
- Faculty members who specialize in research and/or education in quantum
Applied Affiliate
- Faculty members who specialize in fields where quantum technologies can be applied
Student Affiliate
- All undergraduate, graduate or post-graduate students interested in quantum technologies and/or how they can be applied
What are your interests in quantum?
(Required)
Why do you want to join the QAI Academic Affiliate program?
(Required)
Training and access to quantum computers
Training and access to quantum-relevant software platforms
Connections to quantum companies and end-user industries
Partner with QAI on research grants
Networking events with other faculty and students
Access to QAI event space to host events
Speak at QAI or partner events
Work with QAI to develop training on quantum
Other
Additional reason for joining.
I agree that by signing up as a QAI Academic Affiliate, QAI may send me emails on programs, news and events.
(Required)
Yes
I agree that as a QAI Academic Affiliate, my name, photo, university, faculty and department can be posted on the QAI website.
(Required)
Yes
Attach academic CV or resume
(Required)
Accepted file types: pdf, Max. file size: 2 MB.
This information is collected for the purposes of educational program delivery, training and/or participation in a professional network. All personal information is collected and stored pursuant to Section 26 (d) (i-ii) of British Columbia’s Freedom of Information and Protection of Privacy Act (FIPPA).
Phone
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