QAI Academic Affiliate Application

Name(Required)

First Last

Email(Required)

Phone(Required)

Username(Required)

Password(Required)

Strength indicator

Google Scholar

Website

Province / Territory(Required)

Type of Affiliation(Required)

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

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)

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).

Name

This field is for validation purposes and should be left unchanged.

Partnership

Applied Quantum Computing

Talent

QAI supports researchers, educators and students to share their expertise with industry, governments, and non-profit organizations.

Be the first to receive the latest news, events and industry insight.

Location

Hours

Contact

Email

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